Re: Assignment #2 -- Life-span Human Development

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Subject: Re: Assignment #2

Author:
Jessika Morris

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Date Posted: 18:08:54 06/15/10 Tue
In reply to: Dr. M-J 's message, "Assignment #2" on 19:25:40 06/11/10 Fri

Hi All,
I work with children with cancer at St. Jude, from the moment they walk in the door until the moment they either leave the hospital in remission or pass away from their disease. I do some behavior contracts and things like that, but I thought most about my work when reading about social learning theory. Bandura focuses on how people learn behaviors from watching others model them, and how others respond to the model's actions. One of the things I frequently do is work with children who have a "fear" of needles. Our kids have to have labs drawn quite often to check their bloodcounts and monitor chemotherapy's course in the body, which means I spend a lot of time supporting them through the procedures. I think that children learn at a very young age how people typically respond to needlesticks - we hear people say all the time "oh I hate needles" - and when a parent says that in front of their child, the child picks up on the cue that pokes are not fun. The parent has then just modeled the typical response to a needlestick. To help the child overcome this modeled response, one of the things I provide is needle play. We get a doll and use actual medical supplies to practice giving the doll a poke. Doing this accomplishes two things: 1) Models how the procedure will be conducted so that the child knows what to expect, and 2) Gives me a chance to model different coping techniques so that the child can choose the one they feel is most salient and employ it next time they have to be stuck. When the child is then poked, I model for parents and encourage them to also praise small steps for the child - even if the procedure is awful, we praise the child for something small "you did a great job holding still, I know that was hard" or "I like how you kept using your deep breaths even after we were finished" to give the child those feelings of success that contribute to self-efficacy. After each attempt we praise the child, evaluate how they felt the procedure went, and come up with a new coping plan if needed - and this is actually a very effective intervention with children over the age of 3 or so.

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Replies:

Subject	Author	Date
Re: Assignment #2	Cassandra Dowell	20:16:18 06/15/10 Tue