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Theme: Ethical issues: dignity and humanity.Venepuncture represents traumatic experience in childhood due to pain and discomfort.To compare the efficacy of a participatory approach with preliminary ice application to the skin.Two age-groups (respectively 3-7 and *8 years) were considered during day-hospital, hospitalization, and ER accesses. Venepuncture was described to patients with fables or illustration according to the age-group. Ice or cool-water-pack was randomly applied to skin for one minute before venepuncture. Pain measurement scales were Wong-Baker and VAS.Preliminary data (55 patients) showed that the 3-7 years age group had better pain tolerance with a participatory approach, whilst ice was better in the older group. Generally previous venepunctures seem to worsen pain feeling.Imagination seems to influence pain feeling in the 3-7 age group, while ice is more important in the older group. Previous experiences mark negatively successive venepunctures.Participatory approaches can be cost-effective and influences positively venepuncture in the future.

OC39 – The efficacy of a participatory approach in reducing pain related to venepuncture in children