#2 Case Study - TQ is a 5 year old with a known diagnosis of Trisomy 21 (Down's Syndrome) admitted to the hospital for a cardiac anomaly. They are scheduled for surgery tomorrow. In terms of growth and development, what are some stressors, risk factors, behaviors, interventions, and developmental items that would be appropriate to assess and provide as the nurse? by https://padlet.com/matthewtheriot/7b254tgl2ntit4zs N146 - Pediatric Growth & Development en-us 2022-01-21 22:20:06 UTC 2022-01-25 22:09:53 UTC hello@padlet.com new environment https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012305467 2022-01-25 22:03:28 UTC https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012305467 Pain https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012305470 2022-01-25 22:03:28 UTC https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012305470 routine disruption https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012305539 2022-01-25 22:03:31 UTC https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012305539 loss of routine https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012305589 2022-01-25 22:03:34 UTC https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012305589 over stimulated https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012305699 2022-01-25 22:03:40 UTC https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012305699 strangers https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012305807 2022-01-25 22:03:46 UTC https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012305807 All the unknowns https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012305814 2022-01-25 22:03:47 UTC https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012305814 lack of understanding https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012305821 2022-01-25 22:03:47 UTC https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012305821 stranger danger https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012305835 2022-01-25 22:03:48 UTC https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012305835 loud noise and sounds https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012305850 2022-01-25 22:03:49 UTC https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012305850 Communication of needs https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012305856 2022-01-25 22:03:50 UTC https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012305856 caregiver present https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012305875 2022-01-25 22:03:50 UTC https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012305875 scary to have people walking around outside at night https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012306406 2022-01-25 22:04:21 UTC https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012306406 magical thinking https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012306444 2022-01-25 22:04:23 UTC https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012306444 Learning delay - maybe not understanding what's going on https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012306450 2022-01-25 22:04:24 UTC https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012306450 post traumatic syndrome https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012306739 2022-01-25 22:04:39 UTC https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012306739 communication delay https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012306780 2022-01-25 22:04:42 UTC https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012306780 regression https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012306803 2022-01-25 22:04:43 UTC https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012306803 staff not seeking adequate consult from caregivers https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012307184 2022-01-25 22:05:01 UTC https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012307184 mistrust of other adults https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012307251 2022-01-25 22:05:05 UTC https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012307251 toileting needs https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012307415 2022-01-25 22:05:14 UTC https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012307415 frustration https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012307857 2022-01-25 22:05:38 UTC https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012307857 egocentrism https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012307866 2022-01-25 22:05:39 UTC https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012307866 Acting out/tantrum https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012307900 2022-01-25 22:05:41 UTC https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012307900 tantrums https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012307945 2022-01-25 22:05:43 UTC https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012307945 bed wetting https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012308030 2022-01-25 22:05:46 UTC https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012308030 changes in their typical behavior https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012308048 2022-01-25 22:05:47 UTC https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012308048 Impulsivity https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012308269 2022-01-25 22:05:59 UTC https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012308269 Crying, screaming https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012308334 2022-01-25 22:06:03 UTC https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012308334 Try to remove medical devices https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012308533 2022-01-25 22:06:14 UTC https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012308533 Fighting procedures https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012308689 2022-01-25 22:06:24 UTC https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012308689 biting, fighting https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012308701 2022-01-25 22:06:25 UTC https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012308701 wandering and getting lost https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012308834 2022-01-25 22:06:33 UTC https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012308834 Developmentally-appropriate explanations of what's going on / surgery / plan https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012309166 2022-01-25 22:06:53 UTC https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012309166 build routine https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012309335 2022-01-25 22:07:04 UTC https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012309335 Encourage parental involvement/soothing items/toys https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012309385 2022-01-25 22:07:07 UTC https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012309385 concrete steps "you know when X is done after Y" https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012309626 2022-01-25 22:07:20 UTC https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012309626 Game-ify anything that can be turned into a game. https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012309749 2022-01-25 22:07:25 UTC https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012309749 minimize stimulation https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012309809 2022-01-25 22:07:30 UTC https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012309809 Have them name their devices https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012309914 2022-01-25 22:07:35 UTC https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012309914 Make the room/environment kid friendly with decorations, etc. https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012310718 2022-01-25 22:08:21 UTC https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012310718 Games! https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012311661 2022-01-25 22:09:22 UTC https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012311661 security items https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012311679 2022-01-25 22:09:23 UTC https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012311679 books https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012311796 2022-01-25 22:09:32 UTC https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012311796 coloring https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012311807 2022-01-25 22:09:33 UTC https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012311807 art supplies https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012311827 2022-01-25 22:09:34 UTC https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012311827 fidget spinner https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012311870 2022-01-25 22:09:36 UTC https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012311870 Music toys https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012312012 2022-01-25 22:09:45 UTC https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012312012 kaleidoscope https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012312072 2022-01-25 22:09:48 UTC https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012312072 medical play items https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012312147 2022-01-25 22:09:53 UTC https://padlet.com/matthewtheriot/7b254tgl2ntit4zs/wish/2012312147