Developmentally Appropriate Care of Pediatric Patients in the Perioperative Setting

AORN Journal
|January 27, 2023
PubMed

Insights

Perioperative nurses can reduce pediatric patient and caregiver anxiety by understanding child development and using age-appropriate communication. This approach builds trust and ensures safe, high-quality care during the perioperative experience.

Area of Science:

  • Nursing
  • Pediatric Healthcare
  • Psychology

Background:

  • Pediatric patients receive care in various settings, not just specialized facilities.
  • Perioperative nurses frequently encounter pediatric patients during their careers.
  • Children and their caregivers experience significant anxiety during the perioperative period.

Purpose of the Study:

  • To provide insights into pediatric cognitive and psychosocial development stages.
  • To highlight special pediatric healthcare considerations for nurses.
  • To offer strategies for decreasing perioperative anxiety in children and caregivers.

Main Methods:

  • Review of pediatric cognitive and psychosocial development stages.
  • Identification of age-appropriate communication techniques.
  • Presentation of hypothetical case studies illustrating effective practices.

Main Results:

  • Knowledge of developmental stages and tailored communication are key to reducing anxiety.
  • Developmentally appropriate interactions foster trust between the nurse, child, and caregiver.
  • Effective communication reassures caregivers about the quality and safety of care.

Conclusions:

  • Nurses can improve the perioperative experience for pediatric patients and families through informed, empathetic care.
  • Understanding child development is crucial for effective perioperative nursing practice.
  • Implementing age-specific communication strategies enhances patient safety and family satisfaction.

Related Concept Videos

Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
22
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
143
Suctioning the Oropharyngeal Airway01:25

Suctioning the Oropharyngeal Airway

In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
303
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
17
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
16
Parenteral Anesthetics: Overview01:24

Parenteral Anesthetics: Overview

Intravenous anesthetics are drugs administered parenterally to induce anesthesia or sedation. Propofol is a widely used agent formulated as a 1% emulsion in soybean oil, glycerol, and egg phosphatide. It induces rapid anesthesia primarily due to its rapid distribution from the bloodstream to target tissues and is metabolized in the liver. However, it can cause significant pain on injection and hypertriglyceridemia. Fospropofol, a water-based prodrug of propofol, lacks these adverse effects.
179