A Nursing Care Plan for

Fear in hospitalized Children

In Partial Fulfillment of the

Requirements in NCM 212 - RLE

OXYGENATION, FLUIDS AND ELECTROLYTES ROTATION

Submitted to:
Mrs. Sarah Jane Pamaloan, RN
Clinical Instructor

Ms. Julianne Mey Alabastro, St. N

Practicing Clinical Instructor

Submitted by:
Hannah Pearl A. Magallen, St. N.
BSN 3N G2 SubGroup 1

November 31, 2023

 NURSING CARE PLAN

Name: L.R. Age/sex: 1 yr. old / Female Ward: OB WARD Good Shepherd Hospital
Chief Complaint: Fever and Convulsions Diagnosis: Benign Febrile Convulsion Room/Bed: 314 - 5
Attending Physician: Dr. Mata

Date Cues N Nursing Diagnosis Patient Outcome Nursing Interventions IMPLEM Evaluation
and E ENTATI
Time E ON
D

NOV Subjective: C Fear related to response to Within 5 hours of May 2, 2023 @ 3:00
24, O phobic stimulus as A. Assess the social and 1 PM
nursing
2023 The Patient’s P evidenced by ineffective emotional history of
I intervention, the the child and family GOAL PARTIALLY
Mother impulse control
N for strengths and MET
patient will be able
@ Verbalized: G effective coping
7am / Domain 9 • Class 2 • to remain calm ability. After 5 hours of
S Diagnosis Code 00148 when seeing nursing intervention,
7-3 “Talawan jud na T R: Provides
shift R medical staff and information the patient was able
syag laing tao Rationale:
E about strengths
no longer cry when to remain calm
maam samot S According to Veness (2022), and about
S hospitals and medical taken care of a weaknesses to when seeing
nag mga doctor
settings can be unfamiliar draw upon to
nurse medical staff and
ug nurse” T and intimidating for cope with
O children. The presence of hospitalization. the patient no
L nurses in uniforms, longer cries when
E medical equipment, and B. Assess and recognize
R an unfamiliar environment regressive behavior as 2 seeing the nurse
Objective:
A can contribute to their fear. a part of the illness
approaching her.
N and assist the child in
● Facial C According to Forsner et al. handling the
Grimace E (2019), Children may dependency
associate nurses with associated with the
● Fearful and medical procedures that hospitalization.
crying upon could cause pain or
seeing the discomfort. Injections, R: Allows for
blood draws, or other behaviors
nurses
medical interventions can common to
● CR: 148 bpm be anxiety-inducing for hospitalizations
children. and loss of
control.

C. Allow the child to play

out feelings. Accept 3
feelings and
responses expressed
by the child.

R: Allows the child

to reveal feelings
without fear of
punishment.

D. Provide orientation to
the hospital 4
environment and
room, routines, meal
and play time,
introduction to staff
members, forms to
sign, and hospital
policies.
 R: Familiarizes
child and family
with the
environment,
develop security,
and decreases
fear of the
unknown.

E. Provide a calm,
accepting 5
environment and
avoid hurrying
through interactions
and care.

R: Assists child
and family in
building trust and
achieving
emotional
stability.

F. Maintain a quiet 6
environment, and
control visitors, and
interactions.
R: Decreases
stimuli that
increase anxiety.
G. Encourage the 7
parents to remain
with the child and
allow them to hold
and cuddle the child.

R: Promotes
participation and
adaptation to
hospitalization,
reduces anxiety;
allows
demonstration of
love and affection
for the child.

H. Advise parents to
bring toys of the child 8
that brings them
comfort.

R: Promotes
participation and
adaptation to
hospitalization,
reduces anxiety;
allows
demonstration of
love and affection
for the child.
I. Use therapeutic play 9
to explain and
prepare the child for
procedures; repeat
any teaching as
needed.

R: Allows the
child to
comprehend and
become
accustomed to
articles used for
care or
procedure.

J. Inform and explain all 10

procedures and plans
in simple,
understandable
language to the child
and parents based on
their intellectual level Magallen, Hannah
and age; pace Pearl A. St.N
information
according to
child/parental needs.

R: Provides easily
understood
information,
which decreases
anxiety.
References:

Forsner, M., Jansson, L., & Söderberg, A. (2019). Afraid of medical care. Journal of Pediatric Nursing, 24(6), 519–528.

https://doi.org/10.1016/j.pedn.2009.08.003

Veness, H. (2022). ‘Children’s fear in hospital can be eased with small actions – even at busy times.’ Nursing Times.

https://www.nursingtimes.net/opinion/childrens-fear-in-hospital-06-10-2022/

Bsn, G. W., RN. (2023, October 12). Anxiety & fear nursing care plan and management. Nurseslabs. https://nurseslabs.com/anxiety/