SEBABRATA INSTITUTE OF NURSING
LESSON PLAN
TOPIC: Child’s Reaction to Hospitalisation
SUBMITTED BY:
PRIYA PAIRA
TUTOR
SEBABRATA INSTITUTE OF NURSING
Date of Submission:
Basic Lesson Plan information:
Subject: Child Health Nursing
Name of the Topic: Child’s Reaction to Hospitalisation
Name of the teacher: Priya Paira
Name of the Supervisor: Madam R. Golder
Date and Time of teaching:
Venue of the teaching: Lecture Hall
Group of students: GNM 2nd Year students
Size of group: 33
Method of teaching: Practice Teaching
Duration: 45 minutes
AV aids: LCD projector , Blackboard
Previous knowledge: - Group has some knowledge about hospitalization but they don’t have in depth knowledge about
child’s reaction to Hospitalisation.
General objective: - At the end of the topic/class, students will be able to acquire knowledge about Child’s Reaction to
Hospitalisation.
Specific objective: - At the end of teaching, students will be able to:
gain knowledge about the reactions of infants to Hospitalisation
gain knowledge about the reactions of toddler , pre-schooler, school going children, adolescents to Hospitalisation
acquire skills how to manage the reactions of preschool, school -aged and adolescents reaction to Hospitalisation.
Develop positive attitude about the effects of hospitalization on the family of the child.
acquire the knowledge about the role of nurse to cope with stress of illness and hospitalization of children.
SL. DURATION SPECIFIC CONTENT [Link] TEACHING EVALUATION
NO OBJECTIVE LEARNING
ACTIVITIES
01 02 min Introduce INTRODUCTION- LCD Lecture cum
About projector discussion method
Hospitalisation of Illness threatens both the physical used for the
children and psychological development of teaching.
children. Sickness causes pain, Students paid
restraint of movement, long attention in the
sleepless periods, restriction of classroom and
feeds, separation from parents and listened carefully.
home environment which may result
emotional trauma. Hospitalization
and prolonged illness can retard
growth and development and cause
adverse reactions in the child, based
on stage of development
02 04 min Explain about Reactions of Neonates LCD Lecture cum Can you tell me
reactions of projector discussion method about the reactions
Hospitalization and prolonged of neonate to
neonate to used for the
Hospitalisation ?
Hospitalisation. illness in neonatal period interrupt in teaching.
the early stages of development of a Students paid
healthy mother-child relationship attention in the
and family integration. Impairment classroom.
of bonding and trusting relationship,
inability of the parents to love and
care for the baby and inability of the
baby to respond to parents and
family members are common
reactions of the neonates.
03 Explain about the Reactions of Infants LCD Lecture cum What are the
05min reactions of infants projector discussion method reactions of
to Hospitalisation Infant’s reactions are mainly used for the infants to
separation anxiety and disturbance teaching. Hospitalisation?
of development of basic trust, when Students paid
the infant is separated from mother attention in the
and when illness and hospitalization classroom and
interfere with meeting the infant listened carefully.
needs. Emotional withdrawal
interference of growth and delayed
developments are also found. Older
infants (8-12 months of age) may
have limited tolerance due to
separation anxiety which is found as
fear of strangers, excessive crying,
clinging and overdependence on
mothers.
04 12min Explain about the Reactions of Toddlers LCD Lecture followed
reactions of toddler projector by discussion.
to Hospitalisation. Toddlers reactions due to
hospitalization are found as protest,
despair, denial and regression.
The toddler protests by frequent
crying, shaking crib. Rejecting
nurses’ attention, urgent desire to
find mother and showing signs of
distrust with anger and tears,
especially when with mothers.
In despair, the toddler becomes
hopeless, apathetic, anorectic,
listless, looks sad, cry continuously
intermittently and use comfort
measures like thumb sucking,
fingering lip and tightly clutching a
toy.
In denial, the child reacts by
accepting care without protest and
represses all feelings. The child does
not cry in the absence of mother and
may seem more attached to nurses.
The toddlers may react by
regression in an attempt to regain
control of a stressful situation. They
are found to stop using newly
acquired skills and may return to the
behaviour of an infant during illness
and hospitalization.
05 12 min Enlist the reactions Reactions of Preschool Child LCD Lecture cum What are the
of pre-schooler, projector discussion method reactions of
school going The preschool children adopt used for the school aged
children and various mental mechanisms (defense teaching. children and
adolescents. mechanisms) to adjust with the Students paid adolescents .
stressful experiences of attention in the
hospitalization and prolonged classroom and
illness. They react by exhibiting listened carefully.
regression, repression, projection,
displacement, identification,
aggression, denial, withdrawal and
fantasy. The preschooler may
simply show similar behaviors of
the toddlers, i.e. protest, despair and
denial. The stage of protest in
preschool children is usually less
aggressive and direct.
Reactions of School-aged Children
During hospitalization and
prolonged illness, the school-aged
children are concerned with fear,
worry, mutilation, fantasies,
modesty and privacy. They react
with defences mechanisms like
regression, separation anxiety,
negativism, depression, phobia,
unrealistic fear, suppression or
denial of symptoms and conscious
attempts of mature behavior.
Reactions of Adolescents
Adolescents are concerned with lack
of privacy, separation from peers or
family and school, interference with
body image or independence or self-
concept and sexuality. They react
with anxiety related issues.
06 10 min Explain about the Role of Nurse LCD Lecture cum What are the
role of nurse to projector discussion method roles of a nurse
cope up with the The role of nurse in helping child used for the to cope up with
reactions of child and family members for coping with teaching. the reactions to
to Hospitalisation. stress of hospitalization and illness Students paid Hospitalisation?
is complementary and supportive. attention in the
Parents and their children want classroom and
nurses as a helping people for the listened carefully.
adjustment with the stress and as a
source of comfort, strength and
knowledge. The nurse should earn
sufficient confidence to develop
positive relationship with the
children and their parents. The
paediatric nurse must be aware
about the feelings of both parents
and children to help them to handle
their problems.
The nurse should avoid criticizing
parent's attitude, however
unreasonable it may appear. Nurse
should have patience, tenderness
and great emotional strength in
times of stress. addition to the
provision of rest and physical care to
the child.
SUMMARY:
Today we have discussed about the reactions of child to Hospitalisation and the role of nurse to cope up with
the reactions of child to Hospitalisation.
CONCLUSION:
It’s essential to recognize the multifaceted impact of illness on children and provide appropriate care and
support to address both physical and psychological needs.
REFERENCES
1. Dutta Parul, Child Health Nursing,4th Edition, Jaypee Brothers [Link] no -131-134
2. Pal Panchali, Child Health Nursing, 2nd Edition, CBS publications, Page no- 36-54
3. Sharma Rimple, Child Health Nursing, 3rd Edition, Jaypee Brothers Publication, Page no-32-40
4. Gupta Piyush, Essential of Paediatrics, 4th Edition, CBS publications,page no-49-53
