Abstract
There is an increasing role for the child life specialists in pediatric procedural sedation. The child life specialists complement the pharmaceutical aspect of procedural sedation or may even allow avoidance or decrease in the amount needed for the patient to complete a procedure. A child life specialist can work with the patient and the family to detect anxiety triggers, make the patient comfortable, and decrease posttraumatic stress in children who are medically complex and have multiple procedures through the course of their illness.
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Appendices
Appendix A
Appendix B: Misconceptions in Health-Care Language for Children
Commonly used language | What kids might think | Suggested language |
|---|---|---|
Shot Intravenous (or IV) | You’re going to hurt me? Are you mad at me? Poison ivy | A “poke” or “medicine through a small needle” First explain what a vein is, then explain that “medicine works best when it goes into the vein through a small straw or tube” or “quickest way to get medicine.” |
Take your vitals | Stealing something from me; unknown medical term | “Measure your temperature,” “check how fast and strong your heart is working” “Listen to your lungs breathe” |
Put you to sleep (anesthesia) | Like my pet was put to sleep and never came back? | “Give you medicine that will make you sleep during the whole (test, surgery), so you don’t feel anything that hurts” |
Dressing change | Why are they going to undress me? Do I have to change my clothes? Will I be naked? | “Put on a new, clean bandage” |
Take a picture (X-ray, CT, or MRI) | This camera does not look like our camera at home! That is really big. Should I say “cheese”? | “We’re going to take a picture of the inside of your body using this big camera” (describe appearance, sounds, and movement of the equipment, as well as expectations from the child [i.e., hold still]) |
Appendix C: Positioning for Comfort
Appendix D: Ideas on Questions to Ask in Creating a Coping Plan
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What are the stress triggers for your child?
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How does your child show you he/she is stressed?
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What items help your child calm when they are stressed or remain calm?
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Has your child had previous experiences within the medical environment? If so, how have they coped, and has anything made it better or worse?
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How does your child communicate?
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Is there anything else that would be good for us to know about your child?
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Brown, J. (2021). Child Life for Procedural Sedation. In: Kamat, P.P., Berkenbosch, J.W. (eds) Sedation and Analgesia for the Pediatric Intensivist. Springer, Cham. https://doi.org/10.1007/978-3-030-52555-2_33
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DOI: https://doi.org/10.1007/978-3-030-52555-2_33
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