![Page 1: T riple P in H ospital - Helping Families Changehelpingfamilieschange.org/wp-content/uploads/2020/02/C4... · 2020-02-27 · Sibling Inclusion - Provide age-appropriate explantionations](https://reader034.vdocuments.us/reader034/viewer/2022050414/5f8b14cc3f0504178b171aae/html5/thumbnails/1.jpg)
Promoting Parental Presence
A shley Currie, MS , CCL SS tephanie B radford, CCL S
T riple P in H ospital
![Page 2: T riple P in H ospital - Helping Families Changehelpingfamilieschange.org/wp-content/uploads/2020/02/C4... · 2020-02-27 · Sibling Inclusion - Provide age-appropriate explantionations](https://reader034.vdocuments.us/reader034/viewer/2022050414/5f8b14cc3f0504178b171aae/html5/thumbnails/2.jpg)
Objectives
● Demonstrate the importance of parental presence for chronically-ill children in hospital by:
○ Reviewing relevant attachment theories to gain understanding
○ Defining chronic illness in the pediatric population
○ Discussing various ways staff can promote parental presence
![Page 3: T riple P in H ospital - Helping Families Changehelpingfamilieschange.org/wp-content/uploads/2020/02/C4... · 2020-02-27 · Sibling Inclusion - Provide age-appropriate explantionations](https://reader034.vdocuments.us/reader034/viewer/2022050414/5f8b14cc3f0504178b171aae/html5/thumbnails/3.jpg)
Can YOU tell us what a Child L ife S pecialist does?
What are Child Life Specialists?
![Page 4: T riple P in H ospital - Helping Families Changehelpingfamilieschange.org/wp-content/uploads/2020/02/C4... · 2020-02-27 · Sibling Inclusion - Provide age-appropriate explantionations](https://reader034.vdocuments.us/reader034/viewer/2022050414/5f8b14cc3f0504178b171aae/html5/thumbnails/4.jpg)
Certified Child Life Specialists are educated and clinically trained in the developmental impact of illness and injury.
They provide evidence-based, developmentallyand psychologically appropriateinterventions including therapeutic play, preparation for procedures, and education to reduce fear, anxiety, and pain.
![Page 5: T riple P in H ospital - Helping Families Changehelpingfamilieschange.org/wp-content/uploads/2020/02/C4... · 2020-02-27 · Sibling Inclusion - Provide age-appropriate explantionations](https://reader034.vdocuments.us/reader034/viewer/2022050414/5f8b14cc3f0504178b171aae/html5/thumbnails/5.jpg)
Past
![Page 6: T riple P in H ospital - Helping Families Changehelpingfamilieschange.org/wp-content/uploads/2020/02/C4... · 2020-02-27 · Sibling Inclusion - Provide age-appropriate explantionations](https://reader034.vdocuments.us/reader034/viewer/2022050414/5f8b14cc3f0504178b171aae/html5/thumbnails/6.jpg)
Present
![Page 7: T riple P in H ospital - Helping Families Changehelpingfamilieschange.org/wp-content/uploads/2020/02/C4... · 2020-02-27 · Sibling Inclusion - Provide age-appropriate explantionations](https://reader034.vdocuments.us/reader034/viewer/2022050414/5f8b14cc3f0504178b171aae/html5/thumbnails/7.jpg)
Chronic Illness
Chronic Illness is defined as...
“ conditions that last one year or more and require ongoing medical attention or limit activities of daily living or both”
-Centers for Disease Control and Prevention
![Page 9: T riple P in H ospital - Helping Families Changehelpingfamilieschange.org/wp-content/uploads/2020/02/C4... · 2020-02-27 · Sibling Inclusion - Provide age-appropriate explantionations](https://reader034.vdocuments.us/reader034/viewer/2022050414/5f8b14cc3f0504178b171aae/html5/thumbnails/9.jpg)
Stressors of Hospitalization
For the Chronically -Ill Child
- Environment- Unfamiliar people- Invasive medical procedures- Disruption in normal routines- Separation anxiety
![Page 10: T riple P in H ospital - Helping Families Changehelpingfamilieschange.org/wp-content/uploads/2020/02/C4... · 2020-02-27 · Sibling Inclusion - Provide age-appropriate explantionations](https://reader034.vdocuments.us/reader034/viewer/2022050414/5f8b14cc3f0504178b171aae/html5/thumbnails/10.jpg)
Stressors of Hospitalization
For the Parents/Caregivers
- Disruption in normal home routine- Unfamiliar people and surroundings- Added fear/uncertainty- Loss of income - Balancing external commitments
- Partner/other children- Previous commitments- Work
![Page 11: T riple P in H ospital - Helping Families Changehelpingfamilieschange.org/wp-content/uploads/2020/02/C4... · 2020-02-27 · Sibling Inclusion - Provide age-appropriate explantionations](https://reader034.vdocuments.us/reader034/viewer/2022050414/5f8b14cc3f0504178b171aae/html5/thumbnails/11.jpg)
Theoretical Framework
Theory of Attachment
John Bowlby and Mary Ainsworth identified four attachment styles including:
(1) Secure(2) Anxious-Ambivalent(3) Anxious-Avoidant(4) Disorganized/Fearful
![Page 12: T riple P in H ospital - Helping Families Changehelpingfamilieschange.org/wp-content/uploads/2020/02/C4... · 2020-02-27 · Sibling Inclusion - Provide age-appropriate explantionations](https://reader034.vdocuments.us/reader034/viewer/2022050414/5f8b14cc3f0504178b171aae/html5/thumbnails/12.jpg)
Theoretical Framework cont.Family Systems Theory
-The family unit is influenced by outside systems.
-These variables affect each member ofthe family, either positively or
negatively.
![Page 13: T riple P in H ospital - Helping Families Changehelpingfamilieschange.org/wp-content/uploads/2020/02/C4... · 2020-02-27 · Sibling Inclusion - Provide age-appropriate explantionations](https://reader034.vdocuments.us/reader034/viewer/2022050414/5f8b14cc3f0504178b171aae/html5/thumbnails/13.jpg)
How can we help families?
- Maintain Parental Role
- Maintain Child & Family Routines
- Sibling Support
- Introducing to resources within the hospital
- Medical Teaching
![Page 14: T riple P in H ospital - Helping Families Changehelpingfamilieschange.org/wp-content/uploads/2020/02/C4... · 2020-02-27 · Sibling Inclusion - Provide age-appropriate explantionations](https://reader034.vdocuments.us/reader034/viewer/2022050414/5f8b14cc3f0504178b171aae/html5/thumbnails/14.jpg)
Maintaining Parental Role
- Encouraging parents to be routinely involved in care
- i.e. bathing, feeding, and giving medication (when approved by medical staff)
- Encouraging parents to provide comfort and support during procedures
- Promoting effective discipline
- Use of Triple P Tip Sheets and managing misbehaviour strategies
![Page 15: T riple P in H ospital - Helping Families Changehelpingfamilieschange.org/wp-content/uploads/2020/02/C4... · 2020-02-27 · Sibling Inclusion - Provide age-appropriate explantionations](https://reader034.vdocuments.us/reader034/viewer/2022050414/5f8b14cc3f0504178b171aae/html5/thumbnails/15.jpg)
SAMPLE
- Promoting parental advocacy
- Use of ‘All About Me’ posters
Maintaining Parental RoleCont.
![Page 16: T riple P in H ospital - Helping Families Changehelpingfamilieschange.org/wp-content/uploads/2020/02/C4... · 2020-02-27 · Sibling Inclusion - Provide age-appropriate explantionations](https://reader034.vdocuments.us/reader034/viewer/2022050414/5f8b14cc3f0504178b171aae/html5/thumbnails/16.jpg)
Maintaining Child & Family Routine
- Working with parents to determine a routine that models home-life
- Creating posted schedules
- Collaborating with medical team to determine how to best merge hospital goals with home routine
- Importance of bedtime routines
![Page 17: T riple P in H ospital - Helping Families Changehelpingfamilieschange.org/wp-content/uploads/2020/02/C4... · 2020-02-27 · Sibling Inclusion - Provide age-appropriate explantionations](https://reader034.vdocuments.us/reader034/viewer/2022050414/5f8b14cc3f0504178b171aae/html5/thumbnails/17.jpg)
SAMPLE
![Page 18: T riple P in H ospital - Helping Families Changehelpingfamilieschange.org/wp-content/uploads/2020/02/C4... · 2020-02-27 · Sibling Inclusion - Provide age-appropriate explantionations](https://reader034.vdocuments.us/reader034/viewer/2022050414/5f8b14cc3f0504178b171aae/html5/thumbnails/18.jpg)
Sibling Inclusion- Provide age-appropriate
explantionations to siblings - medical play
- Teach positive coping strategies for siblings experiencing adverse behaviours
- Participate in hospital programming- i.e. playroom, sibling groups, etc.
![Page 19: T riple P in H ospital - Helping Families Changehelpingfamilieschange.org/wp-content/uploads/2020/02/C4... · 2020-02-27 · Sibling Inclusion - Provide age-appropriate explantionations](https://reader034.vdocuments.us/reader034/viewer/2022050414/5f8b14cc3f0504178b171aae/html5/thumbnails/19.jpg)
Promoting Development- Child life specialists promote development
in the hospital- Through play opportunities- Teaching parents to have confidence to play
with their child in hospital
- Triple P developmental play tip sheets- Can be altered/adapted to accommodate the
child’s abilities in hospital- Provision of play spaces and equipment
![Page 20: T riple P in H ospital - Helping Families Changehelpingfamilieschange.org/wp-content/uploads/2020/02/C4... · 2020-02-27 · Sibling Inclusion - Provide age-appropriate explantionations](https://reader034.vdocuments.us/reader034/viewer/2022050414/5f8b14cc3f0504178b171aae/html5/thumbnails/20.jpg)
![Page 21: T riple P in H ospital - Helping Families Changehelpingfamilieschange.org/wp-content/uploads/2020/02/C4... · 2020-02-27 · Sibling Inclusion - Provide age-appropriate explantionations](https://reader034.vdocuments.us/reader034/viewer/2022050414/5f8b14cc3f0504178b171aae/html5/thumbnails/21.jpg)
Resources for Families
- Orientating to resources within hospital- Ronald McDonald Room
- Connecting families to hospital social workers
- Provide community resources
- Connecting families with social supports- Veteran Parent
![Page 22: T riple P in H ospital - Helping Families Changehelpingfamilieschange.org/wp-content/uploads/2020/02/C4... · 2020-02-27 · Sibling Inclusion - Provide age-appropriate explantionations](https://reader034.vdocuments.us/reader034/viewer/2022050414/5f8b14cc3f0504178b171aae/html5/thumbnails/22.jpg)
Medical Teaching for Parents- Clinical Resource Nurse (CRN)
organizes teaching schedule
- Start with basic tasks before advancing
- Teaching advances at parent’s speed and comfort level
![Page 23: T riple P in H ospital - Helping Families Changehelpingfamilieschange.org/wp-content/uploads/2020/02/C4... · 2020-02-27 · Sibling Inclusion - Provide age-appropriate explantionations](https://reader034.vdocuments.us/reader034/viewer/2022050414/5f8b14cc3f0504178b171aae/html5/thumbnails/23.jpg)
Challenges
- 2 medically complex children- N ewly immigrated to Canada- L ong-term hospitalization- L ittle external supports- D emanding parents- N ew skillset - D iffering schedules between
children
A Success Story
S uccesses
- S ecure attachment- P ositive parent-staff relationships- Competence in skills attained- D ischarged from hospital- T hriving
![Page 24: T riple P in H ospital - Helping Families Changehelpingfamilieschange.org/wp-content/uploads/2020/02/C4... · 2020-02-27 · Sibling Inclusion - Provide age-appropriate explantionations](https://reader034.vdocuments.us/reader034/viewer/2022050414/5f8b14cc3f0504178b171aae/html5/thumbnails/24.jpg)
In Conclusion….
![Page 25: T riple P in H ospital - Helping Families Changehelpingfamilieschange.org/wp-content/uploads/2020/02/C4... · 2020-02-27 · Sibling Inclusion - Provide age-appropriate explantionations](https://reader034.vdocuments.us/reader034/viewer/2022050414/5f8b14cc3f0504178b171aae/html5/thumbnails/25.jpg)
![Page 26: T riple P in H ospital - Helping Families Changehelpingfamilieschange.org/wp-content/uploads/2020/02/C4... · 2020-02-27 · Sibling Inclusion - Provide age-appropriate explantionations](https://reader034.vdocuments.us/reader034/viewer/2022050414/5f8b14cc3f0504178b171aae/html5/thumbnails/26.jpg)
Ashley Currie, MS, CCLSCertified Child Life SpecialistHealth Sciences CentreWinnipeg, MB, [email protected]
Stephanie Bradford, CCLSCertified Child Life SpecialistHealth Sciences CentreWinnipeg, MB, [email protected]