make that fear and pain go away thru play by ms. reolada
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8/3/2019 Make That Fear and Pain Go Away Thru Play by Ms. Reolada
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Laguna State Polytechnic UniversitySta. Cruz, Main Campus
Sta. Cruz, Laguna
People are afraid to be in the hos-
pital, either an adult or children. But
most of all, children are the one who
really are afraid to come and be admit-
ted at the hospital.
Children may think that being hos-
pitalized was a punishment by having a
bad behavior. Because even a child can
have their own perception regarding towhat their environment is, and what the
people are doing surrounding him/her.
Fear and pain can only be ex-
pressed by the person itself, and no one
of us could experience the same feeling
at the same time.
According to Onman (2000), fear and
anxiety has a different meaning. Fear is
related to the specific behavior of es-
cape and avoidance while anxiety is the
result of threats which perceived to be
uncontrollable or avoidable..
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Children also have body image and
some fear insides that will leak out after
receiving an injection or undergoing sur-
gery. But covering all wounds can de-
crease their anxiety and help decrease
their pain perception.
As to the environment, place of
healing of the pediatrics should be con-
ducive for patients feelings and secu-
rity.
Fear or pain in older childrens
pertains to the danger of injury of sharpobjects for bleeding and pain. The needle
is only a source of fear to the extent that
a needle is a necessary part of the proce-
dure that provokes an involuntary reac-
tion of ones body. As children saw a
threatening or strange object that can be
injected or have a contact to them, the
feeling of fear that is pertaining to
something dangerous will happen is per-
ceived by the child.
Pain is the most common reason why
people are going to the hospital. Spe-
cially, as children admitted their pain
was added with fear because of staying in
the hospital and make them to be
stressed. Sometimes the pain that felt by
the children is caused also of their fear.
According to the American Pain So-
ciety (APS), pain is an unpleasant sensory
and emotional experience associated with
actual or potential tissue damage as de-
scribed in terms of such damage.
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As for us nurses, there is a
new way to make the children
comfortable when going or stay-
ing in the hospital. Through
therapeutic play we can lessen
the fear and pain that children
are experiencing and also it could
be included on our interventions
and to make our work easier, like
giving medications which divert
the childs attention and help us
to let the children express their
feelings.
Therapeutic play is a
method that has been developed
to helped the sick children cope
up with hospitalization. Which
includes the use of music, toys,
dolls, books and arts which could
help children feel more comfort-
able during hospitalization.
But specially, parents are
the most important person in-
cluded in the therapeutic play.
They will be the one to help the
children express their feelings
and gather information for an ac-
curate assessment..
There are different thera-
peutic play that could help
lessen the fear and pain experi-
enced by the pediatric patients.
Story telling helped the
children appreciate that they
were understood and in a sense ,
not alone in their experience .
Individual can give some story
related to why the children feels
and expressed a feeling which can
make them brave, also, we can use
different character.
Story telling is a good tool
for communication and is a
therapeutic way of diverting a
childs attention from pain oranxiety. Through this children
could share their stories, feel-
ings, thoughts and emotions.
Art therapy, which we let
the children to draw anything
they want and after that we will
interpret it regarding to what
they draw.
Through arts or drawing
figures and shapes patients es-
pecially the pediatric ones could
express whats on their mind and
how they feel.
Music therapy helped chil-
dren to divert feelings. Children
may sing with music. It could re-
lax them as well as distract them
for the pain they are feeling.
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Nowadays, music is being used
for pain management. It is said
that through music a persons
feeling of pain could be alleviated.
Simple humming, singing or play-
ing the favorite songs of a child
could be a great relief for them.
Puppet is a means of provid-
ing a non-threatening for the
child and nurse to communicate.
Specially, for children who are
afraid to people wearing whiteuniforms.
Puppet can be both enter-
taining and fun, also puppet ther-
apy is used to assist children in
communicating their thoughts and
emotions.
The puppet in hospital set-
ting can be therapeutic for a child
who is in pain. It can also help the
nurse or other members of the
healthcare team to explain a pro-
cedure to a child a lot easier. With
the use of puppet, children could
easily express how they feel as if
its the puppet that talking. Take
thus chance as parents could ask
questions regarding feeling of
boredom, anxiety, and pain. Also,
this is a great opportunity for
parents to explain why a child was
hospitalized and what causes the
child s pain.
This different kinds of
therapeutic play are some of
many play that could help us
nurses and others to make
things easy to communicate with
a child.
Story telling, art therapy,
music therapy and puppet on
their own different functions
are really helpful in interven-
ing a pediatric patients whoa re
experiencing fear and anxietywhen staying on a hospital.
There are people who con-
ducted a study about fear and
pain of pediatric patients.
One of this people is Ms.
Justine Oriel with a study enti-
tled, Relationship Between
Demographic Profile and Level
of Hospital-Related Fears Ex-
pressed by the Pediatric Pa-
tients in Laguna Provincial
Hospital Sta. Cruz, Laguna. On
her study it shows that among
hospital related fears the most
common was the hospital inter-
v e n t i o n s w h i c h s h o w s
Significant. Generally, the re-
sult of the study was
Moderately Afraid on the level
of hospital-related fears among
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pediatric patients.
As my experience, children are the one who are difficult to
rendered care because of being irritable and afraid of people who
are not familiar to them and those who are wearing white uniforms.
Really, we need to get first their trust to make it easy communicat-
ing with them while giving some interventions like getting their vi-
tal signs, giving medications and more. Through this therapeutic
play or even other play that is related for childrens age, it will
help us make our work lighter and finished it earlier. Through play
we can ask them some questions that could help us for assessing the
patient and lessen the fears and pain that they are experiencing
while staying at the hospital.
Showing effort when providing care to a pediatric patient usingplay therapy is an effective nurse.
By: Paula Leen V. Reolada
BSN IV-A
THANK YOU !!!
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