The parents of a terminally ill child do not want the child dying ...

[Pea0909berry]

The parents of a terminally ill child do not want the child dying in the hospital. What can the nurse suggest to help these parent's needs?
 
  A) Admit to a long-term care facility.
  B) Have hospice provided through home care.
  C) Discharge the child to home right before death.
  D) Have family stay with the child around-the-clock in the hospital.

Question 2

The nurse notes that a chronically ill child has not been seeing the health care provider for several months, although monthly checkups and blood work are needed to help maintain the illness.
 
  What should the nurse realize as a reason for the child missing appointments? A) The parents have been too busy to bring the child.
  B) The family does not have the money to pay for multiple visits.
  C) The child is afraid of having the blood drawn, so the parents do not bring him.
  D) The parents are having a difficult time grieving with the idea of the child's illness.

[ttt030911]

Answer to Question 1

B
Feedback:
Many families prefer that a child die at home, surrounded by family and familiar possessions, rather than in a hospital. For many children, hospice care is furnished as part of home care, so that they are not separated from their families. This would be the best suggestion for the nurse to make to the parents of the dying child. A long-term care facility is similar to a hospital and would not meet the family's needs. Discharging the child to home prior to death will not meet the needs of the family. Having the family stay with the child around-the-clock in the hospital definitely will not meet the family's needs.

Answer to Question 2

D
Feedback:
Most parents of a chronically ill child adhere well to instructions and keep health care appointments consistently. Sometimes, however, parents do not follow this pattern. This inability to adhere usually is related to their stage of adjustment to the illness. As long as denial, anger, bargaining, or depression is functioning, coming in for health care or evaluation is viewed as a major demand. Each visit is more of a reminder of the child's illness than a time of reassuring health assessment. This behavior does not indicate that the parents are too busy. There is no enough information to determine if the visits are cost prohibitive for the family. There is no enough information to determine if the child is afraid of having blood tests performed.

[Pea0909berry]

Thank you

[ttt030911]

Happy to help you