Child Psychology

Assessment of Children by Jerome M. Sattler

By Jerome M. Sattler

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We were able to talk further and partake in more song sessions during our time together on the ward, and I began to consider how I could take this skill further within my career. The patients’ responses to a simple song or rhythm were so very rewarding, although I felt some frustration at not having enough time in a busy nursing day to pursue this further. When I was working as a nurse in Dorset, I also used to spend time practising in a piano shop and arranged to have lessons with a tutor in theory and piano.

He chooses to come in on his own and his parents say that they will wait outside in case he needs them. Mark is surprisingly awake and very keen to play. He seems confused about the choice of instruments and unsure of where to start, but when I suggest that he begins with a drum and a cymbal, he takes the beaters enthusiastically. As I sit at the piano ready to accompany him, I am struck by the alertness of Mark’s pose, and this is immediately borne out by the volume and energy of his music. ’ At the end of this piece, which lasts a couple of minutes, Mark turns to me with a huge smile and says clearly, ‘That was pretty good.

Within this bright and homely environment is an enveloping warmth and a freedom just to ‘be’; there is practical, emotional and spiritual support when needed; there is an extraordinary and unconditional appreciation of every child; there is wisdom. There is also laughter and joy, for life is celebrated in the moment, no matter what lies in the future. Respite care plays the biggest part in hospice life: children who are not expected to reach adulthood may typically visit for a few days, several times a year, allowing them to form trusting relationships with the staff and giving their parents (and siblings) the opportunity for a break from the 24-hour care which they usually provide themselves.

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