A toddler is critically injured and admitted to the pediatric intensive care unit. The child is on a ventilator and is sedated. The parents explain that the child is normally very active, wants to do everything himself, and is very chatty
Which aspects of this situation would cause the greatest psychosocial impact on this child? (Select all that apply.)
A.
Activity restrictions
B.
Body image disturbances
C.
Communication barriers
D.
Loss of control
E.
Separation from peers
ANS: A, C, D
Toddlers are in Erikson's stage of autonomy versus shame and doubt, and need to feel a sense of control over their physical abilities and increasing autonomy. Activity restrictions, not being able to talk while intubated, and a loss of control will all have a major impact on this child. Body image disturbances and separation from peers would have a bigger impact on an older child.
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