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I may be odd, but since she was about 2 I have explained to my DD why she has injections - to stop her getting really nasty illnesses which might make her be really sick and have to stay a long time in hospital. We do have slightly more vaccinations here, the most recent was just before she turned 4, now she is set for 3 years I think, until she needs a booster. I must say she has always understood, in her way, and on all but one occasion been good and brave about it - I do also have the luxury of some choice about who does her injections, and our GP is brilliant with kids and asks her direct questions which she is interested in answering in order to distract her, and gives her a sweet afterwards lol. The only bad experience I have had with her is when the paediatrician did one and talked over her head to me, asking me medical questions that needed answering and ignoring her, and giving her a chance to watch him prep the needle with no meaningful distraction - then she screamed! With my son I used distraction until recently, but last time made more fuss and seemed a bit betrayed (he cried "Dr Moll hurt my arm!" in a totally disbelieving and shocked whine - he was nearly 2) so I will explain before hand next time. I agree not to build up to it too much and do the explaining on the day, but before you actually leave thou house lol. I'd combine explanation on his level, distraction while it is being done, and promise of a small treat straight after! Good luck!
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