ABSTRACT

Coping methods that compete successfully with pain, whether they be listening to stories or using hypnosis, operate best in an atmosphere of understanding, confidence, and hope. The therapeutic atmosphere in the oncology unit depends upon pleasant surroundings, but even more on the personal relationships fostered by the staff members who deal with the patient–the receptionist, laboratory technician, recreational and occupational specialists, social worker, nurse, nursing aide, and physician. Ordinarily the patient comes to the oncology center either for early diagnostic tests or to confirm a presumptive diagnosis made elsewhere. Children and parents alike are naturally apprehensive about a nebulous unknown in a strange environment. The atmosphere that affects the young patient’s outlook is, to a large extent, produced by those who provide care. The supporting team begins with the assumption that both patient and parents are going to do their best to deal with the difficult problems they face.