Bobby was hospitalized 6 days ago for appendicitis. After an appendectomy following a perforated appendix, he now has an open incision requiring BID dressing changes and contact isolation due to a hospital-acquired MRSA infection. It is anticipated that he will be here for 5-10 more days for long-term antibiotic therapy and wound care. He is 13 years old and has been afebrile for 24 hours. The wound is open with minimal serous drainage. He is withdrawn and relates "just tired" when you inquire about how he is this morning. Last week he shared his interest in school. He gets A's in math, computer science, and was supposed to be competing in the school science fair this week.

1. What do you know about the adolescent and the appropriate developmental level?
2. Keeping his diagnosis in mind, what about visitation?
3. Is socialization a need?
4. What other questions should you ask?

During adolescence, individuals undergo significant physical, emotional, and cognitive changes. They are developing a sense of identity, seeking autonomy, and forming deeper relationships with peers. Adolescents often value their friendships and may have a strong desire for independence. They are also capable of abstract thinking and may show increased interest in academic pursuits and extracurricular activities.

Visitation Considerations:

Given Bobby's age and his hospitalization, it's important to consider his emotional and developmental needs. Adolescents still require social interaction and support, especially during times of illness or stress. While contact isolation is necessary to prevent the spread of MRSA, efforts should be made to provide opportunities for socialization through safe means, such as video calls, online chats, or visits from friends and family members who follow appropriate precautions.

Socialization Needs:

Socialization is indeed a crucial need for adolescents. It helps them maintain a sense of normalcy, cope with stress, and prevent feelings of isolation. Being separated from his peers and normal activities due to hospitalization might affect Bobby's emotional well-being. Providing avenues for him to connect with friends, classmates, or participate in activities he enjoys, even virtually, can positively impact his overall recovery.

Additional Questions to Ask Bobby:

How have you been feeling emotionally since you've been in the hospital?
How are you managing your pain/discomfort, and is there anything you need to make it better?
How can we help you stay connected with your friends and school activities while you're here?
Are there any concerns or questions you have about your treatment, wound care, or medications?
What activities or hobbies do you miss the most right now?

It's essential to provide a supportive and empathetic environment that acknowledges Bobby's emotional and developmental needs while addressing his medical condition. Collaborating with a multidisciplinary team, including child life specialists and social workers, can also help ensure that Bobby's holistic needs are being met during his hospital stay.

Learn more about Adolescence

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