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Managing Anxiety in Parents of Preoperative Children Ages Birth to Three

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Management of Parental Preoperative Anxiety

Walden University

NURS4000, Section 01, Research and Scholarship for Evidence-Based Practice

October 6, 2013

Management of Parental Preoperative Anxiety

When a child requires surgical intervention, the process can be a stressful and frightening experience for the entire family. Some parents express feelings of guilt along with anxiety over having to subject their child to invasive procedures. Though our facility offers a preoperative program for families, it is limited in age for those 4 – 12 years old and healthy. The purpose of this assignment is to give information on a change in practice aimed at adequately managing preoperative anxiety of patients and families not eligible for the traditional preoperative preparation offered.
The Problem As part of preoperative preparation in the pediatric population, healthy children ages 4 - 12 and their families are offered a developmentally appropriate Child Life preparation class. Given by the certified Child Life Specialist, this is an interactive program aimed at helping children and families understand what to expect during the preoperative, operative and postoperative periods, it consists of hands-on medical play, educational games, and a tour of the operating and recovery rooms. A week before the scheduled surgery, a Registered Nurse will contact the all families via telephone and conduct a health review along with giving preoperative and arrival instructions. Children with co-morbidities are offered a pre-anesthesia visit with the nurse practitioner who will conduct a preoperative examination, order any preoperative testing needed, assure that any medical issues are addressed before surgery, and any clearance needed from other disciplines is obtained. The family is given preoperative and arrival instructions along with an individual visit with the

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