Full independence will be the most important aim for all the parents of children who have an arm deficiency whatever the type. This of course begins at home, with walking, talking, feeding, playing, dressing oneself and using the toilet.

Social interaction with other children is also important. Going to a mother and toddler group locally can be very useful, helping both parent and child to gain confidence to overcome all situations, it is different from being with family and friends. Meeting new people can help develop strategies for describing and talking about the deficiency. Your child will listen to how you describe the arm and copy later on, so being matter of fact and using simple terms will pay dividends. Involve your child in all the explanations. The child may also be with children he will go to school with later on.

Very young children will usually not notice any differences and just accept the deficiency. Slightly older ones and some adults will ask questions and this gives an opportunity to explain about the difference. Other adults are also curious but don't like to ask! By being open in your replies to direct questions the children will be satisfied. The adults will either overhear or learn from their own children later. Your child will learn to respond in the same way, without embarrassment. Once they see that you expect your child to be like everyone else they will put it to the back of their minds and your child can play like everyone else. Be honest and straight forward, children appreciate this arid your child will learn too. If your child realises you and all around him can accept him without embarrassment, he will accept himself in the same way. If your child wears a prosthesis explain how it works - your child will probably be happy to demonstrate how it works, but don't push him if he isn't.