Actitivites:

Use a calm reassuring approach clearly state expectations fer patients behavior
Explain all procedures including sensations lokely to be experienced during the
procedureseek to understand the patients perspective of a stressfut situation provivade
factual information concerning diagnosis treatment and prognosis
Stay with patient to promote safety and reduse fear encourage family to stay with patient,
as appropriate
Provide objects that symbolize safeness
Administer back rub/ neck rub, as appropriate
Encourage noncompetitive activities, as appropriate
Keep treatment equipment out of sight
Listen attentively
Reinforce behavior as appropriate
Create an atmosphere to fascilitate trust
encourage verbalization of feelings perceptions and fears
identify when level of anxiety changes
provide diversional activities geared toward the reduction of tension
help patient identify situations that precipitate anxiety
control stmuli ,as appropriate for patient needs
support the use of appropriate defense mechanisms
assist patient to articulate a realistic description of an upeoming event
determine patients decision-making ability
instruct patient in use of relaxation techniques
administer medications toreduce anxiety, as appropriate
observe for verbal and nonverbal sight of anxiety
SIMPLE GUIDANCE IMAGGERY
Activities:
Instruct patient to practice the imagery of possible
Tape-record the imaged experience if useful
Plan with patient anappropriate time to do guided imagery
Use the imagery technique preventively
Plan follow- up to assess effects of imagery and any resultant charaggers in sensation and
perception
Use guided imagery alone or in conjuction with order appropriate
Evaluate and document response to guided imagery

SIMPLE MASSAGE
Select the area or area of of the body tobe massaged
Determine the patients degree of psychological comfort with
Select the area or areas of the body to be m
Prepare warm comfortable environment without
Place in position fasilitation massage
Apply moist heat before massa enduring massage
Drape to expose only area tobe massaged as neded
Use warm: lotion, oil, or dry powder to reduce friction lotion or oils on head or scalp
assessing for any sensitivity or contraindication
Massage using continous even and
Massage behind or teat order areas are comfortable to patient
Establish a periode or time for massage that achivers the
Encourage patient to deep breathe and rilaks during massage encurade patient to
consentration the good telling or the massage
Avoid lengthy conversation during the massage unless
Avoid massaging over areas of oven lesion or tender
Instruct patient at copletion or massage to until ready then to move slowly
Use massage alone or to conjuction with other measure appropriate
Evaluate and document response to massage
ANTICIPATORY GUIDANCE
Instruct about normal development and behavior as appropriate
Provide information on reanstion expectations related to the patients beloved
Determine the patients usual methods of problem solving
Assist devide how the problem will berelved
Assist the patient to devidewho will solves the problem
Use case example the patiens aproblem solving appropriation
Assist the patient to identity available
Rehearse techniques needed to cope with upcoming developmentals milestone or
situational crisis with the patient as appropriate
Assist the patient to adapt antropatet role changes
Provide a ready reference eg educational materials/ on pamphlets
Suggest a books/ lateratur for the patient to read appropriate
Refer the patient to community agenciese as propiate
Schedule visits at strategie developmental/ situational points
Schedule extra vidsit for patient with concerns or deviculties
Schedule follow-up phone call to evaluate success or reinforcement needs
Provide the patient with a phone nurable to call for assistance if nessesary
Include the family/ significant oder as appropriate