ABSTRACT

Louisa is 9 years old. While staying with her grandmother, she fell off a horse and suff ered multiple injuries. It was 2 days until her parents, who were out of the country, could return to be with her. During that time, Louisa had several stressful medical procedures. Although improved, she requires more treatment. Louisa sobs whenever her mother mentions a doctor’s appointment. At her last visit, she refused to allow a nurse to take her blood pressure. Louisa has developed a fear of medical procedures.