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2017 ; 36
(1
): 44-50
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Helping Children Cope with Medical Tests and Interventions
#MMPMID28943814
Lang EV
; Viegas J
; Bleeker C
; Bruhn J
; Geert-Jan van G
J Radiol Nurs
2017[Mar]; 36
(1
): 44-50
PMID28943814
show ga
Medical procedures and tests become a challenge when anxiety and pain make it
difficult for the patient to cooperate or remain still when needed. Fortunately a
short intervention with hypnoidal language at the onset of a procedure induces a
positive and sustained change in the way pain and anxiety are processed. While
anesthesia may appear to be a simple solution to eliminate pain, the adverse
effects of pre-anesthesia anxiety on postoperative behavior and recovery are
often not fully appreciated. This paper discusses options for self-hypnotic
relaxation that are applicable to interactions with children. The high
suggestibility of children makes it relatively easy to engage them in
make-believe scenarios. Avoidance of negative suggestions is key in avoiding
nocebo effects that may be difficult to overcome later. Once a child is immersed
in his or her preferred scenario or hobby/activity of choice, environmental and
procedural stimuli can be easily integrated in the imagery. Ego-strengthening
metaphors that tie in features of strength, confidence, or resilience are
particularly empowering. Even when children are fully under general anesthesia
they may still have recall of what is said in the room and therefore caution in
word choice should be maintained.