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Needle pokes: Reducing pain in children aged 18 months or overNNeedle pokes: Reducing pain in children aged 18 months or overNeedle pokes: Reducing pain in children aged 18 months or overEnglishPain/AnaesthesiaToddler (13-24 months);Preschooler (2-4 years);School age child (5-8 years);Pre-teen (9-12 years);Teen (13-18 years)BodyNervous systemNon-drug treatmentCaregivers Adult (19+)NA2018-12-18T05:00:00ZLorraine Bird, RN, BScN, APN;Fiona Campbell, BSc, MD, FRCA(UK);Mary McAllister, RN, BScN, MHSc, PhD (c), NNP7.5000000000000071.9000000000000696.000000000000Health (A-Z) - ProcedureHealth A-Z<p>Find out how to reduce the pain of needle pokes in children aged 18 months or over.<br></p><p>Your child might need a needle poke to receive a vaccine, have blood work or receive fluids intravenously (through an IV) during a hospital visit. All these procedures are important for protecting or helping to treat your child, but they can cause pain. This can be stressful for both children and parents.</p><p>You can use a number of methods to help reduce the pain and anxiety associated with needle pokes. These include numbing cream, distractions and comfort positions.</p><div class="asset-video"> <iframe src="https://www.youtube.com/embed/TGGDLhmqH8I?rel=0" frameborder="0"></iframe> </div><h2>Key points</h2><ul><li>Needle pokes (such as vaccines, blood work and IV starts) can cause pain, which can be stressful both for children and parents.</li><li>There are methods you can use to help reduce your child’s pain and distress during needle pokes.</li><li>Before the procedure you can use a topical anaesthetic and distract your child.</li><li>During the procedure, you can hold your child, rub your child's skin and stay calm.<br></li></ul><h2>Planning ahead</h2><h3>Talk to your doctor</h3><p>Discuss your plan to ease your child's pain with your child’s healthcare team so they can support you.</p><h3>Talk to your child</h3><p>If your child is aged four years or older, talk to them about the needle poke ahead of time in language they can easily understand.<br></p><ul><li>Tell your child what is going to happen, for example, “The doctor is going to use a needle to give you a vaccine in your arm."</li><li>Explain why your child needs the needle poke, for instance, “The vaccine will protect you from getting sick."</li><li>Describe how the needle poke will feel, for example, “It might feel like a little pinch."</li><li>Say what will be done to manage your child’s pain, for instance, "We’ll play a game so you don’t notice the needle poke much."<br></li></ul> <h2>During the needle poke</h2><h3>Hold your child</h3><p> <a href="/Article?contentid=3629&language=English">Holding your child</a> comfortably in your lap helps to calm them during their needle pokes and encourages them to stay still.</p><h3>Rub your child's skin</h3><p>Rub your child's arm before, during and after the needle poke. As you rub an area of the arm away from the injection site, the feeling of touch from your hand competes with the pain your child experiences from the needle. This will help reduce your child's perception of pain.</p><h3>Stay calm</h3><p>If you are feeling anxious before and during your child’s needle poke, your child is likely to pick up on it and feel anxious themselves. Even though you may be nervous about the procedure, try your best to remain calm. Use your normal speaking voice and take slow, deep breaths.</p><p>For more detailed information on these suggestions, especially for vaccinations, please download the fact sheet <a href="https://immunize.ca/sites/default/files/Resource%20and%20Product%20Uploads%20%28PDFs%29/Products%20and%20Resources/Pain%20Management/Parents/painreduction_under3_web_e.pdf" target="_blank"><em>Reduce the pain of vaccination in children under 3 years</em></a> or <a href="https://immunize.ca/sites/default/files/Resource%20and%20Product%20Uploads%20%28PDFs%29/Products%20and%20Resources/Pain%20Management/Parents/painreduction_kidsandteens_web_e.pdf" target="_blank"><em>Reduce the pain of vaccination in kids and teens</em>.</a><br></p><h2>Before the needle poke<br></h2><h3>Numbing cream</h3><p>You can help reduce the pain of needle pokes by applying a topical anaesthetic (<a href="/Article?contentid=3627&language=English">numbing cream</a> or gel) to the area where your child will receive their vaccine. In Canada, numbing creams are available over the counter.</p><ul><li>Discuss this option with your child’s team in advance.</li><li>Make sure your child is not allergic to any ingredients in the numbing cream or gel.</li><li>Apply the numbing cream or gel 30 to 60 minutes before the needle poke, according to the specific product's instructions. Once it is applied, the cream lasts up to three hours.<br></li></ul><h3>Distract your child</h3><p>Use items such as favourite toys, mobile devices or bubbles to help <a href="/Article?contentid=3629&language=English">distract your child</a> during needle pokes. You can also sing, talk or tell jokes to distract them from any pain they might be experiencing.</p><p>Your healthcare team can also offer you items from a <a href="/Article?contentid=1258&language=English">comfort kit</a> to help distract your child. Ask your healthcare provider about the kit before your appointment.</p><h2>Further information</h2><p>​For more information about the Comfort Promise bundle of options to reduce the pain of needle pokes, please see the following pages:</p><p><a href="https://www.aboutkidshealth.ca/Article?contentid=989&language=English">Needle pokes: Reducing pain in infants aged up to 18 months</a><br></p><p><a href="https://www.aboutkidshealth.ca/Article?contentid=1258&language=English">Pain relief: Comfort kit</a><br></p><p><a href="https://www.aboutkidshealth.ca/Article?contentid=3627&language=English">Needle pokes: Reducing pain with numbing cream</a><br></p><p><a href="https://www.aboutkidshealth.ca/Article?contentid=3628&language=English">Needle pokes: Reducing pain with sucrose or breastfeeding</a></p><p><a href="https://www.aboutkidshealth.ca/Article?contentid=3629&language=English">Needle pokes: Reducing pain with comfort positions and distraction</a><br></p>
Injections sans douleur chez les enfants âgés de plus de 1 anIInjections sans douleur chez les enfants âgés de plus de 1 anPain-free injections in children over one year of ageFrenchPain/AnaesthesiaToddler (13-24 months);Preschooler (2-4 years);School age child (5-8 years);Pre-teen (9-12 years);Teen (13-18 years)BodyNervous systemNon-drug treatmentCaregivers Adult (19+)NA2013-11-11T05:00:00ZAnna Taddio, BScPhm, MSc, PhD9.0000000000000061.0000000000000486.000000000000Health (A-Z) - ProcedureHealth A-Z<p>La présente fiche donne des conseils afin que les parents puissent faciliter les piqûres et en éliminer la douleur autant que possible.</p><em><a href="/Article?contentid=989&language=French">Cliquez ici</a> pour lire l’article traitant des injections sans douleur chez les bébés.</em> <p></p><p>La vaccination permettra de protéger votre enfant contre les maladies infectieuses nuisibles. Toutefois, comme les vaccins sont administrés à l’aide d’une piqûre, ils sont douloureux. Cette douleur est pénible tant pour les enfants que les parents.</p><p>Voici des façons de réduire la douleur et l’angoisse durant la vaccination. </p><div class="asset-video"> <iframe src="https://www.youtube.com/embed/TGGDLhmqH8I?rel=0&hl=fr&cc_load_policy=1" frameborder="0"></iframe> </div><h2>À retenir<br></h2><ul><li> Les vaccins sont administrés à l’aide d’une seringue et sont donc douloureux. Cette situation est pénible tant pour les bébés que pour les parents.</li><li>Il y a des méthodes que vous pouvez utiliser pour aider à réduire la douleur et l’angoisse que ressent votre enfant pendant les injections.</li><li>Avant l’injection ou la vaccination, vous pouvez utiliser un anesthésique topique et distraire votre enfant.</li><li>Pendant l’injection, vous pouvez tenir votre enfant, le caresser et demeurer calme. </li></ul><h2>Préparez vous à l’avance</h2> <br> <h3>Consultez votre médecin</h3><p>Avant le rendez vous fixé pour la vaccination de votre enfant, discutez des moyens que vous avez prévus afin d’atténuer la douleur de l’injection avec votre médecin pour qu’il vous appuie. Tous les conseils présentés ci après reposent sur des résultats de recherches scientifiques réalisées par des spécialistes de SickKids et de l’ensemble du Canada.</p><h3>Parlez à votre enfant</h3><p>Si votre enfant est âgé d’au moins 4 ans, aidez le à se préparer pour sa vaccination en parlant de son déroulement au préalable. </p><p> <em>Voici des sujets que pourriez aborder :</em></p><ul><li>Que fera le médecin? – « Pour te vacciner, le médecin te fera une piqûre dans le bras ».</li><li>Quelle est l’utilité de la vaccination? – « Le vaccin te protégera contre les maladies ».</li><li>Que ressentira votre enfant? – « La piqûre te fera peut être un petit pincement ».</li><li>Que ferez vous pour le distraire de la douleur? – « Nous ferons un jeu pour que tu ne sentes à peine la piqûre ».</li> </ul><h2>Durant la vaccination</h2><h3>Asseyez votre enfant sur vous</h3><p>En asseyant confortablement votre enfant sur vous, vous l’aidez non seulement à se calmer, mais également à se tenir immobile pendant la vaccination.</p><h3>Frottez votre enfant sur la peau</h3><p>Frottez votre enfant sur la peau avant, pendant et après la vaccination. La sensation de votre main qui le touche et le frotte sur le bras vers l’extérieur de l’endroit du vaccin le soulagera de la piqûre. Cela réduira chez lui la perception de douleur.</p><h3>Demeurez calme</h3><p>Si vous êtes angoissé avant et pendant la vaccination de votre enfant, vous risquez de transmettre ce sentiment à votre enfant. Même si vous êtes tendu, essayez autant que possible de rester calme. Parlez dans une voix normale et prenez de lentes et profondes respirations. </p><p> <em>Pour des renseignements plus détaillés sur les conseils présentés ci-dessus, veuillez télécharger une des fiches d’information suivantes :</em></p><p> <em> <a href="https://immunize.ca/sites/default/files/Resource%20and%20Product%20Uploads%20%28PDFs%29/Products%20and%20Resources/Pain%20Management/Parents/painreduction_under3_web_f.pdf" target="_blank"> <em>Réduire la douleur de la vaccination chez les enfants de moins de 3 ans</em></a> ou <a href="https://immunize.ca/sites/default/files/Resource%20and%20Product%20Uploads%20%28PDFs%29/Products%20and%20Resources/Pain%20Management/Parents/painreduction_kidsandteens_web_f.pdf" target="_blank"> <em>Réduire la douleur de la vaccination chez les enfants et les ados</em></a>.</em></p><h2>Avant la vaccination</h2> <h3>Employez un anesthésique topique</h3> <p>Vous pourriez appliquer un anesthésique topique sous forme de crème ou de gel sur la région du bras où votre enfant sera vacciné pour réduire la douleur de l’injection. Ces produits sont en vente libre au Canada. Vous devez les appliquer de 30 à 60 minutes avant l’injection. Il est toutefois important au préalable d’en parler avec votre médecin et de vous assurer que le gel ou la crème anesthésique employé ne renferme aucun ingrédient provoquant une allergie chez votre enfant.</p> <h3>Distrayez votre enfant</h3> <p>Apportez tout jouet ou tout autre article susceptible de détourner l’attention de votre enfant de la vaccination. Vous pourriez, entre autres, choisir de le distraire à l’aide de ses jouets préférés ou d’objets mobiles ou encore en faisant des bulles de savon. Vous pourriez aussi chanter, jaser ou raconter des blagues pour calmer la douleur éventuelle de la piqûre. </p>

 

 

 

 

Needle pokes: Reducing pain in children aged 18 months or over990.000000000000Needle pokes: Reducing pain in children aged 18 months or overNeedle pokes: Reducing pain in children aged 18 months or overNEnglishPain/AnaesthesiaToddler (13-24 months);Preschooler (2-4 years);School age child (5-8 years);Pre-teen (9-12 years);Teen (13-18 years)BodyNervous systemNon-drug treatmentCaregivers Adult (19+)NA2018-12-18T05:00:00ZLorraine Bird, RN, BScN, APN;Fiona Campbell, BSc, MD, FRCA(UK);Mary McAllister, RN, BScN, MHSc, PhD (c), NNP7.5000000000000071.9000000000000696.000000000000Health (A-Z) - ProcedureHealth A-Z<p>Find out how to reduce the pain of needle pokes in children aged 18 months or over.<br></p><p>Your child might need a needle poke to receive a vaccine, have blood work or receive fluids intravenously (through an IV) during a hospital visit. All these procedures are important for protecting or helping to treat your child, but they can cause pain. This can be stressful for both children and parents.</p><p>You can use a number of methods to help reduce the pain and anxiety associated with needle pokes. These include numbing cream, distractions and comfort positions.</p><div class="asset-video"> <iframe src="https://www.youtube.com/embed/TGGDLhmqH8I?rel=0" frameborder="0"></iframe> </div><h2>Key points</h2><ul><li>Needle pokes (such as vaccines, blood work and IV starts) can cause pain, which can be stressful both for children and parents.</li><li>There are methods you can use to help reduce your child’s pain and distress during needle pokes.</li><li>Before the procedure you can use a topical anaesthetic and distract your child.</li><li>During the procedure, you can hold your child, rub your child's skin and stay calm.<br></li></ul><h2>Planning ahead</h2><h3>Talk to your doctor</h3><p>Discuss your plan to ease your child's pain with your child’s healthcare team so they can support you.</p><h3>Talk to your child</h3><p>If your child is aged four years or older, talk to them about the needle poke ahead of time in language they can easily understand.<br></p><ul><li>Tell your child what is going to happen, for example, “The doctor is going to use a needle to give you a vaccine in your arm."</li><li>Explain why your child needs the needle poke, for instance, “The vaccine will protect you from getting sick."</li><li>Describe how the needle poke will feel, for example, “It might feel like a little pinch."</li><li>Say what will be done to manage your child’s pain, for instance, "We’ll play a game so you don’t notice the needle poke much."<br></li></ul> <h2>During the needle poke</h2><h3>Hold your child</h3><p> <a href="/Article?contentid=3629&language=English">Holding your child</a> comfortably in your lap helps to calm them during their needle pokes and encourages them to stay still.</p><h3>Rub your child's skin</h3><p>Rub your child's arm before, during and after the needle poke. As you rub an area of the arm away from the injection site, the feeling of touch from your hand competes with the pain your child experiences from the needle. This will help reduce your child's perception of pain.</p><h3>Stay calm</h3><p>If you are feeling anxious before and during your child’s needle poke, your child is likely to pick up on it and feel anxious themselves. Even though you may be nervous about the procedure, try your best to remain calm. Use your normal speaking voice and take slow, deep breaths.</p><p>For more detailed information on these suggestions, especially for vaccinations, please download the fact sheet <a href="https://immunize.ca/sites/default/files/Resource%20and%20Product%20Uploads%20%28PDFs%29/Products%20and%20Resources/Pain%20Management/Parents/painreduction_under3_web_e.pdf" target="_blank"><em>Reduce the pain of vaccination in children under 3 years</em></a> or <a href="https://immunize.ca/sites/default/files/Resource%20and%20Product%20Uploads%20%28PDFs%29/Products%20and%20Resources/Pain%20Management/Parents/painreduction_kidsandteens_web_e.pdf" target="_blank"><em>Reduce the pain of vaccination in kids and teens</em>.</a><br></p><h2>Before the needle poke<br></h2><h3>Numbing cream</h3><p>You can help reduce the pain of needle pokes by applying a topical anaesthetic (<a href="/Article?contentid=3627&language=English">numbing cream</a> or gel) to the area where your child will receive their vaccine. In Canada, numbing creams are available over the counter.</p><ul><li>Discuss this option with your child’s team in advance.</li><li>Make sure your child is not allergic to any ingredients in the numbing cream or gel.</li><li>Apply the numbing cream or gel 30 to 60 minutes before the needle poke, according to the specific product's instructions. Once it is applied, the cream lasts up to three hours.<br></li></ul><h3>Distract your child</h3><p>Use items such as favourite toys, mobile devices or bubbles to help <a href="/Article?contentid=3629&language=English">distract your child</a> during needle pokes. You can also sing, talk or tell jokes to distract them from any pain they might be experiencing.</p><p>Your healthcare team can also offer you items from a <a href="/Article?contentid=1258&language=English">comfort kit</a> to help distract your child. Ask your healthcare provider about the kit before your appointment.</p><h2>Further information</h2><p>​For more information about the Comfort Promise bundle of options to reduce the pain of needle pokes, please see the following pages:</p><p><a href="https://www.aboutkidshealth.ca/Article?contentid=989&language=English">Needle pokes: Reducing pain in infants aged up to 18 months</a><br></p><p><a href="https://www.aboutkidshealth.ca/Article?contentid=1258&language=English">Pain relief: Comfort kit</a><br></p><p><a href="https://www.aboutkidshealth.ca/Article?contentid=3627&language=English">Needle pokes: Reducing pain with numbing cream</a><br></p><p><a href="https://www.aboutkidshealth.ca/Article?contentid=3628&language=English">Needle pokes: Reducing pain with sucrose or breastfeeding</a></p><p><a href="https://www.aboutkidshealth.ca/Article?contentid=3629&language=English">Needle pokes: Reducing pain with comfort positions and distraction</a><br></p><img alt="" src="https://assets.aboutkidshealth.ca/AKHAssets/pain_free_injections_children.jpg" style="BORDER:0px solid;" />https://assets.aboutkidshealth.ca/AKHAssets/pain_free_injections_children.jpgNeedle pokes: Reducing pain in children aged 18 months or overFalse

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