H is for Healthcare preparation

“…positive healthcare experiences for children shape their long term good health and wellbeing.” (1)

Why prepare for healthcare?
“It took me lots of work to get over my fear of dentists!” Rachel exclaimed. As a child, dental surgeries were “no go zones” with metamorphosis taking place. She became a scratching, biting “wild child”. Now a mother of three, family dentist visits are routine.

Does this remind you of a childhood experience? Healthcare professionals (HCPs), know something small to an adult may be traumatic for a child.

AWCH helps parents
AWCH was amidst an emerging “groovy” movement of international organisations in the 1960’s -70’s supporting emotional care of children in hospital. Others were Action for Sick Children, EACH and Children in Hospital Ireland, yeah baby!

Terrified children aren’t peeled from parents/carers during healthcare today. This is not something to blink at, for a long time parents have been involved in their child’s hospital care (Please don’t leave me film, 1979). AWCH put this best practice in motion in Australia, now seen as the norm, so much so that most people can’t recall it any other way.

AWCH educated parents in the 1970’s about healthcare preparation with AWCH Barwon branch launching a poster (1979), Is your child to be hospitalised? How would you explain to him?

AWCH Child Health Library has great reads for children on healthcare familiarisation including picture books.

Australian parent resources have evolved in the last few years:

• Help! my child's in hospital and book review. Link to Becky’s blog for parent perspectives.

• Everybody stay calm: How to support your young child through medical tests and procedures (1), and Four ways parents can increase their protective role  by Dr Angela McKenzie

• Protect your child from unnecessary emotional trauma from injections via The Paed Nurse eBook by Brooke Batchelor, there’s also the Paed Nurse blog. Brooke is an AWCH board member.

• Child life therapists are healthcare professionals helping children and young people cope with medical procedures and hospital.  Keeping kids needs in the picture, by Renee Campbell (Child Life Therapist) is for parents supporting their children through medical imaging.

• The Australian Commission on Safety and Quality in Healthcare, NPS Medicine Wise and AWCH partnered to create awareness for parents on medical imaging and kids. There’s now an App for parents and professionals.

Hospital familiarisation and healthy kids
AWCH WA runs Hospital Familiarisation Program (HFP). “Designed to prepare young healthy children for possible hospitalisation or visits to the doctor or dentist. The aim is to minimise anxiety, fear and misconceptions children may have about medical intervention.”

Sydney Children’s Hospital, Randwick, Health education unit offers “Hospital Explorer Box: a play and learn resource kit for stage 1 students” (contact Schools Project Officer, Health Education Unit). Other community hospital incursions are available.

Thanks to the children who coloured in cut-outs
from Althea adding their colourful interpretation.

Preparing in an emergency?
One quarter of children in NSW visit an emergency department in a year. In an emergency parents may not pack a hospital bag especially not with their child’s help (children learn this way). Also stressed parents may not bring a toy, book, soft toy or comfort blanket. Going out usually involves taking a drink and snacks but in an emergency and chance of medical procedure, don’t give food or drink.  Parents can ask health professionals about medical procedures and become advocates for their child, taking a moment to ask questions if unsure. Parents are there to comfort kids.

If you liked this blog, you might also like The three little “P’s” - Playgroup and Peppa Pig which touches on one parent’s traumatic experience of hospital without preparation. We’d love to hear from you if you have related comments/experiences.

Jillian Rattray

AWCH librarian

http://Library.awch.org.au

October 2015

The three little “P’s” - Playgroup and Peppa Pig

Children were excited when Peppa Pig Goes to Hospital was the story of the day at one Sydney play group. There were about 15 children, mainly two year olds and pre-schoolers, who sat on the story time mat. During playtime they couldn't wait to put bandages on their dolls or teddies and one boy carefully bandaged his dinosaur’s tail. Craft was a lot of fun with Humpty Dumpty, both before and after the accident, some children preferred the ambulance craft. It was a bustling morning but there was time for children to select a book from our display and have a quiet read. A few did this.  There were over twenty books to browse or borrow and several parents commented about the range of books available.

Before the story, children were told, ‘When we go to see a doctor or nurse we can take a special toy or book and we will have our mum or dad or person who cares with us’. Peppa pig’s hospital room had a bright rainbow and after the story I commented, ‘We can always play and draw pictures when visiting the doctors or in hospital’.

The playgroup was well equipped with hospital play kits including stethoscopes, bandages and toy thermometers. If any toy was short of a bandage, a box of bandaids was within reach. One little girl showed me green dots all over her baby’s head. She and her mother had carefully placed bandaids over the middle of the baby’s head covering the ‘dots’. This was clearly a topic the kids related to.

I was the first of several visitors for term three with the theme, 'people who care for us'. The playgroup leader introduced the topic talking about doctors and nurses and the children sang several action songs about being sick, including ‘humpty dumpty’.

When the doll, teddy and dinosaur play began a brochure was handed out, ‘Hospital preparation for pre-schoolers – time well spent’. In amongst the fun I was hoping to convey to the children that when we are sick or hurt, it is not because of something we have done. Also if we are sick, doctors and nurses are there to help us get better and Mums, dads or the person caring for us will be there to give us a hug.

Whilst the children played, parents were reminded that fear of the unknown is an issue for young children and that pre-schoolers need reassurance. When we think of going to hospital, we think about the role of health professionals and may not stop to think about the role of parents. My take home message for parents was that their role is really important too. Parents and carers help their children cope with fear by being calm. Playgroup parents laughed at this point, recognising this is something easier said than done. I showed them two books Help! My child is in hospital and Everybody stay calm.

Before my voice faded into the general hubbub, my final point was that it is important to be informed and not to be afraid to ask if something is not clear. Parents can ask the hospital what resources are available to help prepare. The AWCH website and Dr Angela MacKenzie have many helpful links for parents and carers who want to prepare their children in different medical situations. A special mention was given of the wonderful free app designed for and with young children, “Okee in medical imaging”.

A chat with staff at a local pre-school followed. It was not long after I had arrived when a teacher pointed out the hospital corner, put together because of a child's recent hospital stay. The staff borrowed books to read to their classes and enquired about books for children with special health needs or those who have sick parents.

 One of the most poignant reasons for preparing children for hospital came from a playgroup mum. She shared an experience as a three year old child. She recalled how her parents said she was going on holidays. It was devastating to find this was misheard and that instead, her parents had said she was going to hospital. This became a traumatic experience and hard to get over. I finished the morning with a greater certainty that preparation is time well spent*.

Perhaps the three little ‘ps’ stand for – preparation, playgroup and Peppa pig.

Jillian Rattray

AWCH librarian
http://Library.awch.org.au
July 2015

*Dr Angela MacKenzie encourages parents to do their “homework” and be prepared.

Help! My Child's in Hospital!

Help! My Child’s in Hospital: A parent’s survival guide. Practical advice for parents on preparing your child and caring for them in hospital.
By Becky Wauchope ~ Illustrations by Kaitlyn Miller

“Help! My Child’s in Hospital” is a great read if you are looking for something positive to prepare your child and family for hospital. Written in a warm, personal and easy-to-read style, Becky Wauchope describes what it is like to be in hospital and how to cope with anything from an emergency visit to a long stay and repeated visits. Her experiences with son Gus in over three years of repeated visits to hospital, have resulted in a practical and creative book. Lots of tips throughout provide starting points for children and parents to encourage coping and reduce fear. There are ideas to help keep life as normal as possible with play and some fun. The easy to follow ideas are particularly good for families with young children, Becky has many years experience as an early childhood worker. There are great tips and creative ideas to assist children and families with hospital preparation, daily life in hospital, tests and procedures, anaesthesia and surgery, medication, support and recovery.

This is a stressful time, so parents who are time poor can dip into the book and read on a topic, such as “Having an operation” and read about how to prepare and cope with fasting. Reading the book cover to cover is also a great way to gain an overview.

The book emphasises communication for parents, who know their child best, to work with health professionals for the best care. Honest conversation with your child providing the right amount of information is also a positive step. Parents can read about how to be child advocates, there are examples of steps for being prepared when talking with health professionals. Parents are encouraged to know their limits and if not able to help reduce a child’s fear or confusion then they are empowered to ask for help. Parents are a reassuring presence.

Some variations of what you may expect to find in different hospitals are covered. Parents will feel more aware and strengthened by both the information and supportive ideas. "Help! My Child’s in Hospital" highlights why preparing yourself and your child for the hospital experience is so important.

Find checklists at the back, with what to pack including Surprise packs that offer distraction. With cute illustrations, helpful layout and available for a reasonable price, this book would be a great addition to a Kindy library, hospital waiting room or public library. Copies are available for loan from the Association for the Wellbeing of Children in Healthcare (AWCH) Library and can be purchased via Becky’s website.

About the author:
The Wauchope family were about to emigrate to Australia from the UK, when Gus, the youngest of four developed severe breathing problems. This was the beginning of a three year journey through hospital readmissions in the UK and then Australia. Gus is now well and Becky has made numerous speaking engagements, run support groups and encourages people to share their stories. Find her website at: www.helpmychildisinhospital.com

Keywords:  Anaesthesia; Child; Child, Preschool; Communication; Hospital preparation; Hospitalization; Medication; Parent information; Preparation for anaesthesia; Preparation for medical and surgical procedures; Routines; School children


Jillian Rattray
AWCH Librarian
July, 2013