Conversation with a child about the disease


  • Conversation with a child about the disease
  • Communication with the child
  • Questions that may ask sick children
  • Support

  • Probably one of the most difficult problems that you have to decide for
    Your life: how to explain the sick child that happens to him?

    Studies have shown that most children are all
    Equally it is conscious that they are seriously ill against the attempts of parents and
    doctors protect them. At times he feels bad, his often
    inspect doctors, it is necessary to pass very unpleasant and frightening
    Surveys and procedures. Anxiety of relatives and loved ones also not
    Stay unnoticed. And if no one tells him about illness, baby
    can look for an explanation for what is happening in his imagination in his own
    fear. He can decide that his illness is punishment for some
    his actions, worry and blaming himself. Therefore, now doctors
    agree that the truth about the disease will protect the child from the sense of guilt and
    will help him in treatment.

    Conversation with a child about the disease

    But there are issues such: «Who should tell the child the truth about the disease?» «When to do it?» «What exactly must be said?»

    Who should talk with the child? The answer to this question will be in different families different.
    It depends on your child relationship. It is very difficult to say
    he is that he has an oncological disease. Maybe you decide
    say to the child all themselves or ask the doctor to clarify the child to his
    disease. In any case, you or someone who is close to the child must
    be close to support, encourage him, express your love.

    If you decide to talk to your child yourself, discuss
    pre-all with someone who can help you decide what and how
    Better to say. You can give good advice to the doctor who attending your
    child, nurse or psychologist. It is useful pre-
    Discuss these questions with parents of other sick children can help
    Members of parental associations, such as the children's section of Moscow
    ONCOLOGICAL COMPORY SOCIETY. Think what you want
    say rehearse in front of the mirror.

    When to say? Since you are better than anyone, known
    Features of your child, his mood, exactly you are best
    can decide when it is best to tell your child about the disease.
    Perhaps telling him everything is not worth it. Good if you can
    Select a place where you can create a calm, supporting
    Furniture. Maybe it will be a forest or a place where there are loved ones

    Probably, it is better not to postpone the conversation on the days and
    weeks after diagnosis. The longer silence, the
    more likely that the child has fears from which
    It's hard to get rid of.

    Before talking, it is important for you to understand what type
    oncological disease with him and what treatment is planned. Only
    Then you can help your child, providing his questions and giving him
    exact information.

    Conversation with a child about the diseaseWhat to say? The amount of information and how you will talk
    child about illness depends on his age and intellectual
    Development. But always better soft, open and honest conversation. We
    We offer you very general ideas about communicating age and level
    understanding, but you need to navigate on your particular child. His
    Understanding can be different than us. Consequently, you
    It is necessary to be very attentive to the fact that the child himself thinks and
    understands about his illness, what questions are interested in him first.

    Children at the age of two years are not able to understand,
    What is a cancer. For them are important directly
    Events, such as separation from parents. Children who
    marked year, already pay attention to what is happening around them,
    and try to influence it. They are worried about surveys and
    Procedures, cry and try to escape.

    Child older than 18 months is ready to
    understand what is happening around him. Please do not tell him that you
    go not to the hospital when you go there, or that the procedure will not
    painful if it is not. Best be honest with him. Tell,
    For example, that when the injection is done, only one moment is painful and that
    You can cry at the same time, let him understand what you know about his
    experiences and accept them. Such explanations will strengthen his confidence in
    to you. Child with a cancer is important to allow some
    Extent to control what is happening if this control does not interfere with the treatment.
    For example, if he needs to drink a medicine, it is good if he myself
    will choose how to drink it - apple or grape juice.

    Children aged two to seven years in a state
    It is better to realize your illness. Usually they understand what is happening with one
    point of view - its own. They imagine that the world rotates
    Around them. Children at this age tend to classify events by
    one sign, and their understanding of the disease is associated with some
    a specific event, for example, with what they have to lie in
    Bed or them sing chicken broth. During this period, children often think,
    that the cause of their illness was some kind of act and that recovery
    will come by itself or thanks to the implementation of a number of specific rules.

    The child of this age needs to calm,
    that nothing of them made or not made could not cause
    diseases, and that neither the disease nor treatment is punished for
    Some mistakes. It is also important to be honest and realistic to explain everything
    medical procedures and recall once again that they are not

    It is very important to give simple explanations regarding
    Disease itself. Useful with the explanation of the diagnosis may be history,
    which establish the connection between the modern understanding of nature
    Oncological diseases and ideas available to the child.
    Well, if these explanations are specially adapted to different
    types of children's oncological diseases (leukemia, cancer, sarcoma and t.D.).
    For example, at the age of two to seven years, ideas about
    good and evil, and children can understand the disease as a battle between «Good» and «bad» cells. Then when taking drugs «good» Cells
    become stronger and beat «Bad».

    Children from 7 to 12 years able to realize
    The relationship between several events, that is, they can realize
    Disease as a combination of symptoms. They suggest that their illness
    - The result of some misdeed. They already understand what is necessary
    take medicine and do what the doctor says.

    So children can give more detailed explanations
    The essence of oncological diseases, but still you need to talk on
    accessible language and use comparisons. You can, for example, say,
    that various types of cells of our body perform different work. Like
    People, these cells must work together to make their work.
    At the same time, the cells of the tumor can be compared with those who interfere with the work «Good cells». Treatment helps to cope with interfering to «Good cells» again could work nicely.

    Many children over 12 years old are able to understand
    A combination of relationships between events. Therefore, in our
    Explanations There is no need to rely only on their personal experience:
    teenagers able to think about the situation not like anything
    This experienced. Children of this age group can determine the disease
    not only through specific symptoms and restrictions in ordinary
    daily classes, but they can also understand the reasons for these symptoms.
    They are able to understand that these symptoms are the result of what
    Changed cells broke the normal functioning of their body.
    Thus, we can explain the oncological disease as
    a disease in which some cells become «other». These «other»
    Cells grow faster than normal, they are introduced into other parts of the body and
    violate its normal functioning. And then the task of treatment can
    Describe like destruction «other» cells so that the body can again
    function ok.

    Communication with the child

    Your chat with a child about him
    oncological disease, like the very treatment, is the process,
    which passes through various phases. As you are together
    Go through all these stages, its consciousness continues to form,
    It grows its intelligent level and it sets more and more complex
    questions. If you used to be prepared for discussing his illness with him,
    It will help your child now and strengthen your relationship
    in future.

    At times you can in the presence of a child
    experience very strong feelings and try to hide them. It is clear that
    Parents do not want to burden the children with their own fears, anger
    or sadness. But children are able to realize that their parents feel.
    In fact, both children seeking to protect parents, can hide from them
    your feelings, your own experiences. If you think your
    experiences affect the relationship can be useful to talk to
    Child about it. Tell him why you are sad, calm it,
    saying that they are not angry with him.

    Throughout the treatment it is important to remember that you, your
    child and all hospital staff are partners in combating
    Disease. To cope with her, you need to work together all the time.
    As a rule, the child is easier to actively participate in treatment if he
    will know in advance what procedures will come to him if you
    Let yourself take some decisions, of course, when these
    solutions do not threaten his health. Discussion of everything related to
    treatment is very important because it leads to greater adoption by the child
    treatment, helps him keep the feeling of self-control and pushes him
    To cooperate with parents and doctors. But it should be remembered that
    Some children at any age are welcome all full responsibility
    shifting on adults and do not want to know anything in advance about the upcoming
    Procedures. Such a position of the child must be considered by preparing for
    conversations with him.

    Hospital staff can help yet
    will be offered to the child to sign a special agreement containing simple
    clarification of the stages of treatment and procedures. By signing this agreement,
    The child confirms that he understands his treatment, I agree to cooperate
    with doctors and will ask about everything that he will be unclear in the treatment.

    Questions that may ask sick children

    Children are curious by their nature, and they can ask
    Many questions related to illness and treatment. The child expects,
    What do you know the answers to most of his questions, because he trusts you,
    You are authority for him. Different children begin to ask questions in different
    time. Some ask immediately, others - the weather. We are offering to you
    some questions that children ask usually so that you can

    «Why me?» Thinking about the causes of the disease, the child can
    assume that it was the result of some of his actions.
    It is necessary to honestly say that no one knows why
    got sick that the cause of the disease could not be anything done, and
    No one could infect him.

    «Will I get better?» Usually children know someone from family members or
    Friends who died due to oncological disease. Therefore, many children
    It is afraid to ask about what will be with them. He must say that
    him is a serious illness and treat him to help cope with
    Disease. It is also important to hear the child to hear that doctors, medical sisters,
    Close to try to make it all the best. Speaking so
    give the child an answer to his expressed and unspoken questions. Thus
    way you give a greater sense of confidence because he knows,
    How many people take care of him.

    Conversation with a child about the disease«What will happen to me?» Children who are diagnosed with oncological disease
    Installed recently, facing a large number of new and frightening things.
    They may have to see other sick children during their stay in the hospital,
    who feel bad, bald or with amputated limbs.
    But the child fears to ask about his fate, so it can develop
    unrealistic fears about what happens to him. Exactly
    Therefore, it is important to tell the child about the treatment that he will have to
    possible side effects and how to cope with what
    may occur. It is important for him and it is useful to know that there are many types
    oncological diseases, and what is happening with someone from sick children
    will definitely happen to him.

    It would be nice to tell the child about the schedule
    upcoming treatment and inform him of any changes. If
    The child is a calendar, with the marked days of visits to the doctor, treatment,
    surveys, it helps him prepare for these visits.

    «Why should I take medicine when I feel good?» Often, children associate medication with bad
    well-being and surprised if you need to take medicine and
    Good. Answering such a question can, for example, explain that in
    that period when he feels well and does not see signs
    Diseases, It «Bad» Cells may hide. And you need to continue
    Treatment until he does not get rid of «Bad» cells.

    «What i will tell the guys?» Children with oncological diseases can very
    disturbing the waiting for the reaction to their illness of friends, cool
    leader. This is especially disturbing them if they are missing for a long time
    school or if their appearance has changed for the worse: bald,
    sharply recovered or lost weight.

    It is important to encourage the child to keep close relationship
    with friends and class teacher, to ensure that it is right and
    frankly spoke of them about his illness, on the peculiarities of treatment and
    discussed with them what happened at the time when he did not come to

    In addition, the child must be ready for the fact that
    not all people, including adults, know about cancer
    diseases as much as he himself. They can talk things that
    contrary to what he heard from parents or doctors. Communication with
    Such people can give rise to a child of doubts and fears, and in
    resulting and angry on what you tell him you. If you will be
    Encourage a child to discuss with you such conversations, you can
    Correct any errors that it will arise.

    the time when your child's character is formed and it is important to turn it
    Attention to the following:

    • First, the disease did not make it another person compared to how he was before;
    • secondly, you do not need to pay attention to some
      people, no matter what they say, because they know little about
      oncological diseases and do not seek to learn more;
    • Thirdly, those people who are truly his friends will remain his friends contrary to any conversations.

    «I can do what could?» Answers to this question are individual and depend on
    Type of disease and treatment nature. In most cases, your
    Some restrictions in different periods will be needed to the child
    Treatment. When a doctor or nurse will tell you what is needed
    restrictions, it would be nice to say to the child, why and how long they will
    Needless. Try to replace for the time of treatment
    Other activities that take into account the inevitable restrictions. For example,
    It will not be possible due to the low number of platelets ride a bike,
    Invite his friends to draw or do something else together in the house.


    Conversation with a child about the diseaseJust like you your baby sometimes feels
    myself insecure, restlessly, his fears appear. But the child is not in
    state say about them. He expresses them in a slight form. How
    parents you know how your child behaves normally, so it is
    You can first catch his condition. Thoughtful game can be
    For you way to help your child express his fears and anxiety and
    the ability to support and encourage it. Through drawing, game with
    pets or dolls, especially game with all sorts of medical
    tools a child can tell you that he does not understand
    what is happening that he needs more your love that he wants you
    His reassured.

    Some children are very hard to express their feelings,
    What can lead to repeating nightmares, nutrition disorders,
    behavioral problems or manifest itself in worsening performance in
    school. Some children can return the behavior characteristic of
    earlier than early age. They, for example, can begin to urinate in bed
    or suck a thumb.All these observations are important to discuss with a pediatrician,
    Nurse, school psychologist.

    It is important to remember that you like parents,
    produced «sixth Sense» For a child. Not necessary
    look at problems through his behavior, but you need to remember that
    Pediatrician, nurse, school psychologist and teacher, perhaps already
    faced with a similar situation and, relying on professional
    knowledge and experience can help you.

    Remember also that your child is saved all
    Emotional needs characteristic of his peers. Here
    Some suggestions that can help you calm the child in that
    the period when he is diagnosed with oncological disease and treat

    • Remind him that the disease is not
      the result of some kind of error and that neither the disease nor the treatment
      implies punishment.
    • Be honest and realistic in your explanations
      Diseases, treatments and related procedures. Let the child if he
      This wants, knows about all changes in the treatment.
    • No one, including your child, does not expect you know everything. Do not be afraid to say: «I dont know».
    • Do not be afraid to ask your child about,
      what he thinks. It does not give him new fears, but will give him
      the ability to express those fears that he already has.
    • Recognize those feelings that experience
      child. Confirm him that sadness and cry well, it gives output
      His experiences.
    • Do not allow permissiveness. Although, in this
      Restrictions period that you define for a child can change.
      Despite the fact that it seems natural to allow children not to abide
      Some rules, such as the routine of the day, excessive condescension
      can give rise to a child's concern and lead to the fact that he
      imagined that you just do not notice it, which means no longer
    • Let the child influence the fact that with him
      happens because it is safe for his health and does not interfere
      Treatment. Give him the opportunity to choose and make a schedule of treatment
      taking into account school sessions and other hobbies so that he had
      the ability to influence the situation and grow despite the inevitability
      associated with the treatment of restrictions.
    • Encourage the child to shoot his
      concern socially acceptable. Drawing pencils or
      paints playing with medical instruments playing in the puppet theater
      or participating in role-playing games, the child has the ability to safely for
      make oneself expressing your feelings.
    • Encourage the child to openly talk about their
      Feelings. For a family, the discussion of feelings is a good opportunity to reduce
      alarm, help all family members cope with the disease together.
    • It is important to understand that children are good and bad days.
    • Remember that doctors are ready to support you and your family and answer your questions.
    • Children, especially five years old, very
      suffer, staying without parents. Before leaving, calm them because
      You love them and return as soon as you can.
    • Encourage the child to continue to be friends with
      friends, other family members, maintain relationships with cool
      supervisor even when he does not go to school. Well, if he is
      do homework and return to school as soon as he can. It's for
      the child will mean that, despite the disease, he is still the same
      Normal man with friends, various interests and its
    • Contrary to everything that happens with your
      a child, he is still the same wonderful person what was before
      Diseases. Try to make you every day there is time to like
      earlier, give everyone in the family to feel that they are loved and give
      the opportunity to express your love too. Feel free to talk
      about your love right. In difficult moments it is important to hear about love for
      yourself, and not just guess about her.

    Do not forget also about yourself. You also deserve
    Support and recreation. In addition, and from your condition and relationship
    Partly depends on the reaction of your child.

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