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patient with child life specialist

How to Help Your Child

在医院或进行医学检查或程序可能会给孩子和家庭带来压力. Preparing children and teens for these experiences can help them:

  • Understand what is going to happen.
  • Feel a sense of control over their experience.
  • Be involved in their own care.
  • Feel empowered to use coping strategies.
  • Be less fearful.

Be open, honest, clear, 当你和孩子谈论医院或医生办公室将要发生的事情时,要温柔. 用简单的词语解释你觉得孩子能理解的内容. 鼓励你的孩子问问题,并尽可能诚实地回答.

You don’t have to face these questions alone. On the day of your visit, 请随时向儿童生活专家咨询,让他们回答孩子的任何问题,并帮助他们度过难关. If you have any questions ahead of time, please contact us.

医学检查、程序或住院治疗的提示和建议

这里有一些提示和建议,可以帮助您的孩子度过他们的医疗经历: 

 

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When to Talk to Your Child

你最了解你的孩子,知道他们可能需要多少时间来考虑这次拜访并提出问题. Below are some general guidelines by age:  

  • Toddlers – The day of the procedure 
  • Pre-school/Young School Age – A day or two in advance 
  • School-age and Up – Several days to weeks ahead of time 

What to Tell Your Child

帮助儿童和青少年了解即将到来的医疗经历可以帮助减少不确定性, misunderstandings, and worry. 它还可以使他们在整个医疗经历中感到更加成功. 首先收集你需要的信息,以便最好地解释他们即将进行的测试或程序. Talk to your medical team and read through our preparation stories to help you feel more comfortable talking with your child. Children can sense how their caregivers are feeling; the more comfortable you are, the more relaxed they will be.   

下面是一些在谈话中可以触及的要点: 

  • Who will be involved.
    • Doctors, nurses, child life specialists, you, etc.  
  • What your child will see, hear, and feel.
    • 使用孩子熟悉的词语,包括涉及到身体的哪些部位.
    • 虽然它可能是诱人的,以避免部分测试或程序,可能会导致压力, it is important to be honest. 如果你的孩子问什么东西会不会疼,用温和的语言解释他们会有什么感觉:
    •  Example:
      • Your nurse will gently slide a tiny needle under your skin. You may feel a pinch, but that feeling will not last forever.
  • Where 该程序将进行,并且在测试/程序期间您将在哪里.
    • In a treatment room, operating room, emergency department, etc.
  • 你认为你的孩子什么时候能回家,或者检查需要多长时间.
  • Why the test, procedure, or hospitalization is needed.
    • Examples:  
      • “To help understand how your __ is working.”  
      • “To help make your __ feel better.” 

If your child asks questions that you do not know the answer to, encourage them to write them down and ask their medical team.

How to Help Your Child Cope

After you have given your child the facts about a test or procedure, 和他们谈谈他们可以使用什么应对策略来尽可能地保持舒适. 最重要的是,问问他们认为什么能让他们感觉舒服. Consider the following questions:

  • Would they like a support person with them to hold their hand?
  • Would they like to sit up or lay down (if possible)?
  • 他们是否希望被告知正在进行的手术步骤?
  • 他们是想亲眼看到手术过程,还是宁愿把目光移开?
  • Would they like a countdown before feeling any discomfort?

You are the expert on your child. We value your input and consider you a part of the team. 和你孩子的医疗团队谈谈你提出的计划.

只要你在测试或过程中感到舒适, you can stay with and provide support to your child. Here are some tips: 

  • Provide verbal support and praise. Be specific.
    Examples:
    • “You are doing a great job holding still!”
    • “Good job taking those deep breaths.”
  • 让你的孩子参与应对策略,尤其是那些你们一起想出的策略.
  • Holding Your Child During a Procedure

You can also ask for a child life specialist to help support your child during a test or procedure. A member of the child life team will do their best to be present.

Common Coping Strategies by Age

Infant

  • Holding your baby
  • Shushing
  • Soft voice
  • Pacifier
  • Music or singing
  • Rattles

Toddler

  • Holding your toddler
  • Music or singing
  • Bubbles
  • Light up toys
  • Comfort items (blanket, stuffed animal, etc.)

Preschool

  • Music or singing
  • Bubbles
  • Counting
  • Alternative focus using videos, games, or books

School-age

  • Conversation
  • Stress ball
  • Deep breathing
  • Music
  • Alternative focus using videos or games

Adolescents

  • Conversation
  • Deep breathing
  • Music
  • Guided imagery
  • Alternative focus using videos or games

What to Pack for Your Child

从家里带一些孩子最喜欢的东西可以给他们带来安慰. 让你的孩子选择一些物品打包,可能会给他们一种控制感. Some things to bring with you include:

  • Stuffed animal
  • Blanket
  • Comfortable clothing, pajamas, or slippers
  • Toys, games, or books
  • Tablet or cellphone (plus chargers!)
  • Toiletries

我们建议您在所有的私人物品上注明您孩子的名字,这样我们可以方便地记录您的物品. Additionally, 我们要求您将乳胶气球和鲜花留在家中,以避免任何潜在的安全或健康危害.

Pre-Surgical Tour

Any new or unfamiliar experience in a child’s life, such as hospitalization or illness, can seem very scary for them and their family. 孩子们需要以诚实的方式做好准备,以应对他们的医院经历. 有一个项目可以帮助你和你的孩子为医院的经历做好准备. It may include some or all of the following:

  • Viewing photos of the areas in the hospital your child will see.
  • Participating in a medical play session based on your child’s age.
  • Viewing an age-appropriate movie about having an operation.
  • Receiving a tour of the surgery center and inpatient unit if needed.
  • 会见一些可能在手术当天照顾你孩子的工作人员.

这个项目帮助孩子们减少了恐惧,更愿意合作, because they know what to expect. Also, 家长们觉得这个项目让他们感觉更轻松,并为孩子将要经历的事情做好了准备.

Find more information and resources here.

Burn Program

儿童生活专家与儿童烧伤幸存者及其家人一起工作,在烧伤治疗期间提供支持, enhancing coping during hospitalization, supporting through visual differences a burn injury may cause, 并提供编程机会,如勇气之珠和夏令营.

Find more information and resources here.

Recommended Books

以下是儿童生活计划团队为患者和家庭推荐的书籍.

Amputations/Limb Differences

  • Little Tree – Joyce C. Mills
  • Wearing an Artificial Limb with Human Body Helpers – Harriet Brundle
  • What Happened to You? – James Catchpole

Asthma

  • I Have Asthma, What Does That Mean? – Wendy Chen
  • The Lion Who Had Asthma – Jonathan London
  • Understanding Asthma – Doctors for Kids
  • Using an Inhaler with Human Body Helpers – Harriet Brundle

Autism and Neurodivergence

  • The Abilities in Me: ADHD – Gemma Keir
  • The Abilities in Me: Autism – Gemma Keir
  • 《推荐最近最火的赌博软件》杰西卡·莱文著
  • My Friend Has Autism – Amanda Tourville

Blood Disorders

  • Understanding Blood Transfusions – Jumo Health
  • Hemophilia
    • Understanding Hemophilia – Jumo Health
  • Sickle Cell Disease
    • Hope and Destiny – Allan F. Platt
    • Hope and Destiny Jr. – Lewis L. Hsu
    • My Friend Jen: A Little Different – Jenica Leah
    • Understanding Sickle Cell Disease v.1 – Jumo Health
    • Understanding Sickle Cell Disease v.2 – Jumo Health
  • Thalassemia
    • Understanding Thalassemia – Jumo Health

Body Boundaries, Body Image, Body Safety

  • Amazing You: Getting Smart About Your Private Parts – Gail Saltz
  • The Bare Naked Book – Kathy Stinson
  • Bodies are Cool – Tyler Feder
  • Crown: An Ode to the Fresh Cut – Derrick Barnes
  • Don’t Hug Doug – Carrie Finison
  • Hair Love – Matthew A. Cherry
  • Happy in Our Skin – Fran Manuschkin
  • 让我们谈谈身体的界限,同意和尊重-杰宁·桑德斯
  • Some Secrets Should Never Be Kept! – Jayneen Sanders
  • There’s So Much More to Wear Than Hair – Sarah Kravchuk
  • What are Your Words?: A Book About Pronouns – Katherine Locke
  • What’s Silly Hair Day with No Hair? – Noren Paulson
  • 你的整个身体:从你的头到你的脚趾,以及中间的一切! – Lizzie Deyoung Charbonneau

Burns

  • Bodies are Cool – Tyler Fedar 
  • Sara's Steps – Niki Averton and Nicole Perry
  • Understanding Burns – Jumo Health 

Cancer

  • Because Someone I Love Has Cancer – American Cancer Society
  • Big Tree is Sick – Nathalie Slosse
  • Cancer Party – Sara Olsher
  • Chemo, Craziness and Comfort – Ruth I. Hoffman
  • Chemotherapy 101 for Kids – Sara Olsher
  • How Do You Care for a Very Sick Bear? – Vanessa Bayer
  • Little Tree – Joyce C. Mills
  • Living Well with My Serious Illness – Marge Eaton Heegaard
  • My Cancer – Angus Olsen
  • My Central Line – Angus Olsen
  • My Port – Angus Olsen
  • My Scans – Angus Olsen
  • My Perfect Shelter – Clare Helen Welsh
  • There’s So Much More to Wear Than Hair – Sarah Kravchuk
  • Understanding Blood Transfusions – Jumo Health
  • Understanding Chemotherapy – Jumo Health
  • Understanding Childhood Cancer – Jumo Health
  • Understanding Leukemia – Jumo Health
  • Understanding Osteosarcoma – Jumo Health
  • Understanding Stem Cell Transplants – Jumo Health
  • What is a Bone Marrow Transplant? – Adrienne O’Connor
  • What Happens When a Kid Has Cancer – Sara Olsher
  • What Happens When My Siblings Has Cancer – Sara Olsher
  • What’s Silly Hair Day with No Hair? – Noren Paulson
  • When a Kid Like Me Fights Cancer – Catharine Stier
  • When Someone Has a Very Serious Illness – Marge Eaton Heegaard
  • Will Jax Be Home for Thanksgiving – Samarrah Fine Clayman

Cardiac Conditions

  • The Abilities in Me: Congenital Heart Defect – Gemma Keir
  • Zip Line – David Humphreys 

Diabetes

  • The Abilities in Me: Type 1 Diabetes – Gemma Keir
  • Shia Learns About Diabetes – Shaina Hatchell
  • Understanding Type 1 Diabetes – Jumo Health
  • Using Insulin with the Human Body Helpers – Harriet Brundle

Disabilities, Differences, and Other Diagnoses

  • The Abilities in Me: 22Q Deletion – Gemma Keir
  • The Abilities in Me: Down Syndrome – Gemma Keir
  • The Abilities in Me: Hydrocephalus – Gemma Keir
  • The Abilities in Me: Juvenile Idiopathic Arthritis – Gemma Keir
  • The Abilities in Me: Spina Bifida – Gemma Keir
  • The Abilities in Me: Speech Delay – Gemma Keir
  • Evely’s Sister – Luna Diaz
  • 《推荐最近最火的赌博软件》爱丽丝·里夫斯著
  • We’ll Paint the Octopus Red – Stephanie Stuve-Bodeen
  • You Are Enough: A Book About Inclusion – Margaret O’Hair
  • Zara Shares Her Stipes – Alexion Pharmaceuticals

Doctor or Hospital Visit

  • The Berenstain Bears: Hospital Friends – Mike Berenstain
  • Daniel Visits the Doctor – Becky Friedman
  • Franklin Goes to the Hospital – Paulette Bourgeois
  • My First Hospital Visit – Wendy Hall
  • 数字资源:丹尼尔老虎的邻居-丹尼尔去医院在YouTube上

Epilepsy and Seizures

  • The Abilities in Me: Epilepsy – Gemma Keir
  • Lee: The Rabbit with Epilepsy – Deborah Moss
  • Understanding Epilepsy – Jumo Health

Feelings and Mindfulness

  • Feelings
    • No Matter What – Debi Gliori
    • Nothing Stays the Same: But That’s Okay – Sara Olsher
    • Ravi’s Roar – Tom Percival
    • Ruby Finds a Worry – Tom Percival
  • Mindfulness
    • I am Love: A Book of Compassion – Susan Verde
    • I am Peace: A Book of Mindfulness – Susan Verde
    • I am a Peaceful Goldfish: Shoshana Chaim
    • Right Now, I am Fine – Daniela Owen
    • Sea Otter Cove – Lori Lite
  • Self Esteem
    • I Like Me! – Nancy Carlson
    • It’s Okay to Be Different – Todd Parr
    • Just Because I Am: A Children’s Book of Affirmations – Lauren Payne
  • Separation
    • The Invisible String – Patricia Karst
    • The Kissing Hand – Audrey Penn
    • You Weren’t with Me – Chandra Ghosh Ippen

Gastrointestinal

  • Understanding Crohn’s Disease – Jumo Health
  • Understanding Ulcerative Colitis – Jumo Health

Grief and Loss

  • For Kids
    • Advice From a Blob – Lennie/Harper Design
    • Always Remember – Cece Meng
    • Ben’s Flying Flowers – Inger Maier
    • Death is Stupid – Anastasia Higginbotham
    • The Fall of Freddie the Leaf – Leo Buscaglio
    • Gentle Willow – Joyce C. Mills
    • The Gift of Gerbert’s Feathers – Meaghann Weaver
    • The Good Mourning – Seldon Peden
    • The Grief Bubble – Kerry Debay
    • Grieving for the Sibling You Lost – Erica Goldblatt Hyatt
    • Healing Your Grieving Heart for Adults and Teens – Alan Wolfelt
    • Healing Your Grieving Heart for Teens – Alan Wolfelt
    • Healing Your Grieving Heart Journal for Teens – Alan Wolfelt
    • I Have a Question About Death: Clear Answers for All Kids, 包括患有自闭症谱系障碍的儿童——阿伦·格拉德·盖恩斯
    • I Miss You – Pat Thomas
    • Ida, Always – Carson Levison
    • The Invisible String – Patricia Karst
    • The Kissing Hand – Audrey Penn
    • A Last Goodbye – Elin Kelsey
    • Lifetimes – Bryan Mellonie
    • Maybe Tomorrow? – Charlotte Agell
    • The Memory Book – Joanna Rowlan
    • The Memory Box – Joanna Rowlan
    • My Brother – Dee Huxley
    • My Life by Me – Beth Barber
    • The Next Place – Warren Hanson
    • Someone I Love Died – Christine Harder Tangvald
    • Tear Soup – Pat Schwiebert
    • Welcome to the Grief Club – Janine Kwoh
    • What on Earth Do You Do When Someone Dies? – Trevor Romain
    • When Dinosaurs Die – Marc Brown
    • 当有人去世:一个孩子的悲伤和失去的注意指南-安德里亚·多恩
    • When Someone Very Special Dies – Marge Eaton
    • Where Are You? – Laura Olivieri
    • Whistler’s Last Song – Adam Herro
    • Why Do I Feel Sad? – Tracy Lambert
    • You’ll Find Me – Amanda Rawson Hill
  • 孩子经历父母/照顾者或成人家庭成员的损失
    • Missing Mommy – Rebecca Cobb
    • Mom’s Sweater – Jayde Perkin
    • One Wave at a Time – Holly Thompson
    • Zara's Big Messy Goodbye – Rebekah Boruki
  • For Adults
    • The Journey Through Grief and Loss – Robert Zucker
    • A Time to Grieve – Carol Staudacher
    • Welcome to the Grief Club – Janine Kwoh
    • What Do We Tell the Children? – Joseph Primo
  • For Kids Experiencing the Death of a Loved One From Suicide
    • Someone I Loved Died by Suicide – Doreen Cammarata

Medical Devices

  • Central Line
    • My Central Line – Angus Olsen
  • G-Tube
    • The Abilities in Me: Tube Feeding
    • My Belly has a Button – Mikele Lee
    • My Tubey: A Day in the Life of a Tube Fed Boy
    • My Tubey: A Day in the Life of a Tube Fed Girl
  • Port
    • My Port – Angus Olsen
  • Tracheostomy
    • The Abilities in Me: Tracheostomy – Gemma Keir
    • 长颈鹿格里和他的气管切开术——丽贝卡·福格斯 
    • Mattie Breathes – Tracie Loux
    • Tracey's Tracheostomy – Wendy Hall 

Siblings

  • 《推荐最近最火的赌博软件》杰西卡·莱文著
  • Evely’s Sister – Luna Diaz
  • How Do You Care for a Very Sick Bear? – Vanessa Bayer
  • My Perfect Shelter – Clare Helen Welsh
  • No Matter What – Debi Gliori
  • Nothing Stays the Same: But That’s Okay – Sara Olsher
  • Sometimes – Rebecca Elliott
  • You Weren’t with Me – Chandra Ghosh Ippen
  • You’re All My Favorites – Sam McBratney

Serious Illness/Intensive Care Unit

  • 关于重症监护室的一切:如何让孩子为ICU访问做好准备-亚历山大·弗里森和摩根·利文斯通
  • How Do You Care for a Very Sick Bear? – Vanessa Bayer
  • Living Well with my Serious Illness – Marge Eaton Heegaard
  • When Someone Has a Very Serious Illness – Marge Eaton Heegaard

Surgery, Tests, and Procedures

  • Goodbye Tonsils – Craig Hatkoff, Julianna Lee Hatkoff, Marilyn Mets
  • My Scans – Angus Olsen
  • 儿童脊柱外科书-查丽丝·蒙哥马利,理查德·蒙哥马利,杰森·史密瑟里
  • Surgery on Sunday – Kat Harrison and Shane Crampton
  • Tubes in My Ears: My Trip to the Hospital – Virginia Dooley

Trauma

  • Alex and the Scary Things – Melissa Moses
  • Big Bear Was Not the Same – Joanna Rowland
  • A Terrible Thing Happened – Margaret M. Holmes
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