Fourteen-year-old Scott has learning difficulties and suffers from a life-threatening condition. He needs an operation but is refusing to go ahead with it after a family member explained it in a scary way. In a letter detailing his fears he wrote: “Will it hurt when I wake up from my operation?”
Clinical director at the Royal Hospital for Sick Children in Edinburgh Zoe Dunhill has written back: “Yes, but there will be a special doctor there who will treat the hurting when you wake up.”
“We try to explain things in a way that is appropriate to the child, ” Dunhill explains. Soon, she hopes, the approach will help her overcome Scott’s resistance to the treatment.
Dealing with children who refuse consent to treatment which doctors and parents deem necessary is an increasingly important part of children’s medicine in Scotland.
Every month at this, one of Scotland’s flagship children’s hospitals, several children refuse to undergo procedures.