Pediatrics : Guided imagery

        • Guided imagery
          • Assist the child in an imaginary experience
            • Including as many senses as possible (e.g., “feel the cool breezes,” “see the beautiful colors,” “hear the pleasant music”).
          • Have the child describe the details and write down or record scripts
          • Encourage child to concentrate only on the pleasurable event during the painful time; enhance the image by recalling specific details by reading the script or playing the tape.
          • Combine with relaxation and rhythmic breathing
        • Positive self-talk
          • Have the child say positive things during a procedure or painful episode
            • “I will be feeling better soon,” or “When I go home, I will feel better, and we will eat ice cream”).
        • Thought Stopping
          • Identify positive facts about the painful event (e.g., “It does not last long”).
          • Identify reassuring information (e.g., “If I think about something else, it does not hurt as much”).
          • Condense positive and reassuring facts into a set of brief statements, and have child memorize them (e.g., “Short procedure, good veins, little hurt, nice nurse, go home”).
          • Have child repeat the memorized statements whenever thinking about or experiencing the painful event.
        • Behavioral contracting
          • Informal: May be used with children as young as 4 or 5 years of age:
            • Use stickers or token as a reward
            • Give time limits for the child to cooperate
              • Give a child who is uncooperative or procrastinating during a procedure a limited time (measured by a visible timer) to complete the procedure.
              • Proceed as needed if child is unable to comply
            • Reinforce cooperation with a reward
          • Formal: Use written contract, which includes the following:
            • Realistic (seems possible) goal or desired behavior
            • Measurable behavior (e.g., agrees not to hit anyone during procedures)
            • Contract written, dated, and signed by all people nvolved in any of the agreements
            • Identified rewards or consequences that are reinforcing
            • Goals that can be evaluated
            • Commitment and compromise requirements for both parties (e.g., while timer is used, nurse will not nag or prod child to complete procedure)
        • Containment
          • Swaddle the infant
          • Place rolled blankets around the child 
          • Maintain proper positioning
        • Nonnutritive sucking
          • Offer pacifier with sucrose before, during, and after painful procedure
          • Offer nonnutritive sucking during episodes of pain
        • Kangaroo care
          • Skin-to-skin contact between infants and parents
        • Complementary and alternative medicine
          • Classifications of CAM are grouped into five classes
            • Biologically based: foods, special diets, herbal or plant preparations, vitamins, other supplements
            • Manipulative treatments: chiropractic, osteopathy, massage
            • Energy based: Reiki, bioelectric or magnetic treatments, pulsed fields, alternating and direct currents
            • Mind-body techniques: mental healing, expressive treatments, spiritual healing, hypnosis, relaxation
            • Alternative medical systems: homeopathy; naturopathy; ayurveda; traditional Chinese medicine, including acupuncture and moxibustion

Share:

More Posts

About Cardiomyopathy

KEY POINTS Cardiomyopathy represents a collection of diverse conditions of the heart muscle. Cardiomyopathy can be acquired—developed because of another disease, condition, or factor—or inherited.

What is Cholesterol?

Cholesterol 101: An introduction If you’re reading this, you probably care about your health and the role cholesterol can play. That’s an important first step.

Urgent Care for Seniors

Urgent care centers can also be a good option for seniors. They offer convenient care and can treat a wide variety of conditions, including: Colds

Hydration

Original Article – https://www.cdc.gov/niosh/mining/userfiles/works/pdfs/2017-126.pdf