What is an effective strategy to reduce the stress of burn dressing procedures?
a. Involve the child and give choices as feasible.
b. Explain to the child why analgesics cannot be used.
c. Reassure the child that dressing changes are not painful.
d. Encourage the child to master stress with controlled passivity.
ANS: A
Children who have an understanding of the procedure and some perceived control demonstrate less maladaptive behavior. They respond well to participating in decisions and should be given as many choices as possible. Analgesia and sedation can and should be used. The dressing change procedure is very painful and stressful. Misinformation should not be given to the child. Encouraging the child to master stress with controlled passivity is not a positive coping strategy.
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