UK HealthCare

Is Your Child Afraid of the Doctor?

Child at doctor
Photo by XiXinXing, iStock / Getty Images Plus

The University of Kentucky Public Relations and Strategic Communications Office provides a weekly health column available for use and reprint by news media. This week's column is by Meghan L. Marsac, Ph.D., pediatric psychologist at Kentucky Children’s Hospital and co-author of “Afraid of the Doctor: Every Parent’s Guide to Preventing and Managing Medical Trauma.”

LEXINGTON, Ky. (July 12, 2021) ­ There is an issue in health care that is not being discussed: medical trauma. Parents of children with medical trauma are struggling. They not only have to deal with their child’s illness, whether it be short-term or chronic, but are left to find ways to address and ease the trauma largely on their own. I have seen it repeatedly as a pediatric psychologist. I have also felt the challenge and stress as a parent when a doctor asked me to do something my child was resisting.

There are methods and strategies to help parents and children face medical trauma. One is the COACH framework that offers ways to deal with difficult behaviors, such as refusal to have a port-a-cath accessed. For some children, it can be traumatic to constantly be poked and prodded. And it can get worse over time if not addressed. The COACH framework works by:

  • Collecting information (Why is the situation tense? What has worked in the past to overcome fears?)
  • Observing (Watching responses to medical intervention, the medical team and parents, as well as progress.)
  • Asking questions (Asking the medical team what is required, ask to have the same nurse each week, etc.)
  • Choosing strategies (Music as a distraction, creating a reward chart.) 
  • Helping (Getting help from multiple medical team members including the child life specialist, nurses, doctors and psychologists.)

This method can help both parents and children feel like they have more control over the situation. The COACH framework is just one option for families experiencing medical trauma. It can help families navigate both serious illness and disease as well as simple fears of shots or resistance to going to the doctor for a check-up.

The University of Kentucky is increasingly the first choice for students, faculty and staff to pursue their passions and their professional goals. In the last two years, Forbes has named UK among the best employers for diversity, and INSIGHT into Diversity recognized us as a Diversity Champion four years running. UK is ranked among the top 30 campuses in the nation for LGBTQ* inclusion and safety. UK has been judged a “Great College to Work for" three years in a row, and UK is among only 22 universities in the country on Forbes' list of "America's Best Employers."  We are ranked among the top 10 percent of public institutions for research expenditures — a tangible symbol of our breadth and depth as a university focused on discovery that changes lives and communities. And our patients know and appreciate the fact that UK HealthCare has been named the state’s top hospital for five straight years. Accolades and honors are great. But they are more important for what they represent: the idea that creating a community of belonging and commitment to excellence is how we honor our mission to be not simply the University of Kentucky, but the University for Kentucky.