H is for Healthcare preparation – resource

“…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:

  • 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
October 2015

Therapeutic activities for children and teens coping with health issues

Therapeutic activities for children and teens coping with health issues
By Robyn Hart and Judy Rollins.
John Wiley & Sons, Hoboken, New Jersey, 2011, 379 p. ISBN 9780470555002.
Bibliography, pp  339-364. Includes CD-ROM.

“Therapeutic activities for children and teens coping with health issues” is a book richly filled with activities to assist health professionals, child life therapists, counsellors and social workers in their work with families. Activities and related information promote adaptation and coping for children, adolescents and their families in hospital or living with health issues. It is great to see so many ideas presented in an easily readable format, with over 200 practical activities to choose from.

Chapters focus on promoting understanding and coping for adolescents and children through different aspects of their healthcare experiences. Topics of the 16 chapters include separation and anxiety, self expression, socialization and help with many aspects of coping with illness. Set out in a clear way, each topic covers an overview, special considerations and coping interventions. The theoretical framework behind each topic is outlined. Activities are set out using an easy-to-read table which includes: therapeutic goals, age group, adult/child ratio, required time, restrictions and precautions and materials. You will also find an extensive bibliography (pp  339-364) as well as black and white illustrations and photographs. The accompanying CD has activity sheets and templates that can be customised.

With a great mix of theory and hands on, this book is sure to be a helpful reference tool and provide both information and inspiration. In fact I think I’ll gather up my supplies and try my hand at making a volcano.

About the authors
Robyn Hart, director of Child Life at Rush University Medical Center in Chicago. Judy Rollins, coordinator of the Studio G Artist in Residence Program at Georgetown University Hospital and Adjunct Professor at Georgetown University School of Medicine. This is the second  book they have worked together on, the previous award winning book is entitled, Therapeutic play activities for hospitalized children.

Keywords: Activities; Adaptation, psychology; Adolescent psychology; Bereavement; Body image; Child life; Child, hospitalised; Child psychology; Culture; Death; Families; Group work; Hospitalization; Medical art; Medical equipment; Mental health; Pain; Patients; Play therapy; Self-esteem; Self-expression; Therapeutic activities; Therapy

Awards
Winner of the American Journal of Nursing Book of the Year 2011
(Category: Maternal And Child Health)

Other titles also by Judy Rollins available for loan from the AWCH collection:
Meeting children’s psychosocial needs: across the health-care continuum / Judy A. Rollins, Rosemary Bolig and Carmel C. Mahan. Austin, Texas: Pro-ed, 2005. xv, 551 p.: Includes bibliographical references and index. Call number: 618.92 ROL 1
Core curriculum for the nursing care of children and their families / Marion E. Broome, Judy A. Rollins, Editors. Pitman, New Jersey: Jannetti Publications Inc., 1999. Call number: 610.7362 BRO 2

Review By:
Jillian Rattray
AWCH Librarian
March, 2013

 

Childlife Awareness Month

This month is Childlife Awareness Month. Childlife or Hospital Play has existed in hospitals that care for children since early in the 20th century often starting out as volunteer programs. However in Australia up until the second half of the 20th century and even now in the 21st century play programs are not always available in hospitals that care for children. Play gives children and adolescents the opportunity to express some of their apprehensions arising from the stress of illness. It also provides ‘normal’ everyday activities as a diversion from health care issues.

AWCH recognised the importance of play in hospital from its very early days and held a residential seminar at Armidale on play in hospital in 1976.  A first in Australia, it brought together a wide range of hospital staff, teachers and students in various disciplines and others interested in both the theoretical and practical aspects of play in hospital. It was through this seminar that play workers from a variety of hospitals and institutions and in widely differing positions became aware of each other’s existence and made recommendations for unified guidelines to be established as to their status in the hospital system. Today the Australian Association of Hospital Play Specialists promotes the importance of developmental play activities, therapeutic play, play preparation programs, medical play, diversion and distraction activities, and pre-
admission programs. In April 2013, AAHPS is holding its 7th biennial international conference, Connect and Collaborate A Hospital Wide Approach to Psychosocial Care in Melbourne.

So currently, where are we at with hospital play services in Australia? The AWCH 2005 National Survey Report on the Psychosocial Care of Children and Their Families in Hospital reported on the state of hospital play in Australia. The report found that just under 25% of surveyed hospitals had play or recreation staff and just over half provided a separate play room in or near the ward for child patients. Just a note here that these were all hospitals who provided care for children and young people. Of concern is the fact that just under 15% of those surveyed did not provide any separate play space for child patients.

AWCH made several recommendations:

  • Hospitals admitting paediatric patients should allocate a suitable space for play and recreation activities
  • Hospitals providing care for paediatric patients should employ appropriately qualified staff to conduct play activities, preparation for specific medical tests and procedures, medical play and distraction
  •  Hospitals providing care for paediatric patients should allocate appropriate play space, as recommended by the American Academy of Pediatrics
  • In areas where children are required to wait, suitably qualified play staff and/or suitable play or recreation space should be available to provide developmental, medical and preparation activities

So…are we doing any better in 2013? Does every hospital that cares for children and young people have play and recreation services available? What is the state of ‘play’ at your local hospital?

Anne Cutler
Program Manager AWCH