Ouch! How to Make Shots Less Painful for Kids
LifeSource Vitamins
No kid likes getting a shot, and for many children, the fear and pain
surrounding immunizations can make them dread every doctor visit. But
doctors can make children's shots less of an ordeal, and parents can borrow
from their playbook to reduce the misery of shots.
A new study in Pediatrics detailing how doctors can make shots
less miserable couldn't have come at a better time. My usually cheery
second-grader fretted over whether she'd need a shot at the doctor's this
morning, and was upset when she was told she would. I'd come armed with
lollypops, since I'd read up on research saying that a bit of sugar just
before the shot reduces pain, even in tiny babies. And I also had " The
Brave Monkey Pirate" by Hayes Roberts, loaded on my iPhone for just this
occasion. The story explains how Modi overcomes his fear of shots, with the
help of his dad, a crab wizard, and a rock that transports him into the
future. My daughter read it while waiting for the dreaded shot.
The pediatrician helped, too, offering to spritz her arm with a cooling
spray that temporarily numbs skin. That, and numbing lotions like
lidocaine, can help reduce the initial "ouch." My daughter did wince, but
the shot was over before she had a chance to get upset. Then we were off to
the corner store for a congratulatory bag of Cheetos.
It turned out that our pediatrician's office did a lot of things right,
according to the Pediatrics study, which tested whether training
parents and office staff in techniques to reduce children's pain and
anxiety made immunizations less stressful. The techniques included:
· Preparing the child and family for shots by giving them information on ways to reduce anxiety and pain.
· Giving a baby a pacifier dipped in sugar water just before the shot. (Lollypops work great for older kids.)
· Distracting older children by having them count, breathe deeply, or blow on a pinwheel during the shot. (Modi, the Brave Monkey Pirate, squeezes his magic rock and counts to three.)
· Making sure the person administering the shot uses good technique, including using a longer needle to keep the injection away from sensitive nerves in the skin. The study also tested ShotBlocker, a flexible piece of plastic used to put pressure on the child's skin around the injection site, which is marketed as reducing pain.
· Using topical anesthetics like lidocaine to numb the skin.
The parents in the study, which was led by researchers at
Children's Hospital Boston
, said they learned new comforting and pain reduction techniques,
particularly the sugar-dipped pacifier for infants, and pinwheels or
ShotBlockers for older children. Pediatricians reported increasing the use
of longer needles, which reduce pain by delivering the immunization farther
away from the skin, and also increasing their use of sugared pacifiers,
pinwheels, focused breathing, and ShotBlockers.
Much of medicine focuses on life-or-death issues, like preventing and
treating major diseases. But for most of us, our experience with medicine
is far more mundane. For children, the biggest question about their health
may well be: "Do I have to get a shot?" This study shows that grownups can
do better at making children's encounters with medical care much sweeter.
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