Improving the Child’s Experience Alinda Shelley BS, CCLS Certified Child Life Specialist.
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Transcript of Improving the Child’s Experience Alinda Shelley BS, CCLS Certified Child Life Specialist.
![Page 1: Improving the Child’s Experience Alinda Shelley BS, CCLS Certified Child Life Specialist.](https://reader030.fdocuments.net/reader030/viewer/2022032518/56649ccd5503460f949988a6/html5/thumbnails/1.jpg)
Improving the Child’s Experience
Alinda Shelley BS, CCLS
Certified Child Life Specialist
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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
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DevelopmentSchool 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
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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
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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
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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
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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
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IV Prep• Describe using senses and purpose behind it
• 1st- 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)
• 2nd- Cleaning—it will feel cold and wet and removes germs
• 3rd- 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.
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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
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Language
“The King Who Rained” by Fred Gwynne
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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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BibliographyFaber, A. & Mazlish, E. (1980). How to talk so kids will listen & listen so kids will talk.
NY: Avon Books. Kiely, A.B. (1992). Volunteers in Child Health: Management, Selection, Training, and
Supervision. Bethesda, MD: Association for the Care of Children's Health. Merck Manual. (2003). Illness in Children: Social Issues Affecting Children and Their
Families [Internet]. Available from: http://www.merck.com/mmhe/print/sec23/ch287/ch287c.html [Accessed April 2, 2007].
Northam, E. (1997). Psychosocial impact of chronic illness in children. Journal of Paediatric & Children’s Health, 33, 369-372.
Pediatric Education Services, Primary Children’s Medical Center. (2006). Let’s Talk About. . . Your child’s emotional responses to illness, injury and health care.
Pinnick, N. (1984). The work of chronically ill children on a hospital unit. Children’s Health Care, 12, (3), 113-117.
Sheldon, L. (1997). Hospitalising children: a review of the effects. Nursing Standard, 12, (1), 44-47.
Wright, M.C. (1995). Behavioural effects of hospitalization in children. Journal of Paediatric and Children’s Health, 31, 165-167.