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Preparing the School-Aged Child for Surgery

Preparing the School-Aged Child for Surgery

What part about surgery is most stressful for a school-aged child?

If your school-aged child is facing surgery, it can be helpful to plan ahead if possible. Explain what your child can expect. It's most helpful to do this about a week or two before the surgery. Preparing too far in advance can cause more anxiety. Recognizing what is stressful to your school-aged child while in the hospital can guide you in getting them ready for the surgical experience. Common stressors and fears in the hospital may include:

  • Being away from family, familiar surroundings, pets, school, and friends

  • Thinking they are in the hospital because they are bad or are being punished

  • Having a part of the body destroyed or injured

  • Loss of control

  • Pain (or the possibility of pain)

  • Needles and shots

  • Dying during surgery

How do I prepare my school-aged child for surgery?

  • Tour the facility with your child before surgery. This lets your child see the sights, sounds, and events they will experience the day of surgery. It can help your child learn about the hospital and gives them time to talk about concerns and questions. Ask a child life specialist to explain what will happen, and why, in terms your child can understand.

  • Check that your child knows why they are having surgery in words they can understand. School-aged children may not ask questions about something they think they are supposed to know about. This can lead a parent to think the child understands what surgery and a hospital stay involve.

  • Have your child explain back to you what is going to happen in the hospital. School-aged children sometimes will listen carefully, but not understand all that was said. This can help you to learn if your child understands what lies ahead.

  • Read books about the hospital or surgery with your whole family.

  • Give as many choices as possible to increase your child's sense of control. For example, let your child choose what clothes, music, or movies to bring to the hospital.

  • Emphasize that your child has not done anything wrong, and that surgery is not a punishment.

  • Don't use doctors, nurses, needles, and procedures as sources of punishment. For example, "If you don't do as the doctor says, they will give you a shot." Portray the healthcare providers as caring, helpful people.

  • Explain the benefits of the surgery in terms your child can understand. For example, "After your knee has healed, you will be able to play soccer again."

  • Encourage your child's friends to visit the hospital, or to keep in touch with your child by telephone, email, texts, or with letters and cards.

  • Young children can practice with a doctor's kit on a stuffed animal, such as listening to their heart. This can make them more comfortable with medical care.

  • Learn as much as you can about your child's surgery. Children can tell when their parents are worried. The more you know, the better you will be able to help explain things to your child.

  • A family member should stay with your child as much as possible. Always tell your child when you are leaving, why, and when you will be back. If your child will stay in the hospital for several days, ask family and friends to call and visit often, depending on your child's condition.

  • Let your child know that it's OK to be afraid and to cry. Encourage them to ask questions of the healthcare providers.

  • When your child is stressed, they may regress or display new fears, such as being afraid of the dark. Give many compliments and hugs. Parents should always hold their child's hand (not restrain them—let healthcare professionals do that if it's needed) during tests or procedures.

Helpful books for you and your child

Claire Ciliotta and Carole Livingston. 1992. Why Am I Going to the Hospital? Lyle Stuart. (Ages 5 to 12)

James Howe. 1994. The Hospital Book. Morrow Junior Books. (Ages 6 to 10)

Sara Bonnett Stein. 1985. A Hospital Story. New York: Walker and Co. (Ages 5 to 7)

Lisa Ann Marsoli. 1984. Things to Know Before You Go to the Hospital . Silver Burdett Co.

Debbie Duncan, Nina Ollikainen (Illustrator). 1995. When Molly Was in the Hospital: A Book for Brothers and Sisters of Hospitalized Children . Rayve Productions Inc. (Ages 4 to 7)

Virginia Dooley and Miriam Katin. 1996. Tubes in My Ears: My Trip to the Hospital . Mondo Publishing. (Ages 5 to 7)

Paulette Bourgeois, Brenda Clark (Illustrator). 2000. Franklin Goes to the Hospital (volume 25) . Scholastic Inc. (Ages 5 to 7)

Deborah Hautzig. 1985. A Visit to the Sesame Street Hospital. Random House/Children's Television Workshop. (Ages 4 to 7)

Marianne Johnston and Erin Mckenna. 1997. Let's Talk About Going to the Hospital . The Rosen Publishing Group, Inc. (Ages 8 to 9)

Francine Paschal. 1991. Twins Go To The Hospital: Sweet Valley Kids Series #20. Bantam Books. (Ages 6 to 8)

Juliana Lee Hatkoff, Craig Hatkoff, Marilyn Mets (Illustrator). 2001. Good-Bye Tonsils! Penguin Putnam Books for Young Readers. (Ages 4 to 8)

Norman Bridwell. 2000. Clifford Visits the Hospital. ( Clifford the Big Red Dog ). Scholastic Inc. (Ages 4 to 8)

H.A. Ray. 1999. Curious George Goes to the Hospital. Rebound by Sagebrush. (Ages 4 to 8)

Barbara Taylor Cork. 2002. Katie Goes to the Hospital. Peter Bedrick; 1 edition. (Ages 4 to 8)

Joanna Cole and Bruce Degar. 1989. The Magic School Bus: Inside the Human Body . Scholastic Inc. (Ages 6 to 9)

Anne Civardi and Michelle Bates. 2002. Going to the Hospital. Sagebrush Education Resource. (Ages 4 to 8)

Reviewed Date: 05-01-2022

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Health Tips
Helping Kids Get Over their Fears
When Can a Child Wear Contact Lenses
Diseases & Conditions
Anatomy of a Child's Brain
Anatomy of the Endocrine System in Children
Anxiety Disorders in Children
Asthma in Children Index
Becker Muscular Dystrophy (BMD) in Children
Bone Marrow Transplant for Children
Brain Tumors in Children
Chemotherapy for Children: Side Effects
Ewing Sarcoma in Children
Hepatitis B Virus (HBV) in Children
Inflammatory and Infectious Musculoskeletal Disorders
Inflammatory and Infectious Neurological Disorders
Inguinal Hernia in Children
Insect Bites and Children
Kidney Transplantation in Children
Meningitis in Children
Mood Disorders in Children and Adolescents
Myasthenia Gravis (MG) in Children
Nutrition- School-Age
Osteosarcoma (Osteogenic Sarcoma) in Children
Pediatric Blood Disorders
Posttraumatic Stress Disorder (PTSD) in Children
Preoperative Visit with Your Child's Surgeon
Preparing a Child for Surgery
Preparing Siblings for Surgery
Preparing the Infant for Surgery
Preparing the Preschooler for Surgery
Preparing the Teen for Surgery
Preparing the Toddler for Surgery
Schizophrenia in Children
Sports Safety for Children
Superficial Injuries of the Face and Head- Overview
Surgery and the Breastfeeding Infant
Surgical Overview
Television and Children
The Day of Surgery
The Growing Child: 2-Year-Olds
The Heart
The Hospital Surgical Setting
The Kidneys
The Surgical Team for Children
Types of Surgery for Children
Your Child's Asthma
Your Child's Asthma: Flare-ups

Disclaimer: This information is not intended to substitute or replace the professional medical advice you receive from your child's physician. The content provided on this page is for informational purposes only, and was not designed to diagnose or treat a health problem or disease. Please consult your child's physician with any questions or concerns you may have regarding a medical condition.