As a parent, you know your child best and so can help staff to help your child cope with the procedure or surgery.
Sometimes medical procedures can be threatening and/or painful for children and young people. Hospital staff will always try to reduce your child's anxiety and pain to make medical procedures as stress free as possible.
As a parent, you know your child best so can help staff to help your child cope with the procedure or surgery.
Talk to your child's doctor about the procedure/operation. Be sure to ask any questions that you or your child may have.
Give your child simple and honest information. A good guide is to answer the 5 Ws:
For example, Dr X will be doing Y in the outpatients department tomorrow afternoon to fix your arm.
Provide this explanation wherever possible before the day of the procedure - taking into account your child's temperament and developmental age.
It may also be helpful for your child to meet the procedure team before the procedure day. It is important that your child has a friendly relationship with their procedure team, particularly if they are having repeat procedures.
Answer any questions that your child may have. If you don't know the answer to your child's questions, try to find out (for example, tell them that you don't know, but together you will ask the doctor or nurse).
It is usually helpful to bring your child's comfort toys or things which help them relax. For example, a teddy, dummy, blanket, book, a phone with a favourite game. These familiar items are comforting.
It is very helpful for a child to have a parent present during a painful procedure and/or when your child wakes up after surgery. It is very important for the supporting adult to be calm throughout the procedure. If you do not feel that you are able to do stay calm, it might be helpful to ask another adult that your child is comfortable with.
Research has shown that distraction is helpful in reducing pain and anxiety during procedures. Distraction involves helping your child to focus on things other than the medical procedure; for example, blowing bubbles, looking at picture books, watching a DVD, playing an app or playing with other favourite toys, or singing familiar or silly songs.
Use of relaxation strategies can also be very helpful but it is important that they are practiced beforehand at home. There are many ways to relax. Some of these include:
Praise your child for any attempts at using helpful coping strategies. For example, you could say:
If your child cries, let them know that it is OK to feel upset. Your child does not need to be brave.
It can be helpful to give your child some control over what is happening (for example, whether to sit on the bed or a parent's lap for the procedure; what distraction to use during the procedure; who will talk to them during the procedure). These choices need to be discussed with the nurse and/or doctor first as they need to be real choices that can be followed through with.
For children over 3 years of age it can also be helpful to provide them with a job during the procedure so they can focus on what they need to do – rather than what they can't do. (For example, "Your job during the blood test is to keep your arm still").
It is good to talk with your child about the procedure afterwards; especially about what your child did that helped them cope. Some children may want to draw a picture about the experience. This helps your child better understand what happened and may make it easier if more procedures are needed in the future.
If your child needs regular procedures it is important to try and keep the same (or similar) processes/routines. Your child will be less anxious if they know what to expect when they go in for a procedure.
Starship Foundation and the Paediatric Society of New Zealand acknowledge the cooperation of The Children's Hospital at Westmead, Sydney Children's Hospital at Randwick, and Kaleidoscope - Hunter Children's Health Network in making this content available to patients and families.
This page last reviewed 17 December 2019.
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Links
[1] https://www.kidshealth.org.nz/node/1851?language=rar
[2] https://pediatric-pain.ca/wp-content/uploads/2013/04/PPGA2003.pdf
[3] https://pediatric-pain.ca/wp-content/uploads/2013/04/MakingCancerLessPainful.pdf
[4] https://www.kidshealth.org.nz/node/2175?language=rar
[5] https://www.kidshealth.org.nz/node/2251?language=rar
[6] https://www.kidshealth.org.nz/node/2252?language=rar
[7] https://www.kidshealth.org.nz/contact?from=http%3A%2F%2Fwww.kidshealth.org.nz%2Fprint%2F108%3Flanguage%3Drar