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Problem For Children (problem + for_children)
Selected AbstractsUse of perioperative dialogues with children undergoing day surgeryJOURNAL OF ADVANCED NURSING, Issue 1 2008Berith Wennström Abstract Title.,Use of perioperative dialogues with children undergoing day surgery Aim., This paper is a report of a study to explore what it means for children to attend hospital for day surgery. Background., Hospitalization is a major stressor for children. Fear of separation, unfamiliar routines, anaesthetic/operation expectations/experiences and pain and needles are sources of children's negative reactions. Method., A grounded theory study was carried out during 2005,2006 with 15 boys and five girls (aged 6,9 years) scheduled for elective day surgery. Data were collected using tape-recorded interviews that included a perioperative dialogue, participant observations and pre- and postoperative drawings. Findings., A conceptual model was generated on the basis of the core category ,enduring inflicted hospital distress', showing that the main problem for children having day surgery is that they are forced into an unpredictable and distressful situation. Pre-operatively, the children do not know what to expect, as described in the category ,facing an unknown reality'. Additional categories show that they perceive a ,breaking away from daily routines' and that they are ,trying to gain control' over the situation. During the perioperative period, the categories ,losing control' and ,co-operating despite fear and pain' are present and intertwined. Post-operatively, the categories ,breathing a sigh of relief' and ,regaining normality in life' emerged. Conclusion., The perioperative dialogue used in our study, if translated into clinical practice, might therefore minimize distress and prepare children for the ,unknown' stressor that hospital care often presents. Further research is needed to compare anxiety and stress levels in children undergoing day surgery involving the perioperative dialogue and those having ,traditional' anaesthetic care. [source] Current Approaches to the Assessment and Management of Anger and Aggression in Youth: A ReviewJOURNAL OF CHILD AND ADOLESCENT PSYCHIATRIC NURSING, Issue 4 2007APRN-BC, Christie S. Blake RN BACKGROUND:,Anger and its expression represent a major public health problem for children and adolescents today. Prevalence reports show that anger-related problems such as oppositional behavior, verbal and physical aggression, and violence are some of the more common reasons children are referred for mental health services. METHODS:,An extensive review of the literature was conducted using the following online search engines: Cochrane, MEDLINE, PsychINFO, and PubMed. Published and unpublished articles that met the following criteria were included in the review: (a) experimental or quasi-experimental research designs; (b) nonpharmacologic, therapy-based interventions; and (c) study participants between 5 and 17 years of age. RESULTS:,Cognitive-behavioral and skills-based approaches are the most widely studied and empirically validated treatments for anger and aggression in youth. Commonly used therapeutic techniques include affective education, relaxation training, cognitive restructuring, problem-solving skills, social skills training, and conflict resolution. These techniques, tailored to the individual child's and/or family's needs, can foster the development of more adaptive and prosocial behavior. [source] Prevalence and Impact of Childhood Maltreatment in Incarcerated YouthAMERICAN JOURNAL OF ORTHOPSYCHIATRY, Issue 3 2010Daniel Coleman The prevalence of childhood maltreatment and the magnitude of the association of maltreatment with internalizing mental health symptoms were examined in 398 incarcerated youth. The prevalence of abuse greatly exceeded general population rates. The proportion of variance in mental health symptoms accounted for by maltreatment was small but developmentally significant. Sexual abuse is a markedly stronger predictor of internalizing mental health problems in incarcerated youth than physical abuse. Consistent with a bio-psychological model of trauma, dissociation at the time of sexual abuse was the strongest nondemographic predictor of mental health symptoms. Physical abuse was associated with more internalizing mental health problems for children from families with mental health problems and families with lower socioeconomic status. Implications for practice and research are discussed. [source] The impact of childhood conditions and concurrent morbidities on child health and well-beingCHILD: CARE, HEALTH AND DEVELOPMENT, Issue 4 2008E. Waters Abstract Background Understanding the impact of illnesses and morbidities experienced by children and adolescents is essential to clinical and population health programme decision making and intervention research. This study sought to: (1) examine the population prevalence of physical and mental health conditions for children and quantify their impact on multiple dimensions of children's health and well-being; and (2) examine the cumulative effect of concurrent conditions. Methods We conducted a cross-sectional school-based epidemiological study of 5414 children and adolescents aged 5,18 years, and examined parental reports of child health and well-being using the parent-report Child Health Questionnaire (CHQ) PF50 13 scales are scored on a 0,100 pt scale with clinically meaningful differences of five points and the presence of childhood conditions (illnesses and health problems). Results Asthma, dental, vision and allergies are the most commonly identified health problems for children and adolescents, followed by attention- and behaviour-related problems (asthma 17.9,23.2%, dental 11.9,22.7%, vision 7.2,14.7%, chronic allergies 8.8,13.9%, attention problems 5.1,13.8% and behaviour problems 5.7,12.0%). As the number of concurrent health problems increase, overall health and well-being decreases substantively with mean differences in CHQ scale scores of 14 points (,7.69 to ,21.51) for physical health conditions, and 28 points (,5.15 to ,33.81) for mental health conditions. Conclusions Children's health and well-being decreases linearly with increasing presence and frequency of health problems. Having three or more conditions concurrently significantly burdens children's health and well-being, particularly for family-related CHQ domains, with a greater burden experienced for mental health conditions than physical health conditions. [source] |