Presentation on theme: "Improving the Child’s Experience Alinda Shelley BS, CCLS Certified Child Life Specialist."— Presentation transcript:
Improving the Child’s Experience Alinda Shelley BS, CCLS Certified Child Life Specialist
Development Infant Fear separation from parents or caregiver Infants need a safe, secure, nurturing environment Toddler/Preschool Perceive pain and hospitalization as punishment Give them the opportunity to assert themselves and the freedom to attempt new skills
Development School Age Fear bodily injury and loss of control Wants everyone to adhere to rules Create an environment where they can succeed Adolescent Worries about body image, change in appearance, and separation from peers Wants to be treated as an adult Wants privacy
Common Changes Increased demand for attention Regression Hyper vigilance Greater fear of strangers Changes in eating Anger Greater concern about the body Increased crying and clinging
Building Rapport Introduce yourself and your role Get down on eye level Engage in play Carry bubbles or other small toys Lanyard toy Smile Respect expression of emotions
Don’t Talk down (including baby voice and nicknames) Say “Be a big kid” or “Be brave” Make promises Tell them info they won’t experience Exaggerate the experience (over or under) Compare patients Talk about children as if they aren’t present
Preparation Imagine how a child would view the experience Describe using senses and steps Give clear, concrete, simple information Watch a child’s affect to perceive whether it’s too much or too little information Utilize choices “You can choose what you’d like to do while you have your shot. You can’t choose whether you have one.” Give the child and parent a job
IV Prep Describe using senses and purpose behind it 1 st - Tourniquet (most of the time called a rubber band)—it is going to feel tight and helps to see and feel the vein (blue line) 2 nd - Cleaning—it will feel cold and wet and removes germs 3 rd - Poke—some kids say it feels like a poke or pinch. Your job is to hold your arm still and take deep breaths. Purpose dependent upon situation.
Be Honest NEVER make a promise you can’t keep If you lie about ANYTHING that happens during their experience, they will become distrustful of medical personnel
Coping Plan It is okay to cry/ express feelings Engage in conversation Use electronic devices Utilize toys/ books Guided imagery Deep breathing Give each person a role
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