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Lecture notes Acute Care (SHN2004)

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Psychological responses to acute illness

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  • April 24, 2024
  • 6
  • 2021/2022
  • Lecture notes
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  • nursing
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SHN2004 (Acute Care) – Psychological Responses to Acute Illness


Psychological Responses to Acute Illness

Introduction
 Acute illness is a disruptive event which can lead to long term consequences for the
individual (Kings Fund 2010):
o Acute minor illness (self limiting)
 E.g. Bronchiolitis, Chicken Pox
o Acute major illness (self limiting or requiring treatment)
 E.g. Cystic Fibrosis, Asthma
o Acute of presentation of major illness chronic condition (acute exacerbation)
o Acute presentation of a new long term condition (chronic illness)
 Responses and coping will vary cross the lifespan
o Children do not experience illness in isolation and experience things differently to
how an adult would in the same/similar circumstances
o Also their responses will vary depending on their age and their previous experience
of being ill
 Developmental continuum
 Mirrors cognitive development
 Previous experiences of health care important
o Not just what they have personally experienced but also images of medical settings
they have been exposed to via the media (images, news reports, television
programmes)
 Cultural component must be considered
 Enables effective, culturally and developmentally appropriate care to be delivered
 Children do not experience illness in isolation and experience things differently to how an
adult would in the same/similar circumstances
 Not much in the literature on how children actually deal with and live with an acute
condition

Aims and Outcomes
 Aim:
o To enable the student to explore CYP psychological responses to acute illnesses
 Outcomes – The student will be able to:
o Discuss the effects of acute illness
o Explore the locus of control
o Discuss CYP psychological response to acute illness

Why is this important to understand?
 Understand : child’s perspective, interpretation of events, children’s fears, their language,
coping mechanisms
 Tailor your language to their needs
 Explanations of illness tailored to cognitive level
 Enable coping in stressful situations
 Provide advice/guidance to families

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, SHN2004 (Acute Care) – Psychological Responses to Acute Illness


 Facilitate family’s understanding of child’s perspective
 Community role – educational perspective.

Effects of illness depend on




 CYP: Cognitive level understanding, cultural expectations, information, previous experiences
 Knowledge and understanding of the problem, information and teaching, parental
disclosure, implications of the problem, illness, surgery
 HCP: Knowledge of children's understanding and development, knowledge of the issue, the
impact and effects of illness.
 Work: culture of the organisation and environment – child oriented, centred and family
focused?
 Holistic vs medical model.
 How do HCP interact with CYP and families?
 Need to be thinking of who the person is providing the medical care and the area in which it
is being carried out – e.g. has a child been rushed to Accident and Emergency (ultimately an
adult focused area)

Responses in CYP
 What responses would you observe in a CYP with an acute illness?
o Emotional responses:
 Despair, anguish, fear, depression, anxiety, withdrawal from engaging
 How might the CYP respond to acute illness?
o Fear – e.g. scared to engage in normal activity in case it makes the situation worse;
fear of pieces of equipment (children aren’t familiar with things that you are dealing
with day in day out).
o Regression – particularly in younger age groups where they are looking for more
support from care givers

Responses to Acute Illness
 Control and Independence – loss leads to dependence
o Personal control and the effects of illness and hospitalisation
 Rotter (1976) developed the Health Locus of Control (HLC)

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