Nursing 112

Unit 1: Children with Illness
Reading: Kyle Unit 3 (Chapters 8-14)
Chapter 8—Atraumatic Care of Children & Families
Chapter Key: DO NO HARM! Or at least try not to.
Atraumatic care—Therapeutic care that minimizes or eliminates the psychological
and physical distress experienced by children and their families.
How that’s achieved?
 Minimizing physical stressors during procedures
 Providing family-centered care
 Utilizing excellent communication Skills
Principles of Atraumatic Care

Prevent/minimize physical
stressors including:
o Pain, discomfort, immobility,
sleep deprivation, no eat/drink,
changes in elimination.
o Avoid or reduce intrusive or
painful procedures.
o Avoid other physical stressors:
noise, smells, shivering,
restraints, etc.
o Control pain with drug and nondrug techniques.

Prevent/minimize parent-child
separation.
o Promote family-centered care
o Research best practices

Promote sense of control.
o Ask family about child’s health
history, habits, health condition,
building partnerships and
alliances.
o Educate and inform to reduce
the fear of the unknown.
o All as much control as possible.
 Participate in care
 Normalize schedule
 Provide suggestions

To know
Q. What is family-centered care?
A. Involves a partnership between child,
family, and health care providers in
planning and providing care.

I. Major Section 1
Preventing/Minimizing Physical
Stressors
1. Utilize child life specialist (CLS)
—specially trained person who
can provide programs to help kids
prepare for medical
procedures/hospital stays.
CLS Goal—to decrease a child’s anxiety
and fear while also increasing child
understanding and cooperation.
CLS Services: medical procedural
support, therapeutic play, sibling
support, grief bereavement support, ER
interventions.

2. Ways to Minimize Physical Stress During Procedures:
a. Therapeutic hugging—holding a child between parent and caregiver.
b. Before Procedure:
i. Explaining what’s to come
ii. Describe the when, where and how
iii. Play
c. During Procedure:
i. Be calm, firm and positive
d. After Procedure:
i. Cuddle, comfort and play
ii. Provide opportunities for pain expressions
iii. Praise for a job well done