Your child needs elective surgery, and a date has been scheduled.
Unlike emergency surgery, an elective procedure gives you the time to
prepare your child psychologically for the hospital and the surgery.
Adequate preparation can help your child feel less anxious about the
anesthesia induction and surgery and get through the recovery period
faster. But, like parents everywhere, you are probably uncertain about the
best ways to prepare your child.
The job is not as daunting as you may think. The key is in imparting
information at your child's level of understanding, correcting
misconceptions, and dispelling fears and
feelings of guilt. You need to help your child understand the physical
problem that requires the surgery and become familiar with the hospital
and some of the procedures she will undergo. Children of all ages cope
much better if they have some concrete idea of what is going to happen and
why it is necessary. But, to do that, you need to prepare yourself
first, and correct any misconceptions of your own.
Preparing Yourself The horror stories you
heard from grandparents and parents about traumatic parent/child
separations and very limited hospital visiting hours belong to days gone
by. Hospitals have changed enormously. For example, most surgeries
performed on children are now "same-day" procedures requiring no overnight
or prolonged stays; most children are back home, in their own beds, the
same night.
Furthermore, most U.S. hospitals and more than half of all Canadian
hospitals permit at least one parent to stay beside the child at all times
except while the surgeon is operating. After the surgery, you may return
to your child in the recovery room. As your child awakens, she will assume
you never left.
Ask the doctors, nurses, or staff for the information you need about
what is to take place so that you can prepare your child and deal with
your own fears or concerns. To parents, one of the most fearful aspects of
surgery is anesthesia. In
today's hospitals, anesthesiologists - using modern, safe anesthetics and
assisted by extremely capable monitoring technology - administer
anesthesia very safely.
In the few cases where hospitalization is required overnight or longer,
most hospitals avoid separation anxiety by permitting at least one parent
to stay with the child day and night. Other close family members may be
able to visit at the family's convenience (not just during limited
visiting hours). As soon as your child is able, she may be playing with
other children, toys, and games in a children's recreation room - even if
that involves taking along an IV bag on a rolling support.
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