Coping Mechanism

Subject: Child Health Nursing

Overview

An adaptation to environmental stress known as a coping mechanism is based on conscious or unconscious decision-making, and it improves behavioral control or provides psychological comfort. People often employ one of the three primary coping mechanisms when dealing with stress. All children have a need and a right to be relieved of pain. These tactics are appraisal-focused strategies, problem-focused strategies, and emotional focus strategies. Basically, there are two categories of pain-relieving techniques: non-pharmacological techniques like distraction, relaxation, guided imagery, and cutaneous stimulation, and pharmacological techniques that require attention to four right factors: the right drug, right dose, right route, and the right time, as well as watching for side effects. The six rights of pediatric medication are Right medication, Right patient, Right time, Right route, Recommended dose, and Right documentation.

Coping Mechanism

An adaptation to environmental stress known as a coping mechanism is based on conscious or unconscious decision-making, and it improves behavioral control or provides psychological comfort. People often employ one of the three primary coping mechanisms when dealing with stress.

  • Appraisal-focused strategies
    • Distance oneself from a problem.
  • Problem-focused strategies
    • Try to deal with the cause of their problem.
  • Emotional focused strategies
    • A few example of behavioral emotional focuses coping could be listening to music, message, meditation, getting physical exercise, going out with a friend, writing in a journal or diary, taking a hot bath, expressing your emotions creatively (painting).

Pain assessment

All children have the need and the right to pain relief. Basically, there are two categories of pain-relieving techniques: non-pharmacological techniques like distraction, relaxation, guided imagery, and cutaneous stimulation, and pharmaceutical techniques, which require attention to four factors: the right drug, right dose, right route, and right time, as well as the observation of any side effects.

Pediatric medication

Six rights of pediatric medication

  • Right medication
    • Check name and expiry date
    • Know action and side effects of medicine
  • Right patient
    • Check identification by asking name to parent or child
    • Confirm identity each time
  • Right time
    • Give 20-30 minutes around ordered time
    • Know when it was last given
  • Right route
    • Check ordered route and ensure this is the most effective and safe route
    • Clarify if there is any confusion
    • Administer drug by the ordered route
  • Right dose recommended
    • Calculate recommended dose and check it
    • Question the prescriber if the ordered dose is outside the recommended dose range
  • Right documentation
    • Record administration of the medication on appropriate document as per hospital policy
    • Ensure record of all medication
    • Document what, when, how she/he received

Calculation of medication dosage

  • Required dose
    •  prescribed dose x strength of solution / available in vail
  • Drops per minute
    •  total volume/hour x (drops/ml) drop factor / total infusion time in minute
  • Infusion time=
    • infusion time x total volume to be delivered / amount need to be ml delivered/hour

 

 

 
Things to remember
  • The coping mechanism is an adaptation to environmental stress that is based on conscious or unconscious choice and that enhances control over behavior or given psychological comfort.
  • In coping with stress, people tend to use one of the three main coping strategies. They are; Appraisal-focused strategies, Problem-focused strategies, and Emotional focused strategies.
  • Relief of pain is a need and right of all children.
  • Six rights of pediatric medication are Right medication, Right patient, Right time, Right route, Right dose recommended and Right documentation.


     
Questions and Answers

Coping mechanism

An adaptation to environmental stress known as a coping mechanism is based on conscious or unconscious decision-making, and it improves behavioral control or provides psychological comfort. People often employ one of the three primary coping mechanisms when dealing with stress.

  • Appraisal-focused strategies:
    • Keep your distance from an issue.
  • Problem-focused strategies:
    • Try to solve the root of their issue.
  • Emotional focused strategies:
    • Behavioral emotional focus coping techniques include taking a hot bath, writing in a blog or diary, listening to music, messaging, meditating, exercising, going out with friends, and engaging in creative expression of your feelings (painting).

Six rights of pediatric medication:

  • Right medication:
    • Check the name and the expiration date.
    • Understand how a drug works and its adverse effects.
  • Right patient:
    • Verify identity by asking a parent or child's name.
    • Verify identity each time.
  • Right time:
    • Give 20 to 30 minutes before the requested time.
    • Know the most recent time it was given.
  • Right route:
    • Verify the ordered route to make sure it is the most efficient and secure route.
    • If there is any ambiguity, explain.
    • Administering a drug via the prescribed route.
  • Right dose recommended:
    • Determine the recommended dosage and verify it.
    • If the ordered dose is outside the suggested dose range, ask the doctor why.
  • Right documentation:
    • As per hospital policy, record the administration of the drug on the appropriate document.
    • Keep a record of all prescriptions.
    • Record what, when, and how they received.

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