CHILD ADMISSION AND DISCHARGE PLAN

1. Hospitalization in Children
Prepared by
Raveen Isamel Abdullah
B.CS.in Nursing
Hawler medical university
College of nursing
2016-2017

2. Outlines
• Definition of Hospitalization
• Purpose of Hospitalization
• Preparation before child admission to hospital
• Hospital Admission
• Discharge plan of care
• Risks of hospitalization
• factors influencing the negative effects of
hospitalization
• factors influencing the positive effects of
hospitalization

3. Objectives
The aim of this seminar is to :
1. Reveal a clear picture of the meaning of hospitalization in
children.
2. Show the steps taken prior ,during and after hospitalization .

4. What is hospitalization ?
Hospitalization is admittance to the hospital as a
patient.

5. Purpose of hospitalization
Patients are admitted to the hospital for a variety of
reasons, including:
1. Scheduled tests.
2. Procedures.
3. Surgery.
4. Emergency medical treatment.
5. Administration of medication.
6. To stabilize or monitor an existing condition.

6. Preparation
• Parents should describe and explain, as honestly and thoroughly as
possible, what will happen to the child in the hospital.
• Teens should be given an honest explanation of what to expect during
their hospital stay.
• Hospitalized teen should be included in the discussions about their care.
• should be encouraged to ask their health care providers questions.
• learning about the hospital.
• Making sure the child is healthy (physical assessment and taking history )
• Selecting a family spokesperson

7. Hospital admission
• For planned hospitalizations, the parents register
their child at the hospital registration or
admitting area.
• For emergency hospital admissions, the parents
register their child in the emergency department.
• The parents are required to complete paperwork
and show an insurance card, if insured.

8. • A health care provider will review an informed
consent form with the parents, and they will be
asked to sign it.
• Informed consent is an educational process
between health care providers and patients or
their guardians.
• Parents are encouraged to ask questions.
Hospital admission

9. • Before signing the form, the parents should
understand the nature and purpose of the child's
hospital stay and medical treatment, the risks and
benefits, and alternatives, including the option of
not proceeding with the medical treatment.
• Signing the informed consent form indicates that
the parents permit a treatment to be
administered to their child.
Hospital admission

10. • Upon admission, an identification bracelet that includes the
patient's name and doctor's name will be placed on the
child's wrist.
• The child may wear his or her own pajamas, or a hospital
gown, depending on the hospital and nursing unit's policy.
• A nurse usually consults with the parents to learn about
the child's dietary restrictions or preferences. Daily menu
choices are available
Hospital admission

11. Risks
• The risks of hospitalization are related to the type of treatment or
procedure the child will be having.
• Every procedure has risks, which the parents should discuss with
the child's doctor and health care team.
• Parents should make sure they understand the potential risks of
any procedure prior to signing the informed consent form.
• Nosocominal infections
• Communicable disease

12. Factors influencing the NEGATIVE
effects of hospitalization
• Isolation from the family
• Fantasies, anxiety and fears from the new
environment
• Social deprivation ( nowadays no longer a
reality)
• Pain and other complications of illness, surgery
and stressful medical procedures
• Fears of disablement and death

13. Factors influencing the POSITIVE
effects of hospitalization
• Enabling the child to become a “hero” afterwards
• New contacts with different situations
• Make temporary new friends during
hospitalization

14. Aftercare
• Before the child leaves the hospital, the health care providers will
review discharge instructions with the child and parents.
• These instructions include incision care, signs of infection or
complications to watch for, information on when to call the
doctor, medication guidelines, activity guidelines, dietary
restrictions, information about when the child may return to work
or school, a follow-up appointment schedule, and other specific
instructions as applicable to the patient's condition.
• Follow-up appointments may be scheduled, and the necessary
prescriptions will be given to the parents.

15. References
Salo, David, M.D., Ph.D. "Hospital Admissions."
Emedicine Consumer Health. 2003. Available
online at:
http://www.emedicinehealth.com/fulltext/11983
.htm. Angela M. Costello
Read more: http://www.healthofchildren.com/G-
H/Hospitalization.html#ixzz4fzGGJg1D