{"id":5714,"date":"2019-11-04T09:00:31","date_gmt":"2019-11-04T14:00:31","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=5714"},"modified":"2020-07-13T14:53:40","modified_gmt":"2020-07-13T18:53:40","slug":"children-injections-injectable-medication","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/children-injections-injectable-medication\/","title":{"rendered":"Helping young children adjust to injections"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Like most kids, my daughter spent her early childhood years afraid of shots. She would ask before every doctor\u2019s appointment if she would be getting one that day, and if the answer was yes, there were always tears\u2014and lots of dread.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">So when she was diagnosed at the age of 4 with Juvenile Idiopathic Arthritis (JIA), a <a href=\"https:\/\/www.singlecare.com\/blog\/teens-chronic-condition\/\" target=\"_blank\" rel=\"noopener noreferrer\">chronic condition<\/a> that would require her to receive weekly injections, likely for the rest of her life, I was the one who panicked.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">How was I supposed to subject her to weekly needle sticks at home?<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cNeedles are among the most feared experiences of children,\u201d says <\/span><a href=\"http:\/\/drfranksileo.com\/\"><span style=\"font-weight: 400;\">Frank J. Sileo<\/span><\/a><span style=\"font-weight: 400;\">, a licensed psychologist and founder of The Center for Psychological Enhancement in New Jersey. \u201cNeedle fears and phobias begin in children around the age of 5.5 years. However, children with chronic illnesses are particularly at risk &#8230; if they avoid or refuse treatments that involve needles, it can lead to poorer health outcomes that may possibly be life-threatening.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">That was my concern for my daughter. If we didn\u2019t get off on the right foot from the start, would she develop a fear of needles that might cause lifelong health consequences?<\/span><\/p>\n<h2><b>How to help your child stay calm during an injection<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Assuaging your child\u2019s fear of needles starts with you: <\/span><span style=\"font-weight: 400;\">\u201cParents have to not show any emotion,\u201d recommends <\/span><a href=\"https:\/\/ubmd.com\/find-doctor\/profile.html?ubit=kebethin\"><span style=\"font-weight: 400;\">Dr. Kathleen Bethin<\/span><\/a><span style=\"font-weight: 400;\">, an <\/span><a href=\"https:\/\/www.aap.org\/en-us\/Pages\/Default.aspx\"><span style=\"font-weight: 400;\">American Academy of Pediatrics<\/span><\/a><span style=\"font-weight: 400;\"> (AAP) spokesperson. \u201cIf parents act like they are afraid or they act like they are sad, the kid is going to pick up on that.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Specializing in pediatric endocrinology, Dr. Kathleen Bethin often helps families adjust to regular injections when a child is diagnosed with any of the many chronic conditions that could require injectable medication, like:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Asthma<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Allergies<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">ADHD<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Epilepsy<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Diabetes\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">And it\u2019s important to refer to them as <\/span><i><span style=\"font-weight: 400;\">injections<\/span><\/i><span style=\"font-weight: 400;\">, not shots, because of the negative connotation some kids already have with shots.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">And above all communication is key. Leading up to my daughter\u2019s initial injections, I spoke with her about what to expect. We came up with a plan\u2014one we executed with a trip to Target. We purchased special Band-aids (in our case, <\/span><i><span style=\"font-weight: 400;\">Frozen<\/span><\/i><span style=\"font-weight: 400;\"> ones), a miniature Spider-Man ice pack, and candy: Sour Patch Kids for during the shot (which I\u2019d heard could serve as a bit of a taste bud distraction) and M&amp;Ms for after.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">I also signed up for a <\/span><a href=\"http:\/\/www.kidsgetarthritistoo.org\/resources\/ja-welcome-kit.php\"><span style=\"font-weight: 400;\">JA Power Pack<\/span><\/a><span style=\"font-weight: 400;\"> from the Arthritis Foundation, which included a stuffed bear named Champ, who she could cling to when receiving her injectable medication.<\/span><\/p>\n<h2><b>How to give a child an injection<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Dr. Sileo says that the use of distraction is one of the \u201cmost-studied and empirically supported methods for helping children with needle pain.\u201d He suggests parents help distract their children from impending injections using a variety of tools, such as:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">watching a television show<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">listening to favorite songs<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">playing games while injections are given<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">reading a book<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">watching YouTube videos<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">having them blow bubbles<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">squeezing a ball<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">looking through a kaleidoscope<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">For us, the distraction came in the form of a Sour Patch Kid, popped in her mouth right before the injection, or a FaceTime call with her grandparents. That\u2019s what we did for the first few months. Now my daughter coughs on the count of three, right before I give her the injection. It\u2019s just enough to prevent her from feeling the needle going in.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">We were lucky. My daughter and I created a routine that made her injection nights relatively easy. She shed a few tears in the beginning, but she never fought me. And after just a couple of weeks, she started to feel pride in her own injection bravery. Today, two years into weekly injections, she loves having an audience on injection night\u2014if only so that she can show her friends how tough she is.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">But not every family has this experience.\u00a0<\/span><\/p>\n<h2><b>How to deal with injection trauma<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">That was the case for Bree Frederickson, whose daughter was diagnosed with JIA at 2 years old. Frederickson says her daughter handled her shots like a champ\u2014at first. They developed a routine that involved a stuffed animal, special Band-aids, and her favorite dinner, but when her dose changed, so did the ease of injection.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The new medication came in pre-filled syringes that had a preservative in them; the preservative caused a burning sensation that made the injectable medication hurt more than ever before.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Fredrickson said her daughter\u2014now 4 years old\u2014made the choice to switch to two injections a week instead of one, purely so she could stop being given the injection with a preservative in it.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There\u2019s something to be said about choice; and giving kids (even young kids) a say in their injection nights can mean a lot. At least, whenever there is an option to do so.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Still, injection trauma can be very real for some kids. I\u2019ve spoken to families who have to bring their little ones to the doctor for shots every week, purely because they kick and fight and scream so much that it can\u2019t be done at home.\u00a0<\/span><\/p>\n<h2><b>Finding your village<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">I\u2019ve found that joining another child for an injection sometimes helps when other strategies don\u2019t work. While my daughter always did well with her at-home injections, her regular blood draws were a different story. She has hard veins to find, and she required multiple sticks on more than one occasion. After a few visits like that, her fear of blood draws multiplied.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The one thing that finally made a difference was joining a friend from arthritis camp for her blood draw. After watching her friend react calmly to getting her blood taken, we then developed a different routine for my little girl: Her blood draw would now happen in her hand, instead of the crook of her arm (where so many missed needle sticks had taken place), and her favorite nurse would be the only one doing it from now on.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The combination of seeing her friend react bravely to a blood draw and being able to design a new routine where she felt\u2014at least somewhat\u2014in control made all the difference in the world. My daughter hasn\u2019t panicked over a blood draw since, even though we\u2019ve had a few more instances of missed sticks.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">We were able to return the favor a few months later when a newly diagnosed little girl was struggling with her own injections. We went to her home on shot night, and my daughter proudly showed off how she helps draw the medication for her own injections and the routine we have for getting those injections done.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A few weeks later, that little girl\u2019s mom told me their shot nights had dramatically improved ever since.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Sometimes, what these kids need more than anything is to simply know they aren\u2019t alone in this.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">And you know what? Sometimes the parents need that, too. So if you are parenting a newly diagnosed child, seek out that support. Find Facebook groups dedicated to parents of children with your child\u2019s condition. Talk to your child&#8217;s doctor about support groups in your area. Attend camps and conferences whenever possible. And build up a support system of other parents who are walking the same walk as you.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Time and time again, you\u2019ll find this community is where you turn the most when you\u2019re dealing with the struggles of your child\u2019s condition\u2014and that includes helping you problem-solve ways to make injection night as easy as possible.\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Like most kids, my daughter spent her early childhood years afraid of shots. She would ask before every doctor\u2019s appointment if she would be getting one that day, and if the answer was yes, there were always tears\u2014and lots of dread.\u00a0 So when she was diagnosed at the age of 4 with Juvenile Idiopathic Arthritis [&hellip;]<\/p>\n","protected":false},"author":65,"featured_media":6707,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8029],"tags":[3564],"coauthors":[9053],"class_list":["post-5714","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-education","tag-children","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Calm your child\u2019s fears about injections - The Checkup<\/title>\n<meta name=\"description\" content=\"Many kids have a fear of needles. 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