Euphemisms (Tell-Show-Do Technique)
The behavior guidance technique that uses alternative words to help pediatric patients understand medical procedures is called "euphemisms" or "substitution of words," which is a core component of the Tell-Show-Do technique. 1
What This Technique Involves
The fundamental principle is to avoid words that can be threatening or misinterpreted by replacing them with child-friendly alternatives that reduce anxiety while maintaining honesty. 1
Specific Examples of Word Substitutions
- Say "make an opening" instead of "cut" 1
- Say "remove the chest tube" instead of "pull the chest tube" 1
- Say "take special pictures of your belly" instead of technical imaging terminology 1
- Use phrases like "you'll get a little sting" rather than "injection" or "needle" 1
Age-Appropriate Language Application
Pre-School Children (Ages 3-5)
- Focus on what the child will feel and do, not the examination itself, using simple language that appeals to visible body parts 1
- Use concrete, sensory-based descriptions since these children have limited understanding of internal organs and medical rationale 1
- Frame procedures as games (e.g., "Let's play the statue game. You must be very still.") 1
School-Age Children (Ages 6-12)
- Provide more complete information using analogies from the child's world (e.g., "It is like a photograph. You cannot move; otherwise, it gets blurry or out of focus.") 1
- These children can understand procedural, sensory, and self-regulation information more comprehensively 1
- Use concrete methods like drawing, models, or videos to explain procedures effectively 1
Adolescents
- Provide more detailed physiological explanations about how tests work, as they can process abstract concepts 2
- Maintain respectful, straightforward communication while still avoiding unnecessarily frightening terminology 1
Integration with Tell-Show-Do
This euphemistic language substitution is most effective when combined with the complete Tell-Show-Do technique, which remains the most widely used foundational behavior guidance approach (98.6% of pediatric dentists routinely use it). 3
Common Pitfalls to Avoid
- Never lie or use euphemisms that create false expectations - maintain honesty while choosing less threatening words 1
- Avoid medical jargon entirely with younger children who cannot process technical terminology 1
- Don't underestimate the need for age-appropriate language - using adult terminology with young children increases anxiety and non-cooperation 1