Re: Child has no thyroid gland, refuses test,help
I wonder how much of her panic and anxiety was caused by being held down for blood tests. My experience is that in some kids, being held down and forced to have blood draws just makes them panic more later on.
Ok, this is what worked for one extremely frightened 12 year old that I know of. It involves help from nurses though and will require their cooperation too. It is based on taking the blood draw process a little further each time.
Before I go into details though, I feel I should point out that (in my opinion) the topical anesthetic creams (such as EMLA and Ametop) are GREAT!
Visit 1: Apply some of the anaesthetic cream to child's hand and wait for it to work. child goes to treatment/exam room or wherever blood is normally drawn. Is allowed to explore the equipment in there (under supervision obviously). At end of session, and once child is relaxed enough, get them to touch where cream was. Hopefully child will realise how numb hand is!! That is a good start.
Visit 2: Has anesthetic cream applied and goes into blood draw room after it has had chance to work. Is put into same position as would be for blood draw (ie, sat in chair or laid on bed, whatever). Has torniquet applied to arm and gets skin cleaned. Nurse gets needle out of packet and moves towards where blood is normally taken from - but doesn't actually touch the area!
Visit 3: same as visit 2 but nurse encourages to child to have needle touch their skin (obviously on the numb area!). Child is reassured that the needle will NOT be pricked into their skin! You must keep this promise otherwise the trust will be gone!
Visit 4: same as visit 3, but child lets nurse put needle through the skin and into vein for blood draw
You might try these too - depending on what is the cause of her fears.
If it is the sight or sound of the procedure that makes her worse, allow her to close her eyes/turn away or let her listen to music through headphones to block out what is going on. If the problem is that someone once told her it wouldn't hurt, and then it did, it might be that she doesn't trust the nurses. Hopefully, step 3 should sort this out if the nurse keeps their prmoise not to ***** the skin.
You might find some steps need repeating. The one thing I must stress is that the cream is great!!!
This seems long-winded I know, but it well worth the effort, if you can get the hospital/care facility to help you out on this!