THE EFFECTS OF LONG-TERM HOSPITALIZATION AMONG CHILDRENSBEHAVIORA Term Paper Submitted to the Faculty of the Graduate School of NursingArellano UniversityIn Partial Fulfillment of the Course e!uirements in Submitted by"#ary Grace $% &stuya NSubmitted to"'gen% #arlene % Padua( AFP )et* +ct ,-./Nursing Theories Page 1MaryGraceEstuyaRNINTRODUCTIONBackgroun o! "#$ S"u%0ospitali1ation is one of the most stressful events that children and adults can e2perience%Children and adults reactions to hospitali1ation( such as an2iety( fear( 3ithdra3al( depression( regression and defiance( can be more severe than their reactions to the illness )Froelich( .45/*% The most common concern of a hospitali1edchild are6 )a* an2iety due to separation from family and friends( )b* fear of the unfamiliar( )c* uncertainty about hospital rules and e2pectations( )d* prior perception of hospitali1ation( )e* fear of body mutilation or death( )f* fear of pain and discomfort( )g* thoughts of hospitali1ation as punishment( )h* loss of emotional and physical control( )i* other7s perception of physical changes( )8* loss of independence and identify( and )9* fear of re8ection )Froelich( .44:*% #ost of all( the hospital is an unfamiliar environment that disrupts the routine of daily living%+ther stressful factors of hospitali1ation may include fre!uent restrictions of activities and forced dependence on other 3hich can lead to feelings of vulnerability( and developmental regression%in addition( an2iety aroused by diagnostic( radiological( or other presurgical screening procedure can give rise to the fear of pain( fear of mutilation( and fear of death% ;hen hospitali1ed( children and adults must ma9e an emotional ad8ustment to the illness )'rods9y( .454*%Nursing Theories Page 2MaryGraceEstuyaRNS"a"$&$n" o! "#$ Pro'($&This study aims to determine the effects of longohnson7s 'ehavioral model%Nursing Theories Page 4MaryGraceEstuyaRNBehavioral system TensionHealth or IllnessSexualEliminativeAchievementDependencyIngestiveAggressiveAttachmentSUBSYSTEMExternal hangeInBehaviorH!S"ITA#I$ATI!%External The Seven Subsystems",- A""ac#&$n".A!!*(*a"*/$ Su')%)"$& probably the most critical because it forms the basis for all social organi1ation on a general level( it provides survival and security its conse!uences are social inclusion( intimacy and formation and maintenance of a strong social bond 0- D$1$n$nc% Su')%)"$& promotes helping behavior that calls for a nurturing response Its conse!uences are approval( attention or recognition( and physical assistance A certain amount of interdependence is essential for the survival of social groups2- Ing$)"*/$ Su')%)"$& has to do 3ith 3hen( ho3( 3hat( ho3 much( and under 3hat conditions 3e eat fulfills the need to supply the biologic re!uirements for food and fluids It serves the broad function of appetitive satisfaction% The perspective is in the significance andarrangement of the social eventssurrounding the occasions 3hen food is eaten3- E(*&*na"*/$ Su')%)"$& addresses 3hen( ho3( and under 3hat conditions 3e eliminateNursing Theories Page 5MaryGraceEstuyaRN thesocial andpsychological factors arevie3edas influencingthebiologicalaspects of this subsystem and may be( at times( in conflict 3ith the eliminativesubsystem 0uman cultures have defined different socially acceptable behaviors for e2cretionof 3aste4- S$5ua( Su')%)"$& serves the biologic re!uirements for procreation and reproduction including( but not limited to( courting and mating( this response system begins 3ith the development of gender role identity and includes the broad range of se2