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THE CHILD IN THE HOSPITAL A baby in the hospital feels keenly the mother’ s absence. The unfamiliar surroundings, combined with procedures that may be painful, create constant fear and apprehension. The taking of blood samples, preparation for surgery, dressing changes, or confinement in cribs or mist tents all elicit emotional responses hard to define. It is not unusual for a child, hospitalized the first time, to regress in his or her toilet habits, eating preferences, and dependencies. If possible, it is best for a parent, usually the mother, to stay with her child during the period of hospitalization. When a rooming-in arrangement can be secured, the hospital stay can be made as pleasant as possible with stories, puzzles, games, and most important, the presence of someone who loves him or her most. Surgery presents another challenge to the child. Lacking complete understanding of the exact reasons for and techniques of the contemplated procedure, a child often develops fantasies and fears that are difficult to understand. Drawings or dolls can be used to illustrate the anticipated surgery, providing support and understanding to lessen the child’ s fear. Spiritual resources available to parents and children at times like this help also to allay any fear of disfigurement, pain, or death that often accompanies entrance into the hospital. A frank discussion by the physician or surgeon, as well as the nursing team, is of great significance to inspire trust and confidence. Postoperative convalescence can be hastened with the presence of parents and familiar objects from home. Stuffed animals, favorite toys, or pictures can be brought to make the hospital room seem as much as possible like the child’s household domain. Unless contraindicated by the nature of the illness, some catering in regard to favorite foods will assist the rapid return of appetite. Do everything possible to facilitate the cheerful adjustment to the strangeness of hospital routine. As much as possible rest at night should be undisturbed. Too many visitors and flowers should be discouraged. As soon as feasible, resume normal activities with return to school. It will likely bring the transient emotional changes to an end, as health is restored. Any child with a terminal illness presents the greatest challenge. Youngsters with leukemia, malignant cancers, or advanced cardiac disease often “understand” better than the parents do. Many become willing to discuss the approach of a fatal outcome. At such times, it is exceptionally important to discuss the future in a candid, yet sympathetic way. Spiritual support and a strong trust in God, with continued presence of devoted parents, will ease the approaching pain of separation, while clasping to a hope of future reunion should final “farewells” be required.