school age test, procedure preparation…

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preparing school age children, test/procedure, test/procedure preparation, school age, proper preparation, reduce child's anxiety, encourage cooperation, help the child develop coping skills, understand that child probably, cry, not change the fact that child, feel some discomfort, pain, use play to demonstrate what, happen, discover child's concerns, most important way, by preparing child ahead of time, supporting the child, explaining the procedure, value in reducing child's anxiety, let child participate, make, many decisions, pre-procedure preparation, limit explanations to 20 minutes each, in several sessions, school age children have a good concept of time, allowing, preparation in advance, the procedure, older child, earlier in advance, begin preparation, general guidelines, preparing child, explain the procedure in language child understands, use concrete terms, avoiding abstract terminology, make sure child understands the exact body part involved, limited to that area, best of ability, describe how the test, procedure affects part, the body that serves a noticeable function(speech, hearing, urination, explain what changes, occur afterwards, discuss how long these effects, give child permission to yell, cry, express any pain verbally, allow child to practice the positions, movements, the particular procedure, fetal position, lumbar puncture, spinal tap, stress the benefits, the procedure, talk, things that the child, find pleasurable afterwards, feeling better, going home, test you, want to take child, ice cream, other treat, not make this conditional on "good", suggest ways, staying calm, o counting o deep breathing o relaxation, thinking pleasant thoughts, allow child to participate in simple tasks, child, in the decision-making process, time of day, body site, procedure is performed, depends on the type of procedure performed, encourage participation, holding an instrument, allowed, let child, hold hand, hand of someone else helping, the procedure, physical contact, help reduce pain, anxiety, play preparation, play, third-person communication, wonderful in revealing ways of demonstrating the procedure, child, identifying concerns, younger school age children, technique is appropriate, older school age children might view this approach, childish, consider the intellectual needs, child, using this type of communication, older children, benefit from films that show children, the same age explaining, demonstrating, undergoing the same procedure, ask health care provider, such films, child's viewing, play technique, tailored to each child, most health care facilities, oriented towards children, children of, use a similar technique to prepare child, type of communication, take some practice, children, asked direct questions, feelings, avoidant, elusive, course, children, happy to share feelings, anxiety, fear increase, not uncommon, child to withdraw, most young children have an object, toy of importance that a tool, type of interaction, third-party communication, less threatening, child to communicate concerns, the toy, object than to express them, imagine a fearful 7-year-old girl, to have her blood drawn, holding her well-loved doll, such a child might be able to understand, discussed how the doll might might "feel", toys, dolls might help explain the procedure, young school age children, still concrete thinkers, they take everything literally, making deductions, generalizations, familiar, the procedure, demonstrate on the object what child, positioning, bandages, stethoscopes, cleaning the skin, medical toys, ask provider to share some, the noninvasive items used, in the test, demonstration, after demonstration, allow child to play, the noninvasive items, watch child, clues to concerns, fears, drawing is another way, children to express themselves, ask child to draw the procedure after, have explained, demonstrated it, able to identify concerns, misconceptions, child's artistic expression, procedure is performed, hospital, health care provider's office, most likely be given the opportunity to be present, ask provider, not sure, child, does not want to be present, best to honor this wish, out of respect, child's growing need, privacy, not allow peers, siblings to          View the procedure, allowed, requested by the child, considerations, ask provider to limit the number of strangers entering, leaving the room, raise anxiety, ask that the provider who has spent the most time, child be present, ask that anesthesia be used where appropriate to reduce the level of discomfort child, ask that painful procedures not be performed, in the hospital bed, room, child, does not associate pain, areas.