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Alternative Names Return to topPreparing toddler for test/procedure; Test/procedure preparation - toddler
Definition Return to top
Helping your young child prepare for a medical test or procedure can reduce anxiety, increase cooperation, and help the child develop coping skills.
Information Return to top
Proper preparation for a test or procedure can minimize anxiety and help a child cope.
Before the test, know that your child probably will cry, and that preparation may not change the fact that your child will feel some discomfort or pain. Try using play to demonstrate what will happen during the test. You may be able to uncover your child's concerns. The most important way you can help your child is by preparing them and by providing support at the time of the procedure.
PREPARING BEFORE THE PROCEDURE:
Limit your explanations about the procedure to 5 or 10 minutes, because toddlers have a short attention span. Any preparation should take place directly before the test or procedure.
Some general guidelines for preparing your child for a test or procedure include the following:
Play and third-person communication can be wonderful and revealing ways of demonstrating the procedure for your child and identifying any anxiety. This technique should be tailored to your child. Most health care facilities that are oriented toward children use similar techniques to prepare children for procedures.
Many young children have a favorite toy or object of importance that can be a tool for a type of interaction called third-party communication. It may be less threatening for your child to express concerns through the object rather than directly. For example, imagine a frightened 2-year-old girl -- about to have her blood drawn -- holding her well-loved doll. Such a child may be able to understand if you discuss how the doll might "feel" during the test.
Toys or dolls might help you explain the procedure to your toddler. Children of this age are very concrete thinkers -- they take everything literally, without making deductions or generalizations. For younger children with limited vocabulary, visual examples and experimentation may be helpful.
Once you are familiar with the procedure, briefly demonstrate on the toy what your child will experience. Show positions the child will hold, bandages, stethoscopes, how incisions are made, how injections are given and IVs are inserted. After your demonstration, allow your child to play with some of the noninvasive items. Watch your child for clues to concerns and fears.
Regardless of the test performed, your child will probably cry. This is a normal response to a strange environment, unfamiliar people, and separation from you. Knowing this from the beginning may help relieve some of your anxiety about what to expect.
Your child may be restrained by hand or with physical devices. Young children lack the physical control, coordination, and ability to follow commands that older children and adults usually possess. Most tests and procedures require limited or no movement to ensure accuracy.
Restraints may be used during a procedure or other situation to ensure your child's safety. For example, with x-rays, clear test results require that there be no movement. Furthermore, radiological and nuclear studies require all staff to temporarily leave the room. In these situations, restraints may be used for your child's safety.
If a venipuncture is performed to obtain a blood sample or start an IV, restraints may be used to protect your child. If the child moves, the needle could cause an injury.
Your provider will use every means to ensure the safety and comfort of your child. Besides restraints, other measures include medications, monitors, and observation.
Your job as a parent is to comfort your child.
DURING THE PROCEDURE:
Your presence helps your child during the procedure, especially if the procedure allows you to maintain physical contact. If the procedure is performed at the hospital or your health care provider's office, you will most likely be given the opportunity to be present. If this is unclear, ask if it is possible for you to be present.
If you think you may become ill or anxious, consider keeping your distance while remaining in your child's line of vision. If you are not able to be present, leaving a familiar object with your child may be comforting.
Avoid showing your anxiety. This will only make your child more nervous.
References Return to top
Khan KA, Weisman SJ. Nonpharmacologic pain management strategies in the pediatric emergency department. Clin Ped Emerg Med. 2007;8(4):240-247.Update Date: 4/25/2008 Updated by: Jennifer K. Mannheim, CRNP, private practice in Autism Treatment and Research, Seattle, Washington. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.