Alt text on BCH Logo

Medical Coping Targeted Toolkit

Ages Prenatal - 24+ Years

When a child has a congenital heart defect (CHD), everyone in the family faces stressors that can be difficult to manage. Feelings of fear, sadness, and anger are normal and expected, but these feelings can become debilitating without treatment and support. The strategies and resources in this targeted toolkit can help family members to develop more resilience in the face of illness.

Daniel Tiger coping card teachers children strategies to use while having an echocardiogram.
Daniel Tiger Coping Card: Electrocardiograph (EKG)

These Coping Cards represent a collaboration between the Cardiac Neurodevelopmental Program at Boston Children's Hospital and Fred Rogers Productions. Each card teaches strategies to cope with a medical procedure. This Coping Card focuses on having an electrocardiograph (EKG or ECG).

Daniel Tiger Boston Children's Hospital coping card for having an echocardiogram.
Daniel Tiger Coping Card: Echocardiogram (Echo)

These Coping Cards represent a collaboration between the Cardiac Neurodevelopmental Program at Boston Children's Hospital and Fred Rogers Productions. Each card teaches children and caregivers strategies to cope with a medical procedure. This Coping Card focuses on having an echocardiogram (echo).

A mother in a white shirt stands behind a little boy with dark hair with a congenital heart defect (CHD).
Medical trauma

Traumatic experiences and post-traumatic stress are common among children and families with complex heart defects. Learn how to recognize, prevent, and treat the symptoms.

A father in a green shirt sits on a couch and shows a picture on a phone to his young daughter, who has black curly hair and a congenital heart defect (CHD).
Preparing for the hospital

Going to the hospital can be much less stressful when you and your family are prepared both logistically and emotionally. This resources guides you through the preparation process.

A little girl with short blond hair and a congenital heart defect (CHD) lies on her stomach on a bed, playing on a computer.
Staying busy in the hospital

These strategies and resources can help caregivers to keep hospitalized children busy, interested, and engaged. When children are able to maintain routines and participate in activities, they are better able to cope with illness.

A grandmother wearing a pink sari holds a swaddled baby with a congenital heart defect (CHD).
Developmental Care

Developmental Care is a set of practices that promote healthy child development and family functioning within a hospital setting. Using Developmental Care can protect and promote everyone's well-being in the face of serious illness. This collection of resources describes multiple aspects of Developmental Care.

A little blond girl with a congenital heart defect (CHD) is dressed as a doctor and uses a pretend stethoscope on a baby doll.
Medical play

Medical play can help people of all ages to understand and process their medical experiences, and to build a reassuring sense of control. This resource will teach you to use medical play from infancy into adulthood.

A father wearing a gray shirt spoon feeds a baby with a congenital heart defect (CHD) who is wearing a yellow onesie and sitting in a high chair.
Parent mental health

Parents face enormous mental strain when their child has a heart defect. Managing parent mental health is critical for a family's functioning. This article guides parents through understanding and treating their own difficult thoughts and feelings.

A dad with a green shirt sits on a bed and cuddles his daughter, who has blond hair, a pink outfit, Down Syndrome, and a congenital heart defect (CHD).
Pediatric palliative care

Pediatric palliative care can be an invaluable resource for children and families throughout childhood. Palliative care providers collaborate with families to prioritize their values and goals, focusing on all aspects of functioning.

A child with a congenital heart defect (CHD) is on ECMO.
Coping with ECMO

This resource helps caregivers to support their child before, during, and after ECMO treatment, and gives them suggestions for protecting their own mental health even as they care for their child.

A mother with a striped dress buckles a VAD backpack on a little girl with a congenital heart defect (CHD).
Coping with a VAD

This article explains what to expect when a child has a VAD, and helps caregivers learn coping strategies to use throughout the process.

A mother cuddles in a hospital bed with her young son who has a congenital heart defect (CHD) and is prepared to undergo a heart transplant.
Coping with transplant

This resource describes the process before, during, and after a heart transplant, and explains how caregivers can promote coping in themselves and their children.

A little boy with a congenital heart defect (CHD) wears a black jacket and sits on a step wearing a mask.
Medical anxiety

This video teaches caregivers how to recognize and alleviate children's medical anxiety.

A mother wears a yellow shirt and a face mask and leans her forehead against the forehead of her daughter, who has a congenital heart defect (CHD) and wears a face mask.
Sharing a diagnosis with kids

Parents often worry about how to talk with children about their diagnosis. This guide will help caregivers to have these conversations with confidence, and to help children feel pride and agency in the face of illness.

A father holds his son, who has a congenital heart defect and has a red shirt, while a doctor gives a shot in his leg.
Comfort positions

This video teaches caregivers how to use comfort positions to keep children calmer and more content in a medical setting.

Cover slide of presentation of the American Academy of Pediatrics for trauma informed care for babies with congenital heart defects (CHDs).
Trauma-informed care: infants

This presentation from the American Academy of Pediatrics reviews best practices for reducing trauma in infants with heart defects.

A Child Life Specialists holds up a teddy bear at the bedside of a little girl with a congenital heart defect, who lies under an orange blanket.
Child Life

Child Life Specialists are specially trained to help children cope with medical treatment and hospital admissions. Learn how they can support your family.

A little boy with a congenital heart defect (CHD) and brown curly hair wears a teal shirt and writes in a notebook.
Home/ hospital (homebound) instruction

Children have a right to free and appropriate public education whether or not they are healthy enough to attend school in person. Learn about how to advocate for your child's education when they are physically out of school.

A mom and dad sit on a couch with their daughter, who has pigtails and a congenital heart defect, and who is listening to her dad's chest with a stethoscope.
Preparing children for procedures

This video describes how caregivers can prepare children for medical procedures so that they are better able to cope.

Two dads cook in a kitchen with their young daughter, who wears a tank top and pony tail and has a congenital heart defect (CHD).
Support networks

We all know it takes a village to raise a child, and a village is even more vital when a child has a congenital heart defect. This article walks caregivers through the process of identifying and building a support network.

A mother puts liquid medicine into a spoon to give to a little boy with a congenital heart defect (CHD).
Swallowing medicine

Keeping up with medical care can be difficult when children struggle to take medicine by mouth. This video describes how to teach children to swallow medicine easily and effectively.

A mother sits cross-legged on the floor, giving liquid medicine to her toddler son, who has a congenital heart defect (CHD).) and autism sit cross-legged next to a tall window, playing foosball.
Medical treatment at home

Children often struggle to keep up with necessary medical treatments and restrictions at home. This video guides caregivers to support kids in adhering to medical plans.

A mother and a little girl with a congenital heart defect (CHD) look at each other and smile while holding red heart balloons.
Managing pain

Chronic pain can severely disrupt a child's life if it is not appropriately managed. These videos explain strategies for managing and living fully with chronic pain.

A child with a congenital heart defect has a bandaid on her arm after a shot.
Shots and needles

Many children are afraid of needles, and shots can be extremely challenging. These strategies can help reduce their distress, and help them move through procedures involving with needs more easily.

Two dads sit cross-legged on the floor on either side of their daughter, who wears a yellow shirt, has a black ponytail, and a congenital heart defect (CHD), and is coloring a picture.
Finding a therapist

These resources can help families to locate a therapist who understands their needs, and who can support their coping.

A bunch of hands all together holding onto each other.
Finding community

Finding your place within a community is a key ingredients of successful coping with a chronic illness. This article gives suggestions and resources.

A pain specialist at Boston Children's Hospital wears a blue fleece and sits at a desk.
Pain management

In these resources, experts from Boston Children's Hospital teach strategies for managing chronic pain.

A mother sits in a pink-canopied bed, reading a book to her daughter who has black hair and a congenital heart defect (CHD).
Understanding CHDs

These books, websites, and other resources can help children with heart defects to learn about their diagnosis, and to see representations of other children like themselves.

© 2026 All rights reserved