Boucher Sue, Downing Julia, Shemilt Rise
International Children's Palliative Care Network (ICPCN), Assagay 3610, South Africa.
International Children's Palliative Care Network, Assagay, 3610, South Africa.
Children (Basel). 2014 Oct 1;1(3):302-17. doi: 10.3390/children1030302.
Play is the universal language of childhood and the time and opportunity to play is every child's right. The role of play as a vehicle for communication, a tool for distraction and its value in the holistic development of a normal child is without dispute. The role and value of play increase proportionately when a child is made more vulnerable through illness or disability. Despite this, providing time and opportunities to play can be overlooked or considered to be of little importance or relevance when the focus of the adult carers is the amelioration of clinical symptoms of the illness and on lessening the psychological impact the illness may have on the child. This paper outlines the role and the value of play as an integral component in the provision of palliative care for children with chronic, life-threatening and life-limiting conditions. It will show how providing appropriate equipment, sufficient time and relevant play opportunities not only improves the very sick child's psychological wellbeing, but also allows the child to cast aside the confines and restrictions imposed upon them by their illness and for a few golden moments to be nothing more than a child at play.
玩耍是童年的通用语言,玩耍的时间和机会是每个孩子的权利。玩耍作为一种交流媒介、一种消遣工具的作用及其在正常儿童全面发展中的价值是无可争议的。当孩子因疾病或残疾而变得更加脆弱时,玩耍的作用和价值会相应增加。尽管如此,当成年照顾者的重点是改善疾病的临床症状以及减轻疾病可能对孩子产生的心理影响时,提供玩耍的时间和机会可能会被忽视或认为不太重要或无关紧要。本文概述了玩耍在为患有慢性、危及生命和限制生命疾病的儿童提供姑息治疗中作为一个组成部分的作用和价值。它将展示提供合适的设备、充足的时间和相关的玩耍机会不仅能改善重病儿童的心理健康,还能让孩子抛开疾病强加给他们的限制,在一些美好的时刻仅仅做一个玩耍的孩子。