%> Burn Support Online : Therapy

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Therapy

Individual therapy during and after a child’s hospitalization can help mothers to reduce stress and to develop better coping skills. Counseling can assist parents to express their grief and to work through their guilt and self blame.xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" />

 

The mother seems to be a neglected victim of her child’s burns. Her plight needs recognition.

 

 



Very little effort has been devoted to the development of intervention methods to assist child parents to cope with hospitalization and repeated exposure to highly invasive medical procedures.

 

There is a need for post-traumatic stress debriefing, the support of family and friends, psychotherapy, behavioral therapy, psychiatric approaches, as well as social skills training. Consultation is needed with well-trained social workers and mental health professionals to allow mothers to express overwhelming feelings of helplessness, anxiety and guilt. Child psychologists and psychiatrists may also provide information to mothers about their child’s changed behavior and emotional state after the bum. An understanding of how children react to a burn injury may help mothers regain some control of their parental role.

Home visits are critical to determine family and social functioning, as well as family dysfunction.

 

The absent parent (at the time of the accident) is angry with the parent involved. Working through the second parent’s anger often assists them to acknowledge that they in fact could have been the one involved in the accident.

 

There is a need for a hospital psychiatric social worker to get to know the child and mother in the early stages of inpatient treatment. The social worker can help the mother to appreciate that her own confusion is largely due to the sudden and unexpected quality of the new situation. She can help the mother with suggestions as to what to do during this early stage. When the child is home the social worker can help the mother to appreciate how the accident has upset the child’s previous expectations of life being safe for him/her.

Ideally the social worker and psychiatrist should work closely with other members of the team to help the patient and family cope with any emotional problems present at the time of the burn. They also work with issues arising from the trauma of the accident and treatment. Crisis intervention is offered during the acute phase where support issues are dealt with. Help is also offered to the family in making plans for the long hospitalization. Later there is counseling for family members to be supported and encouraged to express their feelings in their own time. By allowing parents to assist in their child’s care and management, it can result in positive feelings and enhanced self-esteem.
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Page Created By: Gary (admin) 08 July 2004 4:59pm
Page Last Modified: 08 July 2004 4:59pm

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