Which is an effective strategy to reduce the stress of burn dressing procedures?
a. Give child as many choices as possible.
b. Reassure child that dressing changes are not painful.
c. Explain to child why analgesics cannot be used.
d. Encourage child to master stress with controlled passivity.
ANS: A
Children who understand the procedure and have 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 painful and stressful. Misinformation should not be given to the child. 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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