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JUDY ROLLINS, PhD, RN, is Coordinator of the Studio G Artist in Residence Program at Georgetown University Hospital and Adjunct Professor at Georgetown University School of Medicine.
Foreword xv
Preface xvii
Acknowledgments xix
Introduction xxi
1 Separation and Stranger Anxiety 1
Separation Anxiety 1
Homesickness 3
Special Considerations 3
Activity Goals 6
Activities
Activity 1.1 ABCD News via Skype 7
Activity 1.2 All About Me 8
Activity 1.3 Bulletin Board 8
Activity 1.4 CD Postcards 9
Activity 1.5 Doorknob Signs 10
Activity 1.6 No-Sew Pillow 11
Activity 1.7 Funny Family Fotos 11
Activity 1.8 No Tick-Tock Clock 12
Activity 1.9 People Important to Me Tree 13
Activity 1.10 The People Match Game∗ 13
Activity 1.11 Pop Art Photo Tints 14
Activity 1.12 Rubber-Stamped Stationery 15
Activity 1.13 Scavenger Hunt 15
Activity 1.14 Special-People Chain 16
Activity 1.15 Staff Mix-Up 17
Activity 1.16 Steps to Staying Connected 18
Activity 1.17 The Key to Making the Best of the Situation∗ 19
Activity 1.18 The People I Live With 19
Activity 1.19 Unit Scrapbook 20
Activity 1.20 Warm Wishes Tree 21
2 Self-Expression 23
Developmental Aspects of Self-Expression 23
Self-Expression and Coping 24
Special Considerations 25
Activity Goals 25
Activities
Activity 2.1 Bridge to the Future 27
Activity 2.2 Emotion Ocean 28
Activity 2.3 Feeling Faces 29
Activity 2.4 Feelings Collage 30
Activity 2.5 Inner Vision/Outer View Masks 30
Activity 2.6 Felt Puppets 31
Activity 2.7 Get a-Head 32
Activity 2.8 Graffiti Wall 33
Activity 2.9 Grand Designs 33
Activity 2.10 Hospital Road Signs∗ 35
Activity 2.11 I Want to Scream 35
Activity 2.12 Inside-Outside Boxes 35
Activity 2.13 Personalized T-Shirts 37
Activity 2.14 Sense-itivity Poems 37
Activity 2.15 Interactive Storytelling 38
Activity 2.16 Temper-Rate 39
Activity 2.17 The Complaint Department Is In 40
Activity 2.18 Wishing Wells 40
Activity 2.19 Wound Care for Feelings 42
Activity 2.20 Zen-ga 43
3 Self-Esteem 45
The Concept of Self-Esteem 45
Development of Self-Esteem 46
Risk Factors for Self-Esteem Issues 48
Special Considerations 50
Activity Goals 51
Activities
Activity 3.1 Auto Photography 53
Activity 3.2 Business Cards 54
Activity 3.3 Casting Bandage Masks 55
Activity 3.4 Crown Me 56
Activity 3.5 DNA Necklace: Genes in a Bottle 56
Activity 3.6 Fingerprint Detective 57
Activity 3.7 Graffiti Name Signs 58
Activity 3.8 In Good Hands 59
Activity 3.9 Magazine Name Collages 61
Activity 3.10 Mini-Me Paper Dolls 61
Activity 3.11 Name Bracelets 62
Activity 3.12 Personalized Pennants 63
Activity 3.13 Uno, Dose 64
Activity 3.14 V.I.P. (Very Important Patient or Person) 65
Activity 3.15 Vote for Me! 65
Activity 3.16 What’s-in-a-Name Poems 66
Activity 3.17 You’re in the Money 67
4 BodyImage 69
Exploring the Concept of Body Image 69
Development of Body Image 69
Visible Differences 71
Less Visible Differences 74
Obesity 74
Distorted Body Image 75
Special Considerations 75
Activity Goals 75
Activities
Activity 4.1 Beauty from the Inside Out 76
Activity 4.2 Body Awareness for Babies 77
Activity 4.3 Body Glitter 78
Activity 4.4 Body Molds 79
Activity 4.5 Body Perception Comparisons 80
Activity 4.6 Connect the Dots 81
Activity 4.7 Divergent Views 82
Activity 4.8 Face and Body Paint 83
Activity 4.9 If I Could Be Someone Else 84
Activity 4.10 Mad Hatters 84
Activity 4.11 Makeup Makeover 85
Activity 4.12 Mirror Me 86
Activity 4.13 My Body Book 87
Activity 4.14 Shadow Dancing 87
Activity 4.15 Silhouettes 88
Activity 4.16 Somatic Diary 89
5 Group Interaction and Socialization 91
Benefits of Group Interaction/Socialization 91
The Environment 93
Special Considerations 93
Activity Goals 94
Activities
Activity 5.1 Holding Hands 95
Activity 5.2 A View from All Sides 96
Activity 5.3 ABCs of Disease 96
Activity 5.4 Autograph Books 98
Activity 5.5 Collaborative Proclamations 98
Activity 5.6 Finding Friends to Treasure 99
Activity 5.7 Friendly Face Banner 100
Activity 5.8 Tic-Tac-Know 101
Activity 5.9 Group Mandala 101
Activity 5.10 Group Montage 102
Activity 5.11 Group Mural 103
Activity 5.12 Group Tile Project 103
Activity 5.13 Paper Bag Puppet Show 104
Activity 5.14 Paper Quilt 105
Activity 5.15 Progressive Story Writing 106
Activity 5.16 Puzzled 106
Activity 5.17 Sweet Meets 107
Activity 5.18 The Truth-Be-Told Game 108
Activity 5.19 The Web We Weave 108
6 Desensitization to Medical Implements 111
Procedures 111
Needles 113
Medical Art 114
Special Considerations 115
Activity Goals 116
Activities
Activity 6.1 Bandage Prints 116
Activity 6.2 Doctor-Bag Collages 116
Activity 6.3 Five-Finger Puppets 118
Activity 6.4 Found Object Assemblage 118
Activity 6.5 Gauze Soft Sculpture 120
Activity 6.6 Hairy Hands 120
Activity 6.7 Isolation Gown Wind Sock 121
Activity 6.8 IV Tubing Necklaces 122
Activity 6.9 Medical Faux-Finishing 122
Activity 6.10 Medical Mobiles 123
Activity 6.11 Medical Object Guessing Game 124
Activity 6.12 Parachute Jumpers 125
Activity 6.13 Sunprints 126
Activity 6.14 Spatter Painting 126
Activity 6.15 Syringe Butterflies 127
Activity 6.16 Syringe Spin-Art 128
Activity 6.17 Test Tube Glitter Wands 129
Activity 6.18 Tongue Depressor Puzzles 129
Activity 6.19 What Is It? 130
7 Tension Release 133
Coping with the Stress of Illness 133
Aggression 134
Hospitalized Children and Physical Release of Tension 135
Special Considerations 135
Activity Goals 136
Activities
Activity 7.1 Aggression Play with Blocks 136
Activity 7.2 Baby Rhythm Band 136
Activity 7.3 Battling Bad Cells 137
Activity 7.4 Bread Dough Magnets 138
Activity 7.5 Butter Me Up 138
Activity 7.6 Foil Sculpture 139
Activity 7.7 Mad About Medicine 140
Activity 7.8 Punch Pillows 141
Activity 7.9 Quiet-the-Scream Machine 142
Activity 7.10 Snowball Fight 142
Activity 7.11 Target Practice 143
Activity 7.12 Tear Away Tension 143
Activity 7.13 Tennis Anyone? 144
Activity 7.14 That’s the Way the Ball Bounces 145
Activity 7.15 Tin Can Drums 146
Activity 7.16 Volcanic Eruption 147
8 Humor 149
Benefits of Humor 149
Developmental Aspects of Humor 150
Selected Methods of Implementing Humor in Hospitals 151
Special Considerations 152
Activity Goals 154
Activities
Activity 8.1 A Mona Lisa Smile 155
Activity 8.2 Blister Blooper∗ 156
Activity 8.3 Bodacious Bookends 156
Activity 8.4 Bogus Baby Burgers 156
Activity 8.5 Crack-Up Collages 157
Activity 8.6 Dancing Raisins 158
Activity 8.7 Don’t Cry Over Spilled . . . 158
Activity 8.8 Flamboyant Flamingos and Other IV Pump Pals 159
Activity 8.9 Funglasses∗ 160
Activity 8.10 Goofy Gadget Game 160
Activity 8.11 Hilarious Headbands∗ 161
Activity 8.12 Kooky Cookie Puppets∗ 161
Activity 8.13 Leafy-Locks Pots (Chia Pet Wannabes) 161
Activity 8.14 Leaking Bottle Trick 162
Activity 8.15 License Plate 162
Activity 8.16 Magic Realism `a la Magritte 163
Activity 8.17 Master of Disguise 165
Activity 8.18 Med Libs∗ 165
Activity 8.19 Mirth Mobiles 166
Activity 8.20 Mirth-Aid Kit 167
Activity 8.21 Pop-Up Card Critters∗ 167
Activity 8.22 Puke Cookies∗ 167
Activity 8.23 Steve Martin Meets Healthcare 167
Activity 8.24 Stick a Smile on Your Face 168
9 Death and Bereavement 171
A Child’s Response to Death 171
Children Who Are Dying 171
Death of a Child 174
Death of a Parent 176
Special Considerations 176
Activity Goals 178
Activities
Activity 9.1 Crayon Candles and Candle Lighting Ceremony 178
Activity 9.2 Fabric Hand Wall Hanging 179
Activity 9.3 Friendship Bracelets 180
Activity 9.4 Keepsake Caches 181
Activity 9.5 Life Necklace 182
Activity 9.6 Memorabilia Frame 183
Activity 9.7 Memory Quilts 184
Activity 9.8 Memory Box 185
Activity 9.9 Moment Boards 186
Activity 9.10 Mosaic Flower Pots 187
Activity 9.11 Timeline 188
Activity 9.12 Remembrance Rocks 189
Activity 9.13 Shadow Boxes 190
Activity 9.14 Stepping Stones 191
Activity 9.15 Time Capsules 192
Activity 9.16 T-Shirt Pillows 193
Activity 9.17 Waving Good-bye 194
10 Culture 195
Cultural Differences 195
Special Considerations 199
Activity Goals 201
Activities
Activity 10.1 African Wrap Dolls 201
Activity 10.2 Carp Paper Sculpture 202
Activity 10.3 Chamsa, or Hand of Fatima, Symbol 202
Activity 10.4 Chinese Good Luck Envelopes 203
Activity 10.5 God’s Eyes 204
Activity 10.6 Hispanic Paper Flowers 205
Activity 10.7 Japanese Garden Theater 206
Activity 10.8 Japanese Zen Garden 206
Activity 10.9 Kachina Dolls 207
Activity 10.10 Mandalas 208
Activity 10.11 Milagros 209
Activity 10.12 Native American Dream Catcher 209
Activity 10.13 Native American Sand Painting 210
Activity 10.14 Origami Cranes 211
Activity 10.15 Prayer or Meditation Rugs 212
Activity 10.16 Rice-a-Rainbow 213
Activity 10.17 Tree of Life 213
Activity 10.18 Ukrainian Eggs 214
Activity 10.19 Worry Dolls 215
11 Isolation and Immobilization 217
Immobilization 217
Isolation 218
Special Considerations 220
Activity Goals 220
Activities
Activity 11.1 Air Freshener 220
Activity 11.2 Cardboard Dashboard 221
Activity 11.3 Clean Mud 222
Activity 11.4 Fragrant Winter Wonderland 222
Activity 11.5 Gone Fishing 223
Activity 11.6 Indoor Garden 224
Activity 11.7 It’s in the Bag Sculpture 225
Activity 11.8 Newspaper Scavenger Hunt 225
Activity 11.9 Pillow Sachets 226
Activity 11.10 Planetarium 226
Activity 11.11 Silly Bedside Scavenger Hunt 227
Activity 11.12 Special Place Collages 228
Activity 11.13 Sun Catchers 228
Activity 11.14 Tin Can Walkie-Talkies 229
Activity 11.15 Twirling Spirals 229
Activity 11.16 Window Cling-Ons 230
Activity 11.17 Window Painting 231
12 Pain 233
What Is Pain? 233
Outcomes of Unrelieved Pain 234
Assessing Children’s Pain 234
Other Influences on Children’s Response to Pain 236
Chronic Pain 237
Special Considerations 237
Activity Goals 238
Activities
Activity 12.1 Beach in a Bottle 239
Activity 12.2 Bottled Bling 241
Activity 12.3 Bubbly Bags 241
Activity 12.4 Hide-and-Seek Bottles 242
Activity 12.5 Fish Squish 243
Activity 12.6 Iceboats 243
Activity 12.7 Imagination Vacation Scrapbooks 245
Activity 12.8 Last Night, for Dinner, I Had . . . 245
Activity 12.9 Magic Wands 246
Activity 12.10 Mini-Aquariums 247
Activity 12.11 Muscle Relaxation Exercise∗ 247
Activity 12.12 Ocean Motion 247
Activity 12.13 Manipulative Pain Thermometer 248
Activity 12.14 Personal Comfort Kits 249
Activity 12.15 Rainbow Dough∗ 250
Activity 12.16 Tornado Twister 251
Activity 12.17 Twirl and Swirl 251
Activity 12.18 Colorscope 252
Activity 12.19 Toasty Turtles 253
Activity 12.20 Moving Paintings 254
13 Breathing 257
Understanding Respiratory Problems 257
Treating Respiratory Problems 259
Special Considerations 260
Activity Goals 260
Activities
Activity 13.1 Airway Fairway 261
Activity 13.2 Balloon Football 261
Activity 13.3 Blow Carts 262
Activity 13.4 Blowing Home 262
Activity 13.5 Blown Tone 263
Activity 13.6 Bubble Printing 264
Activity 13.7 Cotton Ball Hockey 265
Activity 13.8 Just Suck It Up! 266
Activity 13.9 Kazoos 266
Activity 13.10 Ping-Pong Ball Magic Tricks 267
Activity 13.11 Pinwheels 268
Activity 13.12 Sailing Away 269
Activity 13.13 Straw Blow Painting 269
Activity 13.14 Super Bubbles 270
14 Teaching 271
Vygotsky’s Social Development Theory 272
Children’s Understanding of Illness 272
Children’s Understanding of Their Internal Bodies 275
Medical Procedures 276
Transition to Adult Care 277
Special Considerations 279
Activity Goals 282
Activities
Activity 14.1 Peristaltic Waves: A Moving Experience∗ 282
Activity 14.2 Be Safe Collages 282
Activity 14.3 Blood Components 282
Activity 14.4 Transmission of Bloodborne Pathogens 283
Activity 14.5 Conceptualizing Bone Marrow 284
Activity 14.6 Cystic Fibrosis Demonstration 285
Activity 14.7 Demonstrating Diabetes∗ 285
Activity 14.8 The Digestion Question 286
Activity 14.9 Disease Transmission Through Droplets 286
Activity 14.10 Excuse Yourself!∗ 287
Activity 14.11 Learning the Food Groups 287
Activity 14.12 Heart Smart∗ 288
Activity 14.13 Infection Detection 288
Activity 14.14 Organize Your Organs 288
Activity 14.15 Preparation for an EEG 291
Activity 14.16 Preparation for Eyedrops 292
Activity 14.17 Preparation for Suture Removal 293
Activity 14.18 Preparation for Ultrasound 294
Activity 14.19 Social Story Preparation 294
Activity 14.20 Then What? Sequencing Cards 295
Activity 14.21 Vascular Visualization∗ 295
Activity 14.22 Washing Well 296
15 Activities of Daily Living 299
Changes in the Child’s Daily Routine 299
Issues for Parents 300
Special Considerations 300
Activity Goals 303
Activities
Activity 15.1 Aroma Jars 304
Activity 15.2 Bath Fizzers 304
Activity 15.3 Chug-It Challenge 305
Activity 15.4 Clean Cream Finger Paint 305
Activity 15.5 Daily Schedule 306
Activity 15.6 Flavored Lip Gloss 307
Activity 15.7 Food Paint 307
Activity 15.8 Foot Painting 309
Activity 15.9 Juice Box Boat 310
Activity 15.10 Magic Potion Punch 310
Activity 15.11 Soap Surprises 311
Activity 15.12 Scented Soap 311
Activity 15.13 Sticker Chart 312
Activity 15.14 Toothsome Toothpaste 313
Activity 15.15 Yellow + Red = Orange 314
16 Perceptual Motor 317
The Importance of Sensory Information 317
Perceptual-Motor Delay or Disability 318
Sensory Integration Dysfunction 321
Special Considerations 321
Activity Goals 323
Activities
Activity 16.1 Bedpan Toss 323
Activity 16.2 Feet Feat Challenge∗ 324
Activity 16.3 Ice Hockey Game 325
Activity 16.4 Memory Game 325
Activity 16.5 Odor Match Game 326
Activity 16.6 Picture Weaving 326
Activity 16.7 Pincer Pickup 328
Activity 16.8 Piquant Pomanders 328
Activity 16.9 Rainsticks 329
Activity 16.10 Scratch-and-Sniff Art 330
Activity 16.11 Spaghetti Sculpture 330
Activity 16.12 Tactile Collage 331
Activity 16.13 Tag! You’re Lit! 331
Activity 16.14 Touch-and-Tell Game 332
Activity 16.15 Tutti-Frutti Dough 332
Appendix A Art Materials and Projects for Children and Other High-Risk Individuals 335
Appendix B Web Sites 337
References 339
Author Index 365
Subject Index 371
Author Biographies 379
Note: Asterisk (∗) denotes that the activity is available on the CD that accompanies this book.
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