DIY Fingerprint Mold

Our Guest Blogger, Teresa Schoell, is a Certified Child Life Specialist working with pediatric patients and their families in the hospital. She will be sharing a creative way to provide therapeutic activities for families coping with the loss of a loved one.

Materials Needed:

· Model Magic, 1 oz package in white (single-patient use, makes about 5-10 charms, depending on size)

· Markers (I use kid’s washable markers, any brand)

· Small straw (I use a coffee-straw usually, but have made do with a pencil tip or 16 gauge needle)

· Medical gloves

· Portable hard surface (clipboard, back of a tissue box, etc.)

materials
Instructions:

· This is very easy for siblings and kids to participate in – the materials are all kid-safe and easy to work with. I often find joining me for “a craft project” is a wonderful turning point for anxious little ones when their families bring them to the adult ICU to “say goodbye.” Crafts are so normalizing, familiar, and engaging.

· Wear gloves (this keeps your finger prints off the molds, and keeps you from getting marker on your fingers.)

· Roll out small balls (about grape sized, give or take), and gently flatten. Spheres flatten to circles. Tall mini-marshmallow shapes flatten to rounded rectangles (I use the side of a tissue box to straighten the sides a bit after flattening) Get creative with your shapes. I’ve done hearts, crosses, dolphins, and tic-tac-toe boards at patient and family request.

· To add color, I press the tip of the marker into the dough. For a smooth, even color you knead the dough until the color is evenly distributed. For a “swirled” look, just knead a couple times and then roll and flatten.

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· You can also color on the patient’s fingertip with the marker, then press it into the white dough. That also looks spectacular! I’ve fallen out of the habit, as the nurses prefer I don’t ink the patient’s fingers. When doing fingers, I try to avoid red (as it may look like blood, especially in trauma cases), and I try to avoid blue (lest it get on the nail and be mistaken for a sign of cyanosis!)

· Place the shapes onto a clipboard, or other portable hard surface, and press the patient’s finger into the dough. If a family has asked for multiples, I’ll often shape them all and line them up, then press the finger into each, all on one go. This efficient process is especially helpful if the patient is very tired, and won’t have the endurance to offer up a finger every two minutes as each new shape is prepped. I also prefer this when doing them in the morgue with a patient who has already died – both because it’s faster and the morgue tends to be very chilly. If you have to work within the cooler, the dough can get stiff when cold, so I will set them all up on the clipboard outside the cooler, pop in and press the fingers, then back out to make the holes.

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· After pressing the finger, use the coffee straw to make a small hole near the top (this is used to string the medallion on a necklace, if desired. (or key chain, or no hole for a pocket stone, etc.)

· The finished items air dry over the next 24 hours. I will often place them in a kidney basin for safe transport. If I’m doing a whole bunch, I’ll slid a piece of cardboard into a “sheet protector” sleeve, and place the patient’s ID sticker on the cardboard inside. Then line of up the finished medallions on top to dry. This way the family can carry the full bunch without them smooshing together. I learned the hard way – do NOT put them on paper to dry!!

· Really large pieces (like full hand prints) can warp a bit as they dry.

· Photos show one of my favorite combinations of shape and swirl color. Toddlers love to help by stabbing the dough with market tips. And then knead-twice-and-roll lets them press all the colors in without it combining to a greyish-brown.

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· To start the dough feels like a cross between play dough and a marshmallow. Once dry it is light like Styrofoam, with a smooth surface.

Other questions that came up…

You can do these on adults, kids, babies. For peri-natal loss situations with super early babies that have not yet grown much in the way of skin . . . I’m not sure. I haven’t tried this. The dough is not “sticky” so I am hopeful that it would work. If someone tries it, please post back and let us all know!

For newborns and preemies, one packet would be more than enough to do a baby foot print. But remember that larger pieces can warp a bit while drying. I’ve had some (but not perfect success) flipping the piece over every couple hours while it dries, to reduce the warp.

No baking needed – they air dry.

I color it while making it. I have never tried coloring it afterward. Again, if someone tries it, please post back and share the info!

Creative child lifers, post your photos to the thread and share your ideas for styles, use of color, shapes, etc.

Teresa Schoell, MA, CCLS

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On the Road to Healing: A Child Life Specialist Coping with Grief in Adoption

Coping with griaf in adoption

Guest Blogger: Lesley S. Phillips, M.Ed, CCLS from Hudson River Healing, LLC

When I began as a child life specialist, more than a decade ago, I never knew the skills I was learning were skills I’d need as a parent one day. I grew up in Western NY, but went to Chicago for grad school. I worked on the south side of the Chicago in a children’s hospital. My work focused mainly on infants and toddlers, and I spent part of my time in the Neonatal Intensive Care Unit (NICU). I also spent time working in an outpatient clinic doing developmental screening tests. Most of the time, kids got better and were discharged from the hospital. But sometimes they died. The death of a child was like no other loss I’d ever known. The worst loss one could face. It was emotional work, but very rewarding as I was able to support families. I enjoyed the NICU the most, holding the preemies, providing developmental stimulation and comfort. My whole life, I knew that I wanted both to work with children and someday have my own. My boyfriend and I became engaged and got married. We decided to move back to New York state, to be closer to our families.

Once we moved to NY, I landed a job in Manhattan, working in a hospital’s Family Resource Library. I eventually became a Senior Child Life Specialist, working in Pediatric Cardiology and the Pediatric Intensive Care Units. Lessons in grief and loss were learned firsthand. I sat with mothers and fathers as they were told their child was dying. I helped families plan memorial services for their children. I helped explain to children that their brother or sister had died. It was hard, but I felt good about the support I could provide.

While I was helping others with their grief, I silently grieved my own grief. I learned that my husband and I could never have our own biological children. The pregnancies and babies we dreamed of would not become a reality. As we struggled through years of infertility treatment, I was also working with many newborn babies. The emotional pain was really tough on me, but I became stronger. Our marriage became stronger too.

We decided we would adopt. We proceeded to adopt a little boy from a Russian orphanage. He was three, almost four years old. All of my skills and knowledge came into play as we helped him adjust to life in a home, outside of an orphanage. It was a difficult transition for him. He had to learn a new language, and everything he knew, was gone. He was grieving for his caregiver, his friends, his life that was left behind.

I decided I needed to stay home full time, and left my job. He needed me. To help him, I did what I knew as a child life specialist. He loved to engage in pretend play, and we would play “hotel” and “airplane” where he would reenact leaving the orphanage and coming to America. Many people think children should be grateful for being adopted. Being in a family should be something children should embrace after growing up in an orphanage. This is not always the case. He wanted parents, yes, but he did not know what that really meant. It wasn’t his decision to move across the world and be forced to learn a new language. It was hard for him. But he was resilient and strong too. With time and patience, he adjusted to his new life. We would often paint, and I knew one day when he painted a mural, that he was making a transition. He was at peace with his new life. He painted an ocean with a bridge, and a mountain. There was an apple tree on one side. He said it was New York, and that he was “all done” with Russia. I reassured him that yes; Russia was “all done”. There was a look of relief in his eyes I’ll never forget. He probably had wondered if this was only temporary, and if he had to go back one day. He was so happy, and kept saying, “All done Russia”. What I learned as a child life specialist in helping children process grief, I used at home. Art and play therapies were essential. We also reached out to other professionals. Our son needed speech therapy and an aide in preschool. Knowing how to navigate the Early Intervention process helped too.

Two years later, we began the process to adopt a little girl in Russia, for our son to have a sibling. After a very long wait, over two years, we traveled to meet her. We spent a week with her and bonded with her. After that week, we were to return home to await our court date in Russia to finalize her adoption. Before our court date, President Putin banned all Americans from adopting Russian children in retaliation for a law that President Obama passed, the Magnitsky Law. Since we hadn’t yet had our court date, we could not finish our adoption. Even though we had met and bonded with her, Russian officials would not allow us to finish. Even though legally she was not our child, in our hearts, she was our baby. My son carried her photo in his backpack to school each day. In his heart, she was already his sister. He was grieving again. We were the only people that had visited her in Russia. We promised her we’d return. My husband and I had yet another loss. We grieved for months. Our families were supportive beyond measure. Some friends were too. But many people just didn’t get it. This is what is referred to as disenfranchised grief. This is a grief that is not acknowledged by society. I felt like my child had been kidnapped from me. It was like a death, but she still was there, I just couldn’t get to her. Some people thought we should move on, adopt another child, but we couldn’t. We had bonded with her. Our greatest supports were the other families that we met that were in the same situation as us. They got it, because they were living it too. We tried many angles to work with our government and the Russian government. My husband met with the Russian Ambassador in Washington DC. I even traveled to Moscow and did a press conference on their state run television. Eventually, we were told that she was placed with a Russian family. At least she wasn’t still in an orphanage. We knew then we could move forward, and that for our son, we had to.

We decided to adopt domestically, and now have a beautiful little girl. Our family is complete, and our Russian baby will still have a special place in our hearts. My son finally has a little sister, and we can’t imagine life any other way. I have recently launched my own business helping children cope with illness and loss. In September of 2015 I opened Hudson River Healing, LLC. I provide home visits for children experiencing grief and loss.   As I help children and families cope with some of life’s toughest experiences, I can draw upon my own life lessons and help others. Although I haven’t had a child die, I have grieved the loss of children and also helped my son through his grief. I often think that my son and I are healing each other. My skills as a child life specialist helped me to be a better mom. And now my skills from my life experiences and losses are helping me to be a better child life specialist.

To learn more about Lesley and her practice, check out Hudson River Healing, LLC and follow her Facebook page.

Lesley Phillips

Saying goodbye to your furry loved one.

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Having a pet is so similar to having a child. They are part of your family and sometimes they become your partner, friend and baby. You love them, care for them and in return you get an amazing gift. The gift of unconditional love and a powerful relationship that only pet owners can truly understand.

I have always had a pet in my life. I grew up with dogs, cats, hamsters, rabbits and rats. I learned to respect animals, play and engage with them safely, take care of them but most importantly, I learned to love them. I would confide my inner thoughts and feelings to my pets. I felt like they understood me when the world did not. They were their to comfort me and provide a snuggle and a kiss.

The hardest part about having a pet, is having to say goodbye. The loss of a pet can usually be the first time a child experiences a death. It can be very traumatic and children may not fully understand what is happening. Parents may not know how to prepare a child on an impending death or how to explain  death at all.

Recently my brother’s family had to say goodbye to their yellow lab, Carson. Carson was a huge part of the family and the kid’s lives (ages 3 & 6). They knew that Carson was ill and didn’t have a lot of time left. They spoke honestly and openly about what was happening to help prepare the kids. They supported them emotionally, by encouraging them to express their feelings verbally, through play and art. They also tried to capture beautiful moments with them by taking photos.

As a child life specialist, one of our roles is working with patients and families in the most unfortunate experience, a death. It can be the death of a child or a loved one. We are their to support the patient, siblings and parents. One of the interventions that we often use is creating a ceramic mold of the child’s hand or foot. It can be done prior to death or after. Having a mold or print can capture a piece of the child in a concrete way. It can be incredibly powerful and help loved ones grieve and memorialize their loss.

I suggested this to my brother and sister-in-law, to help the kids cope with the loss of Carson. This is what they created. Beautiful right?

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The kids talk about Carson and share memories that they have of her. Their grief is supported by two amazing parents.

Helpful Tips:

  • Be honest- kids need to trust you and the information that you provide needs to be truthful.
  • Simple words- Use simple language in explaining what is or has happened.
  • Encourage self-expression- Allow kids to express how they feel. Being angry and sad is a normal feeling, don’t dismiss it and try to change their feeling.
  • Validation-Validate their feelings and normalize them. The loss of a pet is something that many families experience.
  • Time- Children may talk about the death of their pet right after or months later. Children process things differently. They may not have the vocabulary or understanding that the death is finalized until later.
  • Healthy ways to cope- Provide outlets in play, art, books and verbal discussions about healthy ways to cope, release feelings and memorialize their loss.

Furry Medicine 

Teague, I’m going to be with you here, anyway

Children and pet loss