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Child Life Specialists

The Job

When children are hospitalized, the experience can be frightening. Child life specialists need to be tuned into the child's or adolescent's concerns. For some children, separation from their families and the familiarity of home can be traumatic. For others, repeated blood tests, needles, or painful procedures can cause fears or nightmares. Emotional damage can be a danger even for adolescents. No matter how short the hospital stay, children can experience anxiety or other emotional effects.

Child life specialists try to ease the possible trauma of being in the hospital. They play an important role in educating and comforting both the patients and their families. They become familiar and trusted adults, and they are usually the only professionals who do not perform tests on the children.

Child life specialists may use dolls and medical instruments to show children what the doctor will be doing. They may help children act out their concerns by having them give a doll a shot if they receive one. The child life specialist may use recreational activities, art projects, cooking, music, and outdoor play in their work. Programs are tailored to meet the needs of individual patients. Some children are unable to express their fears and concerns and may need the child life specialist to draw them out. Some children rely on the child life specialist to help them understand what is happening to them. Still others need the child life specialist to explain children's emotional outbursts or withdrawal to their families.

When children are hospitalized for a long period of time, child life specialists may accompany them to procedures, celebrate successful treatment, or plan a holiday celebration. They may also take children on preadmission orientation and hospital tours. They serve as advocates for children's issues by promoting rooming-in or unrestricted parental or sibling visits. Many child life specialists work in conjunction with local school districts to help children keep up with school while they are in the hospital.

Child life administrators supervise child life specialists. In larger hospitals, the administrators work with other hospital administrators to run the child life programs smoothly within the hospital setting.

Child life specialists can turn their patients' hospital stays into a time of growth. Children can be resilient, and with proper care by their entire health team, they can emerge from hospital stays with a sense of accomplishment and heightened self-esteem.

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