An effective strategy to reduce the stress of burn dressing procedures is to:
a. Give the child as many choices as possible.
b. Reassure the child that dressing changes are not painful.
c. Explain to the child why analgesics cannot be used.
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. The dressing-change procedure is very painful and stressful. The child should not be misinformed. Analgesia and sedation can and should be used. Encouraging the child to master stress with controlled passivity is not a positive coping strategy.
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