Comfort Measures Policy for Children Hospital

By Dr. Ramaz Mitaishvili
COMPETENCY: All students must read and understand the policy/practice. Any licensed staff currently checked-off in this skill may serve as a preceptor. There are some things you can do to help a patient feel better. Remember each patient may react differently to comfort measures provided. If a patient verbalizes or shows signs of dislike for a particular comfort measure try another.
For All Age Patients
•    provide a quiet dimly lit room
•    when appropriate, may close door
•    provide a security/comfort item (e.g. blanket, stuffed animal,
•    special toy, family photo)
•    use a quiet calm voice
•    be supportive
•    reposition the patient as appropriate
•    prepare the patient and family for painful experiences/or make referral to Child Life
•    spend time with the patient, be attentive to t he patient and his/her needs
•    give as much control as possible
Infant/Toddlers 0-2 years
•    hold/rock infant/toddler
•    gentle stroking or patting
•    pacifier
* simple books/reading
Preschoolers 3-5 years
•    holding/rocking (depending on weight and size of patient)
•    gentle stroking or patting
•    story telling
* reading books
* bubbles
* videos (developmentally appropriate)
* toys/games
•    breath work, breathing exercises
School Age 6-11 years
* reading books
* bubbles
* games/crafts
* videos
•    video games - systems found on unit
•    breath work, breathing exercises
Teens and Adults
* guided imagery (story tapes that lead the patient to relaxation)
* CD players and favorite relaxation music
* videos
* crafts/games
* journals
* books/magazines
•    video games - systems found on unit
•    breath work, breathing exercises
* Contact the Child Life Specialist for your unit to receive these supplies.

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