COMPLEXITY OF CHILDREN'S NURSING CARE IN ENGLAND PATIENTS BACKGROUND OF INFORMATIONBaby J was born at 41 weeks gestation in England's Teaching and Referral Hospital. She appeared cyanotic a few minutes after birth, which prompted a series of medical examinations. Cyanotic episodes were observed during crying during cardiac catheterization, the baby presented tetralogy of Fallot (TOF), pulmonary atresia and ventricular septal defects with an aorta located on the septal defects. Baby J had surgery to repair Tetralogy of Fallot. Two weeks later, she developed chronic heart failure and laboratory tests revealed metabolic acidosis and hyperglycemia. She was given various medications and returned home with subsequent follow-up sessions at the hospital. Two years later, she developed diabetes mellitus, with intermittent attacks that disrupted her social relationships with other children in the family as well as with parents. She was briefly hospitalized, then discharged after symptoms resolved. Baby J's hospitalization led to her emotional turmoil. The seminal work of (Prugh et al 1953) reveals how children react negatively to the stress of hospitalization with separation anxiety, loss of control and fears. It is clear that hospitalization of children aged six months to four years presents a greater risk of separation. anxiety. You, at this age of two, their growing cognitive abilities and concepts of time help, classic work of Robertson (1958), who developed the work of John Bowlby, described that children progress by protesting in which they search for the invisible parent, despair. and then deny the parent which was obvious by baby J. Baby j will however suffer middle of paper...... people take it for granted (Howby et al 2006), this can create much more ruin and harm than help. While families are on a continuum of adaptation and need different types of services and interventions, all family members should always advocate for expanded parent education, improved education, family-centered programs for additional support in the face of minor family challenges. advice so as not to be stressed by health care demands of child care (David and Lucid 1998) Educational intervention programs aimed at training this child due to health-related problems should be planned in advance to determine possible future outcomes if not addressed at this time. Perception strongly controlled by behavior; The model is obtained by training in a constantly monitored environment with constant incoming and outgoing stimuli (Bandura, 1986)