Assignment on Advance Nursing Practice
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Added on 2020-04-07
Assignment on Advance Nursing Practice
Added on 2020-04-07
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1Running head:NURSINGNursing Name of student:Name of university:Author note:
2NURSINGThe child who was engaged for the present analysis was a 4-year-old girl. Her name isnot mentioned due to confidentiality issues. She extended cooperation for the activity to becarried out with success. The child was brought into the ED a number of times and thereforewas acquainted with the environment of the hospital. Though she had not been hospitalised inthe setting, her frequent visits to the hospital were adequate for her to express hervisualisations of a hospital drawing. The drawing was a valuable one as it focused on the reflection of the child pertainingto a hospital environment. Though the drawing is not exact to what a norma hospital settingwould actually look like, the drawing mentions some key aspects involved with such asetting. As per the child, she had drawn the picture in which she mentions to make a bed withmany wheels that carry a patient. The patient, in this case, has a fractured leg. The physicianis seen to be coming into the room from the door. Hospitalization, or frequent visits to the hospital has been indicated to be a stressfulexperience for children of all age groups. The degree of anxiety that child bears have beenwell studied in the literature. Advanced nursing practice outlines a wide range of strategiesbased on recreational activities to enhance the quality of patient stay at the hospital (Fraser etal. 2017). According to Hockenberry, Wilson and Rodgers (2016) play can be an integral partof the care provided by a nurse to the child. One significant recreation activity is drawing thathas been proved to be helpful for children to come out of their anxiety or negative feelings. Inthe present case, the child can be helped in overcoming her fears and anxiety related to stay athospital through drawing. Drawing can enable the child to be not restricted to the physicalbarriers of the hospital. Encouraging her to draw her perceptions about the hospital andmotivating her to explain what her feelings her can help in resolving any misunderstandingsshe might have pertaining to the hospital. Therapeutic play, in the from of drawing mightenable her to learn more about how hospitals function in a precise and certain manner. This
3NURSINGwould eventually help her in combating challenges she is facing on the emotional front(Hughe and Lyte 2015). As opined by Rindstedt (2013) unstructured play, such as drawing, as undertaken by achild admitted to the healthcare unit, or visiting the care unit, can enable her to control ideas,relationships nd events. Drawing is a means of expressing one’s self and own ideas throughwhich communication can be done with the outer world. In addition, drawing can also beperceived as a distraction method. One can be made to be distracted from illness and painthrough such process. Research indicates that distraction is a significant tool within a clinicalsetting whereby patients get relief from pain. Normalisation of hospital experience can beachieved from the perspective of the patient if she is engaged in drawing. For increasing therange of motion in a child who is of school-going age and is visiting the hospital due tofracture, drawing can serve as a means of eliminating chances of boredom. The impact of hospitalisation on children has been well studied in literature as this haswide implications for nursing practice within a clinical setting. According to Hockenberry,Wilson and Rodgers (2016), a child being admitted to the hospital undergoes a series ofemotional changes that directly and indirectly influence the outcomes of medical andnonmedical interventions. Firstly, a child is deeply concerned about being separated from hisparents. Separation from parents is perceived as fear, thinking it to b a rejection from theparent’s side. Anxiety and apprehension are extreme since the child has very less knowledgeof the consequences of being admitted to the hospital. Wilson and Hockenberry (2014) in thisregard state that a constant comparison is made by the child with other children of own agewherein differences are drawn out in favour of other. This implies that a child starts thinkinghimself to be different from others as with fewer capabilities and sound physical health.
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