Recurrent Abdominal Pain, Pediatric
Recurrent abdominal pain (RAP) is abdominal pain that comes and goes for more than 3 months without a known cause. RAP is common in children. It usually goes away with age.
HOME CARE INSTRUCTIONS
• Respond to your child in the same way each time he or she has abdominal pain. Have your child's teachers or caregivers do the same.
• Try not to make lifestyle changes because of your child's abdominal pain. Have your child go to school or stay in school during an episode when possible.
• Try to distract your child from his or her pain, such as with books, activities, or toys.
• Try to find out if something is causing increased stress for your child. Some things that can cause stress include teasing and
There are many reasons and factors why a child is not following the expected pattern of development. For example the child may be emotionally unsettled due to a number of reasons. Family life plays a significant part in a child’s development. If for instance the child is living with parents who constantly argue and fight this will have an effect on the child and cause stress. Also if the child is from a one parent
Make sure that their conversation is within confidential space meaning that only you the practitioner with the child and the parent.
Communication is a crucial skill for every Child Life Specialist to possess as a professional. Each day the Child Life Specialist must communicate with not only the parents, but also the child and his or her siblings. However, the specialist cannot converse with children in the same manner they do with adults. Children require alternate means of communication because they are not always fully able to convey their thoughts and emotions with words alone. As a result, the Child Life Specialist may utilize therapeutic
Play is the universal language of children and allows children to express their emotions and individual responses to stressful situations. Play allows children to recreate crucial events that they have experienced and provides the child with a sense of control over the outcome of their play. The presence of a non-directive adult observer during play provides a companion for the child to recall difficult experiences and memories. Medical play is a way for children to work through the process of stressful medical experiences, where children cope with stressful healthcare experiences and can achieve mastery by creating positive outcomes in play. It is vital to understand coping strategies of children, since these approaches may affect their future reactions to healthcare situations. Children who have a sibling with a chronic illness can experience vicarious medical distress and their lives can be impacted by their siblings’ chronic illness. The researchers’ aim of this study was to observe and compare the reactions to medical trauma through play of children with medical illnesses, siblings of children with medical illness, and children who were healthy and did not have family members who were ill.
Jeff informed me that the best way to make it through the day is to be compassionate and have patience. Dealing with children can be hard, especially to those who have children of their own. “When we lose a patient, it is hard not to take it personally,” he says. That is where the compassion comes in. Losing anyone is not a happy time, but dealing with children, it is difficult to not get attached. Being patient is important because you are dealing with kids. “Sometimes the children do not understand what we are asking or why we are poking them, so being patient is very important,” says Jeff.
The medical assistant should prepare the child by letting them know what is about to take place. This can help to emphasize that it might hurt for a few seconds but the pain will go away quickly. The medical assistant can engage with the child and make the feel like a partner in the procedure. An example of this would be, making the child feel like they are a big boy or a big girl buy given them the option of helping through the procedure with their cooperation. Sometimes it can be a simplified explanation, such as “keeping you from getting sick”, may possible be enough to gain and older child’s compliance. The medical assistant may be able to use a distraction such as quiets voices, songs, pacifiers or bottles.
Your child may need to take breaks if he or she feels very tired, has a headache, or has trouble concentrating. HOW CAN I HELP MY CHILD COPE WITH RECOVERY? Talk to your child as he or she recovers.
I really appreciate your concern, abdomen pain could be due to colic or it could be nonspecific even the walking difficulty could be that one only, but to rule out this for some neurological disease you will have to go for clinical examination and some basic neurological tests until then it is nothing to worry hope this information
| * Playing alongside other children and copying their actions * Temper tantrums if they are frustrated
Considering what specialist help would be beneficial to the child and discuss options with parents/carers
There are three main types of stress that exists in childhood. These are positive stress, tolerable stress, and toxic stress. Positive stress often caused by brief events experienced by the child, such as disappointment or frustration, and is crucial to developing a healthy response to stressful environments. Tolerable stress is caused by an event which has a profound impact on the child’s life, such as losing a parent or a serious medical condition. Tolerable stress
Wilcox (2009) compared various types of diverticular syndromes and their treatments. He found out that the treatment for the asymptomatic that is characterized by no clinical symptoms and symptomatic which has no inflammation but abdominal pain with change in bowel habits are high-fiber diet. Marinella (2010) found that for uncomplicated diverticulitis, with fever and abdominal pain can be treated with oral antibiotics, bowel rest, clear liquid diet and total abstinence from morphine because morphine has the risk of intracolonic pressure increased. This type of uncomplicated diverticulitis is for a young stable patient. For an older patient with uncomplicated diverticularitis, IV antibiotics should be administered but nothing by mouth.
If a child’s illness is discovered after they have entered the classroom, remove the child from the other children and call/text or talk to the parents.
the children with mild symptoms, don’t mention it to the parents. A simple explanation and
The child may be afraid to speak, and afraid of becoming the target of anger for speaking without approval. This is due in part to not being spoken to by adults or experiencing meaningful discussion with adults. The child cries easily and often. The child’s world is so chaotic the child cannot handle ordinary stress. The child usually has not witnessed appropriate ways of dealing with stress. The child will act out aggressively toward peers and adults. The child models the aggressive behavior observed in the home, and when playing with others. The child will have an inability to play constructively. There is a lot of throwing or kicking, and possible destruction of toys. Many children have not been shown how to play and interact with other children. Children are working out their frustration and worry in play (http://www.uen.org). The child will show inconsistent or inappropriate display of emotions. Abuse can result in the child not learning appropriate emotional responses, as well as not being in touch with their true feelings.