Bobby, a 13-year-old male, was hospitalized following a perforated appendix

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 However, today, he was withdrawn and stated, “I’m just tired”.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?

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