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During routine childhood immunization's, what is the effect of…
During routine childhood immunization's, what is the effect of distraction on decreasing the child's pain and distress up to school aged children?
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School Age
use non- procedural talk: talking about pets or school, asking what they did over the weekend or what their favorite movie is
deep breathing techniques, guided imagery, and playing with toys
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Infants
sugar solutions and breast feeding have been found to be effective measures in children under 6 months
use comfort measures: sucking on a pacifier, swaddling, breast feeding
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study was done with a control and intervention group where sound and light toys were used. Results were the children who had the toys responded better to the injections than those without
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General
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children will react more intense if they had a negative experience from prior immunizations compared to those who have not
A child has 22 injections by the time they are 1. Once they are 4, 8 more injections are added and by the time they are 11 up to 40 injections total
Do not want to use comments like "I'm sorry" or "it's alright" because it can add to a child's anxiety
A lot of anxiety and distress in children can come from parents fear of pain, so they are resistant to allowing vaccinations for their children
The parent's comfort levels will also impact how a child reacts, so it is important to assess how the parent's feel
The goal of distraction is not to surprise the child. The nurse will still explain everything that is going on. It is to have the child not focus as much on the poke, but the distraction
Toddlers
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Focus on having the child play with toys, sing songs, read a story, or watch a movie
Having the parent hold the child to provide comfort and emotional stability in a nestle position, rather than supine
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