Behavior Management Techniques
Non-pharmacological
- Tell-Show-Do (TSD) — the most basic, foundational technique (Addelston).
- Modeling — the child observes a cooperative model.
- Voice control, positive reinforcement, distraction, desensitisation.
- Hand-Over-Mouth (HOME) — historical and now largely abandoned/controversial.
- Protective stabilisation (formerly 'restraint').
Pharmacological
Nitrous oxide–oxygen inhalation sedation is the most commonly used minimal sedation in children (rapid onset/recovery). General anaesthesia for extensive needs/special situations.
Assessment
Frankl behaviour rating scale (Rating 1 definitely negative → 4 definitely positive) is widely used.
Exam Tips ⭐
TSD = most basic; nitrous oxide = most common sedation; Frankl scale for behaviour rating.