Published online May 8, 2016. doi: 10.5409/wjcp.v5.i2.143
Peer-review started: July 8, 2015
First decision: July 27, 2015
Revised: August 14, 2015
Accepted: March 7, 2016
Article in press: March 9, 2016
Published online: May 8, 2016
Core tip: In an effort to reduce healthcare-induced distress leading to anxiety, trauma, and trauma responses in pediatric patients, this author has developed four principles in the choice, agenda, resilience and emotion (CARE) process to deliver emotionally-safe treatment to children: (1) Choices: Provide power in a powerless environment; (2) Agenda: Letting the patient and family know what to expect and what is expected of them; (3) Resilience: Start with strengths and reframe negatives; and (4) Emotions: Recognize and normalize common fears and responses. Through the process of implementing CARE, a child’s healthcare-induced distress can be minimized.