Explain the procedure in correct medical terminology, and provide the reason for
the test (ask your health care provider about the specific reason for the test if you are not sure). An increased understanding of the need for the procedure may reduce your child's resistance and anxiety about it.
To the best of your ability, describe how the test will feel. Allow your child to practice different positions or movements that will be required for the particular test or procedure, such as the fetal position for a lumbar puncture.
Be honest about discomfort that may be felt, but don't dwell on the topic. It may help to stress the benefits of the procedure and anything that the child may find pleasurable afterwards, such as feeling better, knowing what may or may not be needed next, or going home. Rewards afterwards may be helpful, if the child is up to them (shopping trips or movies).
To the best of your ability, describe the operation of equipment that will be
involved in concrete, literal terms.
Suggest ways for to help the child maintain control:
- Counting
- Deep breathing
- Relaxation (thinking of pleasant thoughts)
- Squeezing the hand of the parent (or someone else) during the procedure
Include your child in the decision-making process, such as the time of day or the procedure is performed. When possible, let your child make some decisions. The more control a person feels over a procedure, the less painful and anxiety producing it is likely to be.
Allow your child to participate in simple tasks. Encourage participation during
the procedure, such as holding an instrument, if allowed. If your child wishes to hold your hand or that of someone else in the room for comfort, this should be encouraged as it can actually help reduce pain by reducing anxiety and providing distraction.
Discuss potential risks. Adolescents commonly have elevated concerns about
risks, particularly about any effects on appearance, mental function, and sexuality. Address these fears honestly and openly if at all possible. Provide information about any appearance changes or other possibly disturbing side effects that may result from the procedure or test.
Older children may better benefit from videos that demonstrate peer modeling
(peers explaining, demonstrating and undergoing the same procedure). Ask your
health care provider if such films are available for your child's viewing.
