Needle pokes: Reducing pain with comfort positions and distractionNNeedle pokes: Reducing pain with comfort positions and distractionNeedle pokes: Reducing pain with comfort positioning and distractionsEnglishPain/AnaesthesiaChild (0-12 years);Teen (13-18 years)NANANon-drug treatmentAdult (19+) CaregiversPain2018-12-18T05:00:00ZLorraine Bird, RN, BScN, APN;Fiona Campbell, BSc, MD, FRCA(UK);Mary McAllister, RN, BScN, MHSc, PhD (c), NNP; Natalie Wilson, CCLS; Leanne Brister, CCLS8.0000000000000060.6000000000000689.000000000000Flat ContentHealth A-Z<p>​Find out how you can use comfortable positions and distractions with your child to ease pain from needle pokes.<br></p><h2>Key points</h2> <ul><li>​Use age-appropriate comfort positions and distractions, along with other forms of pain relief, to help your child cope with needle pokes.</li><li>Infants and young children can be held chest to chest or back to chest. Older children and teens should, ideally, sit upright.</li><li>Some children and teens may benefit from holding a comfort object such as a blanket or stuffed animal.<br></li><li>Distractions can include light-up and brightly coloured toys for infants through to drawing, books, video games and deep breathing for older children and teens.<br></li></ul><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></p><p><a href="https://www.aboutkidshealth.ca/Article?contentid=990&language=English">Needle pokes: Reducing pain in children aged 18 months or over</a><br></p><p><a href="https://www.aboutkidshealth.ca/Article?contentid=1258&language=English">Pain relief: Comfort kit</a></p><p><a href="https://www.aboutkidshealth.ca/Article?contentid=3627&language=English">Needle pokes: Reducing pain with numbing cream</a></p><p><a href="https://www.aboutkidshealth.ca/Article?contentid=3628&language=English">Needle pokes: Reducing pain with sucrose or breastfeeding</a><br></p>

 

 

 

 

Needle pokes: Reducing pain with comfort positions and distraction3629.00000000000Needle pokes: Reducing pain with comfort positions and distractionNeedle pokes: Reducing pain with comfort positioning and distractionsNEnglishPain/AnaesthesiaChild (0-12 years);Teen (13-18 years)NANANon-drug treatmentAdult (19+) CaregiversPain2018-12-18T05:00:00ZLorraine Bird, RN, BScN, APN;Fiona Campbell, BSc, MD, FRCA(UK);Mary McAllister, RN, BScN, MHSc, PhD (c), NNP; Natalie Wilson, CCLS; Leanne Brister, CCLS8.0000000000000060.6000000000000689.000000000000Flat ContentHealth A-Z<p>​Find out how you can use comfortable positions and distractions with your child to ease pain from needle pokes.<br></p><h2>Key points</h2> <ul><li>​Use age-appropriate comfort positions and distractions, along with other forms of pain relief, to help your child cope with needle pokes.</li><li>Infants and young children can be held chest to chest or back to chest. Older children and teens should, ideally, sit upright.</li><li>Some children and teens may benefit from holding a comfort object such as a blanket or stuffed animal.<br></li><li>Distractions can include light-up and brightly coloured toys for infants through to drawing, books, video games and deep breathing for older children and teens.<br></li></ul><figure><img alt="Parent holding infant in upright position before needle poke" src="https://assets.aboutkidshealth.ca/AKHAssets/iStock-469943960b.jpg" /> </figure> <h2>Positioning</h2><p>Using age- and development-appropriate comfort positions can help your child relax and stay still during a painful procedure. To minimize your child’s anxiety, avoid laying them flat.<br></p><p></p><h3>Age-appropriate comfort positions</h3><table class="akh-table"><thead><tr><th>Age group</th><th>Comfort positions</th></tr></thead><tbody><tr><td>Infants (birth to 12 months)<br> Babies experience pain from procedures, so it is important to comfort them.</td><td>Babies need to be comforted before the poke and continue to be cuddled and comforted afterwards.<br> <ul><li>Cuddle a swaddled baby and keep them warm.<br></li><li>Place your baby chest to chest (0–6 months) or back to chest (6–12 months).<br></li></ul></td></tr><tr><td>Toddler/preschooler (1-5 years)</td><td><ul><li>Have your child sit upright, back to chest, on a chair or bed.<br></li><li>Hold your child during the procedure if it helps comfort them.<br></li></ul></td></tr><tr><td>School age (6-12 years)<br> School-aged children need to feel in control. Give them age-appropriate information and choices and support them during the needle poke.</td><td>School-aged children may or may not want to sit on your lap. Ask your child what is most comfortable for them. <ul><li>Sit your child upright, ideally, but let them choose which position is best for them.</li><li>Hold your child or stay close by during the procedure.</li><li>Praise and encourage your child.</li><li>Use a comfort object such as a blanket or stuffed animal.</li></ul></td></tr><tr><td>Teenagers (13-18 years)<br> Teenagers should receive information about the needle poke directly and be involved in developing their comfort plan.</td><td><ul><li>Encourage your teen to sit upright, or in whatever position is best for them.</li><li>Stay close by during the procedure, if your teen prefers.</li><li>Give positive reinforcement and encouraging statements.</li><li>Let your teen bring along a comfort object.</li></ul></td></tr></tbody></table> <figure><img alt="Boy playing video game" src="https://assets.aboutkidshealth.ca/AKHAssets/playtime_at_hosptial_school-aged.jpg" /> </figure> <h2>Distraction</h2><p>Distraction works by shifting your child’s focus away from a needle poke or other similar procedure. Ask your health-care team how you can use the <a href="/Article?contentid=1258&language=English">comfort kit</a> items to provide age-appropriate distraction when needed. </p><p></p><h3>Age-appropriate distractions</h3><table class="akh-table"><thead><tr><th>Age group</th><th>Distraction techniques</th></tr></thead><tbody><tr><td>Infants (birth to 12 months)<br> Babies experience pain from procedures, so it is important to distract them.</td><td><ul><li>Light-up or brightly-coloured toys</li><li>Singing</li><li>Baby’s favourite object</li><li>Patting baby and using soothing voice during the procedure</li><li>Pacifier</li></ul></td></tr><tr><td>Toddler/preschooler (1-5 years)</td><td><ul><li>Light-up toys</li><li>Pop-up picture books</li><li>Drawing or colouring</li><li>Bubbles</li><li>Singing</li><li>Music</li><li>Favourite objects from home</li></ul></td></tr><tr><td>School age (6-12 years)<br> School-aged children need to feel in control. Give them age-appropriate information and choices and support them during the needle poke.</td><td>Actively engage your child with one or more distractions. Offer several options to meet their needs.<br> <ul><li>Books or magazines</li><li>Videos</li><li>Video games</li><li>Drawing or colouring</li><li>Deep breathing</li><li>Singing</li></ul></td></tr><tr><td>Teenagers (13-18 years)<br> Teenagers should receive information about the needle poke directly and be involved in developing their comfort plan.</td><td>Encourage your teen to choose a number of options to keep them distracted.<br> <ul><li>iPad or other electronic devices</li><li>Videos</li><li>Video games or virtual reality headsets</li><li>Deep breathing exercises</li><li>Option to watch the procedure</li></ul></td></tr></tbody></table> <br><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></p><p><a href="https://www.aboutkidshealth.ca/Article?contentid=990&language=English">Needle pokes: Reducing pain in children aged 18 months or over</a><br></p><p><a href="https://www.aboutkidshealth.ca/Article?contentid=1258&language=English">Pain relief: Comfort kit</a></p><p><a href="https://www.aboutkidshealth.ca/Article?contentid=3627&language=English">Needle pokes: Reducing pain with numbing cream</a></p><p><a href="https://www.aboutkidshealth.ca/Article?contentid=3628&language=English">Needle pokes: Reducing pain with sucrose or breastfeeding</a><br></p> https://assets.aboutkidshealth.ca/AKHAssets/playtime_at_hosptial_school-aged.jpgNeedle pokes: Reducing pain with comfort positions and distractionFalse