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Making Vaccine Time a Little Easier
Distraction Techniques for Immunization Pain
By Kelly Burgess
Dr. Gwenn O'Keeffe, CEO of Pediatrics Now and mother of two, says that a child of a certain age can become very distressed by a doctor's visit, not because of any anticipation of pain, but because of their stage of development. For example, a 4-month-old may be fine as long as he or she is being held by Mom and feels secure, but may become inconsolable when placed upon the exam table. An older child may scream when the doctor comes into the room as a natural result of the stranger anxiety that sometimes manifests at around 8 months of age.
Distraction techniques can be useful in any of these situations, as well as in other stressful situations such as going to the dentist. Dr. O'Keeffe finds parental closeness to be extremely effective and has a number of techniques she uses with the parents of her young patients so they can hold their child throughout the exam, without compromising the outcome or her ability to conduct the exam.
Dr. O'Keeffe also notes that regardless of the child's anxiety or fear, he or she should not be allowed to hijack the process, including delaying any procedures. Again, parents should be matter-of-fact and sympathetic, but also firm in their resolve that some matters are non-negotiable.
The main thrust of this research is to develop a best practices module so that pediatricians are aware of the latest findings about pain in children, Dr. Schecter says. In the long run, understanding pain and anxiety in children will make childhood visits to any healthcare professional more pleasant for everyone.
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