Fear Archives - Association for the Wellbeing of Children in Healthcare

The Internet is like a puddle – review

26 November, 20209 November, 2016 by AWCH

Shona Innes and Irisz Agócs. (illustrator)

Five Mile Press, Victoria, 2014

ISBN 9781760064167

For children aged 3-6 yrs

A cautionary tale

Don’t let the wide-eyed animals in “The internet is like a puddle” lull you into thinking all is calm. Expect a serious message. There are loads of fun things to do and games to play on the internet. Look out for a crocodile with plenty of teeth idling in the puddle but don’t be deceived. This book will help adults communicate a cautionary approach to internet time and start conversations with young children about safe internet play.

The internet can be a bit tricky

There’s lots of games and splashing fun to be had in a puddle, the water may appear to be shallow but can be deep and mirky underneath. In this picture book koala is absorbed stepping out with his mobile phone, rabbit and bear are on a lap top, ipad or ‘device’, mouse looks on holding a red polka-dot ball. The first inkling of difficulty comes when frog jumps head first into the pond, the internet can be “a bit tricky”.

The first inkling of difficulty comes when frog jumps head first into the pond

Child-friendly story about online safety

Young children in many Australian families may not ask “what’s the internet?” Going online is just part of daily life. This little gem of a book is going to be helpful for adults wanting to create awareness about internet safety from a child’s perspective.

Shona Innes, the author, uses words like “deep’, ‘stuck’, ‘trouble’ and ‘tricky’. Awareness is raised about safety and chatting to strangers, also health and wellbeing. Bears eyes droop from playing too long.

Feelings and reactions are explored, the internet is fun to play with and because of this it can be hard to say ‘no’. This validates feelings children may have if they are asked to say ‘no’ to the chance to dip into the ‘internet puddle’. It might seem unfair when ‘everyone else gets to play’.

Role of a parent or carer

Big bear holds Little bears paw at the edge of a pond. Duck is happily floating in the “puddle”. Then something doesn’t look right, a large crocodile with lots of teeth and a menacing smile waits in the pond with an inflatable purple floaty ring. The message is clear, a safe person needs to be there to make sure children don’t go in too deep and if this happens, they know what to do next. Notes for parents and teachers about technology use, setting limits and being internet safe are at the back of the book. Shona Innes, is a qualified clinical and forensic psychologist.

This book has engaging illustrations with thoughtful text and provides a wonderful means for communicating with children in a child-friendly way. It is one of several books from the Big hug series featuring expressive and warm animal illustrations and sharing emotional challenges.

Please get in touch if you would like to read The Internet is like a puddle, You are like you or Worries are like clouds. I purchased copies from The Children’s Bookshop they can also be purchased online. Recommended retail price is $14.95.

Crocodile, Freshwater Station, Cairns

More on internet, cyber or online safety?

World issues: Staying safe online is a recent book for primary students, with plenty of photos and accessible text. Parents can link to Australian Government’s Office of the Children’s eSafety Commission, for guidance and strategies in the home, including managing technology. The publication A parent’s guide to online safety is available 5 languages. Life Education, visits schools to empower children and young people to make safer and healthier resources through education. Parents can find out about how to start conversations with their children.

Your feedback is valuable. Do you have any children’s

resources that have helped explain internet safety?

Jillian Rattray

AWCH librarian

Email: Jillian@awch.com.au

November 2016

M – is for Moment of panic and Mum’s sleeping on the floor

26 November, 202026 October, 2016 by AWCH

Moment of panic

A brown blob appeared momentarily in my peripheral vision and disappeared, I stopped. Continuing on, the motion of my swinging hair caused the reappearance of the brown blob. Standing still, I sensed a slight weight, something was there… and it was starting to move.

A moment of panic ensued and with a hasty flick, the small huntsman spider dropped to the floor, scuttling across tiles, sinking low into a groove, not daring to move. This young Huntsman with brown translucent legs, had been taken from familiar surroundings and catapulted into a strange environment – my bathroom.

Mum’s sleeping on the floor

This reminded me of a different kind of fear, not of spiders but of fear and children in hospital. I’d just read an article written in 1982 about one parent’s experience* with her seven-year old in hospital. Her sick boy, Sam, was in a ward with other children also taken to hospital in an emergency. If I were to give her article a title I might call it, “Why I chose to camp on the hospital floor”.

Not long ago the expectation was that parents didn’t stay with their children in hospital and visiting hours were restricted (a paediatric nurse at a Sydney children’s hospital recalls many tears as visiting time on Sunday afternoons finished). The impact on many children, especially young children was large. Following AWCH’s recommendations, Australian hospitals began promoting family centered policies, parents were encouraged to stay.

This parent’s experience is worth reading because she challenged expectations in a leading children’s hospital, her story was firstly published in the Age newspaper, then AWCH magazine, Interface*.

Fear and separation

The mum, Janet, gave a moving account of five nights with her son in hospital. She knew staying would be best. This was reinforced when on the first night, another child awoke screaming, a nurse rushed in and this panicked child grabbed her crying “Mummy come quick”.

The child in a bed nearby had been taken from home, was sick and separated from his family. Hospital was a strange and frightening place. He had an intravenous drip and splint attached to his arm. Later, a two year old was screaming and inconsolable, her mother had gone home. The nurse had given sedation to stop crying.

Poster was one of six from AWCH (SA) issued by NAWCH, London, 1978

To go home or stay on the floor?

Sam’s mum, it had been suggested, should go home because her son was old enough that “he should be able to cope”. With an upright chair to sleep in, Janet stayed. At 3 am another nurse approached her with a strip of foam rubber and a towel, she “hit the floor with relief”. The next night she had a sleeping bag from home. Janet experienced some odd looks from hospital staff but she was pretty much ignored. This mum was courageous, doing what she thought was best for her child despite hospital protocol.

At home, Janet revisited scenes of children screaming for their parents. Her greatest affirmation came from Sam. Hugging her close, in a whispering voice he said: “thanks for staying with me in hospital mum”.

“thanks for staying with me in hospital mum”

AWCH helps children

AWCH “pioneers” were also courageous, working hard to change care for children and young people in hospital. They were part of a social movement, linking with international sister organisations. AWCH’s first benchmark policy, A recommended health care policy relating to children and their families, was published in Medical Journal of Australia, 1974. Your Child in Hospital (pamphlet),.a Joint effort of Division of Health Education and AWCH, was significant as the first Australian education of parents about sick children and hospital. Written between the lines was a reminder to health professionals of their role in caring for children. With great interest, ¼ million pamphlets were printed.

AWCH continues to produce policies, work with key stakeholders (CT scans – information for parents and carers), guide the provision and advocate for rights of children and young people in healthcare.

AWCH Ward Grandparent scheme supports children and parents or carers in hospital. Volunteer grannies, recognise it isn’t possible for parents or carers to always stay with their child.

Your comments and impressions are welcome and can be added below.

Jillian Rattray

AWCH Librarian
http://library.awch.org.au

October 2016

F is for Feelings – from fear to resiliency – resource

17 December, 20208 May, 2015 by AWCH

It can be hard for a teenager when her peers move from the excitement of “can I sign your cast” to “it’s really going to hurt when they take it off”?

Fresh out of a visit to hospital with my daughter yesterday, I’m reminded of the importance of feelings. It seems all too obvious, that a trip to hospital will result in feelings of anxiety and fear.

Photo from: http://www.clipartpanda.com

Yet my thirteen year old had shown stoicism from the outset of breaking her arm. She picked herself up and trudged across the sporting field asking for her water bottle. Meanwhile I hastened to keep up, asking her to slow down. Over the weeks she coped with waits at two hospital emergency departments, an adult’s hospital and a children’s hospital, then repeated waiting at orthopaedic and x-ray clinic queues. She had it down pat and knew where to go and what to do, seeing herself as one of the many other children waiting for treatment.

There were certainly challenges along the way, worst being no food or drink and for me watching the pain under gas as her arm was manipulated and put back into shape. Once again I had to hasten to keep up as she jumped up after the procedure to head off to make an appointment at the orthopaedic clinic. The only sign of something being wrong was the cast from wrist and over bent elbow.

Later that night the pain and challenge of sleeping with a heavy bent elbow came. This was followed by challenges of dressing, washing, undertaking school work with her weak arm and carrying a heavy bag which included books and a laptop. Transport on the bus with kids pushing and pulling also led to pain and concern. Despite all this she managed to walk, run and dance her way through the weeks.

Photo from:
http://www.kleurplaten.nl/kleurplaten/12308.gif

So where in all this resiliency do fearful feelings occur? It can be hard for a teenager when her peers move from the excitement of “can I sign your cast” to “it’s really going to hurt when they take it off” and so the stories begin.

I wasn’t prepared for my daughter’s sleepless night that preceded the day when the cast came off or for the impact of some of the “kid-fabricated” stories. As we waited one last time in the waiting room she was distracted by the funny things around her, a parent talking to their young child about what was on TV, “look there’s a penguin with a rainbow coloured beak”, no it’s a puffin she thought! Just when things weren’t looking good she was called up. One boy had cheered earlier when his name was called, adults chuckled, a moment of relief.

Photo from:
http://www.123rf.com/clipart-vector/zombie_arm.html

What made the difference to my daughter’s trepidation were the explanations health professionals gave. Speaking to her and demonstrating the procedure of having the cast taken off made all the difference. Phrases like “what you can expect”, “what you might expect” were really helpful. She even smiled as the cast came off. She was glad her arm was not green.

Being “armed” with information makes all the difference. The first test of this was as she reluctantly passed by the swings on our way to the car. It was great to know that she understood and can resist the temptation to hop on a swing, bike or other moving object.

How can books and resources help?

As parents, we won’t always know what our children are feeling. The AWCH library holds books to help adolescents and children understand what they are feeling. There are books written to help children identify and manage how they are feeling so they can develop self-esteem and coping skills.

A book to help adolescents is the Stress reduction workbook for teens: mindfulness skills to help you deal with stress. Teenagers can use this easy to read workbook with activities to develop an understanding of what stress is and how to live in the present moment, “mindfulness”. They will gain a sense of control over stressful situations and develop resilience.

There are books too for school children such as Relax, which teaches relaxation techniques or Be the boss of your stress : self-care for kids and Be the boss of your pain: self-care for kids.

Nowadays there are plenty of online resources to help children and families prepare for hospital experiences, an example for young children is the child-friendly free app Okee in medical imaging. This fun app will help young children learn all about medical imaging and feel relaxed and supported.

Help! My Child’s in Hospital has practical advice for parents on preparing their child for hospital. Visit the website to find out about other families experiences.

Everybody stay calm: how to support your young child through medical tests and procedures will also help families prepare. These books will help parents with practical skills to support their children through stressful times, so they gain confidence and better health.

So I invite you to borrow a book and be well prepared for that next encounter with the doctor, dentist or hospital.

Jillian Rattray

AWCH librarian

http://Library.awch.org.au

April 2015

The Internet is like a puddle – review

A cautionary tale

The internet can be a bit tricky

Child-friendly story about online safety

Role of a parent or carer

More on internet, cyber or online safety?

M – is for Moment of panic and Mum’s sleeping on the floor

Moment of panic

Mum’s sleeping on the floor

Fear and separation

To go home or stay on the floor?

“thanks for staying with me in hospital mum”

AWCH helps children

F is for Feelings – from fear to resiliency – resource

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