CARING FOR A HOSPITALIZED PEDIATRIC PATIENT

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Bobby was hospitalized 6 days ago for appendicitis. After an appendectomy following a perforated appendix, he now has an open incision requiring  BID dressing changes and contact isolation due to a hospital acquired  MRSA infection. It is anticipated that he will be here for 5-10 more days for long term antibiotic therapy and wound care. He is 13 years  old. He has been afebrile for 24 hours. The wound is open with minimal  serious drainage.

He is withdrawn and relates “just tired” when you inquire about how he is  this morning. Last week he shared his interest in school. Gets A’s in math, computer science and was supposed to be competing in the school science fair this week.

1. What do you know about the adolescent and the appropriate developmental level?

2. Keeping his diagnosis in mind, what about visitation?

3. Is socialization a need?

4. What other questions should you ask?

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