Escolar Documentos
Profissional Documentos
Cultura Documentos
1
Department of Pediatrics, Faculty of Medicine, Mashhad University of Medical Sciences,
Mashhad, Iran. 2 Ibn-e-Sina Hospital, Mashhad University of Medical Sciences, Mashhad, Iran. 3
Abstract
Hospitalization and medical experiences can be confusing and stressful for children, teens
and their families. It is very common for young people and their families to have many questions
when they are scheduled for surgery or hospitalization. When children are given opportunities
to cope successfully with medical experiences, they may see themselves as more capable,
more in control, and more reassured. This success often leads to a more positive sense of self,
as well as a healthier regard for medical procedures in general. Also, previous medical
experiences can affect how the child will react to hospitalization. It is important to maintain a
normal routine and activities, such as playing and schooling. Family and friend’s child should be
encouraged to visit the child patient. The best way to prepare the child for hospitalization is to
prepare ourselves by understanding what will occur.
emphasize that expressing fear, anxiety, Encourage your child's questions about
and response to pain is quite normal (and the health problem and hospital
OK) at any age, even adulthood. Correct experience, so that other fears and
any misconceptions about disfigurement anxieties can be expressed. Take all
or injury. And explain that anesthesia is questions seriously and answer them to
very safe today and that patients do not the best of your ability. If you don't know
wake up during operations but will an answer, tell your child that you'll find it
certainly wake up afterward. out, and explain that the doctors and
nurses are happy to answer questions,
Encourage your teen to read up on the too (10, 16-18).
medical condition and share the
information with the family. Reading and Relieve Guilt
sharing information is an excellent coping
mechanism. One further fear that affects Children often believe that their medical
problem and operation are really
kids of all ages is being seen naked and
punishments for "being bad." They might
having their "private parts" touched. If the
not say so, but they may feel guilty and
operation involves the genital or anal
believe that they've brought events on
area, your child will cope better if you
themselves. Explain that the medical
explain in advance that although it might
problem is not the result of anything your
be embarrassing, doctors and nurses will
child may have done or failed to do, and
need to examine these private areas,
that the operation is not a punishment, but
especially to check if they're healing after
simply the way to "fix" the problem. On
the operation. Explain that doctors,
the other hand, if the medical problem
nurses, and parents are the only
was
caused by an accident that could have On the Day of Surgery
been avoided by obeying safety rules,
make sure your child understands the When you arrive on the day of surgery,
reason for the rules and will follow them in your young child can play with toys and
the future (1, 4, 9). books you bring from home or sit on your
lap and be cuddled during the waiting
Explaining What Will Happen time. You won't be allowed to stay in the
operating room during the surgery, but
Find books, appropriate to your child's afterward, you'll be escorted to the
level of understanding, about what to recovery room to be with your child as he
expect at the hospital. Reading together or she awakens. Upon discharge, you'll
and discussing the surgery will make the be given instructions for further care at
hospital seem less threatening. Discuss home and for a follow-up visit to the
each idea and encourage your child's surgeon. During recovery, there may be
questions. times of discomfort for your child. So
explain that even if this happens, your
As you discuss the hospital and surgery, child will get better. Distracting your child,
remember that in addition to your words, whether with a new book or a visit from a
your nonverbal cues convey assurance: relative or friend, also can make recovery
your tone of voice, facial expressions, more pleasant. Just make sure your child
gestures, and body language send gets plenty of time to rest and recuperate
powerful messages. If you appear fearful, (1, 6, 7, 11-18).
your child is likely to feel fearful
regardless of the words you use.