Adolescent Hospitalization: Supporting Social, Emotional, and Physical Needs

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ASSIGNMENT INSTRUCTIONS:

Review the case study and answer the following questions.
Case Study: Bobby, a 13-year-old male, was hospitalized following a perforated appendix that required surgery. Bobby has an open wound requiring dressing changes twice daily. He is currently on contact precautions for a methicillin-resistant staphylococcus aureus (MRSA) infection. The estimated date of discharge is five to ten days post-op and will include long-term antibiotics and wound care.
The nurse notes on the assessment- Previously Bobby was talkative and related his enthusiasm for school and upcoming science competitions. However, today, he was withdrawn and stated, “I’m just tired”.
What are the impacts when an adolescent is separated from their peer group?
How should the nurse arrange for visitation and playtime during Bobby’s hospitalization and isolation?
What concerns with body image would the nurse anticipate?
Why is “play” an important part of childhood?
At least 130 words. Thank you.

HOW TO WORK ON THIS ASSIGNMENT (EXAMPLE ESSAY / DRAFT)

Adolescent hospitalization presents unique challenges that affect the social, emotional, and physical well-being of the patients. The case study of Bobby, a 13-year-old male hospitalized following a perforated appendix, demonstrates the importance of addressing these challenges. During his hospitalization, Bobby has an open wound requiring dressing changes twice daily and is currently on contact precautions for MRSA infection. However, the nurse noted a change in his behavior, and he appeared withdrawn and stated, “I’m just tired.”

Separation from their peer group can have significant impacts on adolescents. Peer groups often provide support and comfort to adolescents, and separation from them can lead to feelings of loneliness, isolation, and depression, which can have negative impacts on their recovery. To address this, the nurse should work with Bobby’s parents and healthcare team to arrange for visitation and playtime that considers his isolation precautions. This can involve using technology to facilitate virtual visits or finding ways to safely allow visitors in the room. Engaging in age-appropriate activities that promote social and emotional well-being, such as playing games, reading, or listening to music, can also help.

The nurse should anticipate concerns with Bobby’s body image, particularly given his open wound that requires dressing changes. Providing privacy during dressing changes and encouraging good hygiene practices can help maintain his self-esteem. Finally, play is an essential part of childhood, providing an opportunity for physical activity, creativity, socialization, and emotional expression. Therefore, the nurse should encourage and facilitate play activities that promote Bobby’s physical and emotional well-being during his hospitalization.

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