Why “play” an important part of childhood
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 However, today, he was withdrawn and stated, "I'm just tired".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?
Adolescents are in a critical period of development, and their peer groups play an important role in their social, emotional, and cognitive development. Separation from peer groups can have a number of negative impacts on adolescents, including:
- Increased loneliness and isolation: Adolescents who are separated from their peer groups may feel lonely and isolated. This can lead to a number of negative consequences, including depression, anxiety, and decreased self-esteem.
- Difficulty developing social skills: Adolescents learn social skills by interacting with their peers. Separation from peer groups can make it difficult for adolescents to develop these important skills.
- Increased risk of engaging in risky behaviors: Adolescents who are separated from their peer groups may be more likely to engage in risky behaviors, such as substance abuse, delinquency, and risky sexual activity.
- Bobby's infection control needs: Bobby is on contact precautions for MRSA, so it is important to minimize contact with other people. This means that visitors should wear gloves and gowns, and they should wash their hands thoroughly before and after visiting Bobby.
- Bobby's emotional needs: Bobby is a social adolescent, so it is important to provide him with opportunities to interact with others. However, it is also important to respect his need for privacy and rest.
- Bobby's age and interests: Bobby is a 13-year-old male, so it is important to arrange activities that are appropriate for his age and interests.
- Allow Bobby to have visitors, but limit the number of visitors and the length of visits.
- Encourage Bobby to have video chats with his friends.
- Provide Bobby with board games, video games, and other activities that he can do with visitors.
- If possible, arrange for Bobby to have a private space where he can socialize with visitors.
- If Bobby is up to it, arrange for him to participate in group activities with other hospitalized adolescents.
- Validating Bobby's feelings. It is important to let Bobby know that it is normal to feel self-conscious about his body after surgery and hospitalization.
- Educating Bobby about the healing process. The nurse can explain to Bobby what to expect as his wound heals. This can help to reduce Bobby's anxiety and improve his body image.
- Encouraging Bobby to express himself. The nurse can provide Bobby with opportunities to express his feelings about his body image. This can be done through talking, writing, or art.
- Promoting positive body image. The nurse can help Bobby to focus on the positive aspects of his body. This can be done by talking about his strengths and accomplishments.
- Providing Bobby with toys and games.
- Arranging for Bobby to participate in group activities with other hospitalized adolescents.
- Encouraging Bobby's family and friends to bring him toys and games.
- Encouraging Bobby to use his imagination and creativity to come up with new and innovative ways to play.