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Management of Procedure-Induced Anxiety in Children [Minkštas viršelis]

  • Formatas: Paperback / softback, 102 pages, aukštis x plotis x storis: 234x155x7 mm, weight: 190 g, Worked examples or Exercises
  • Išleidimo metai: 27-May-2021
  • Leidėjas: Cambridge University Press
  • ISBN-10: 1108822940
  • ISBN-13: 9781108822947
Kitos knygos pagal šią temą:
  • Formatas: Paperback / softback, 102 pages, aukštis x plotis x storis: 234x155x7 mm, weight: 190 g, Worked examples or Exercises
  • Išleidimo metai: 27-May-2021
  • Leidėjas: Cambridge University Press
  • ISBN-10: 1108822940
  • ISBN-13: 9781108822947
Kitos knygos pagal šią temą:
The first and only comprehensive manual covering eight decades of multi-disciplinary research that informs a core competency in the aetiology, prevalence, consequences, and management of procedure induced anxiety experienced by children undergoing medical intervention. A clear and accessible guide for all medical professionals caring for children.

Procedure induced anxiety affects the majority of children undergoing medical intervention and has been directly linked to behaviour disturbances, psychological trauma, phobias and symptoms of PTSD. Despite this, there is currently no formal training relating to the management of procedure induced anxiety for medical personnel caring for children. A distillation of more than eighty years of research, this textbook examines the nature, prevalence and consequences of anxiety in children, alongside evidence-based strategies for its effective management. Designed as a training manual, it includes a comprehensive account of positive and negative aspects of behaviour that contribute to the successful management of anxious children. Chapters cover topics such as non-verbal and verbal communication, enhanced communication management strategies, support of children with autistic spectrum disorder, ADHD, learning difficulties, the use of premedication and the role that families play. Essential reading for anaesthetists and paediatricians and a valuable resource for any practitioner working with children.

Recenzijos

'Educational and enlightening, this book is like turning a light on with regards to how children feel and behave when they get anxious and stressed. All healthcare professionals will find it incredibly useful for understanding how the children actually feel and their response to fear caused by medical intervention and how this can develop into a major phobia. This book teaches us about behaviour and shows us how we can modify what we do and how we do it to positively influence the children we care for. The techniques and strategies described made me reconsider and change how I behave around both children in a healthcare setting and my own children. This is rare in a 'textbook' and I would urge anyone working with children throughout healthcare to read and treasure it.' Andrew Klein, Consultant, Royal Papworth Hospital, Cambridge; Editor-in-Chief, Anaesthesia; Macintosh Professor, Royal College of Anaesthetists, London 'This is one of the most interesting factual books I have read for a very long time. Richard Martin shows that the recognition by the operative team makes an enormous difference to the child's experience before, during, immediately after surgery and also in the weeks following surgery. This book is summed up beautifully by a subheading that is labelled 'we all communicate'. It demonstrates that communication is the key to both understanding and improving a child's procedure induced anxiety. This book should be part of the core curriculum for doctors or other providers in anesthesia, surgery and nursing. In years to come it will be considered a game-changer with respect to how healthcare providers view and understand procedure induced anxiety in children' Ken K. Nischal, M.D, FAAP, FRCOphth; Division Chief, Pediatric Ophthalmology and Strabismus; Medical Director, Digital Medicine, UPMC Children's Hospital of Pittsburgh; Professor, University of Pittsburgh, School of Medicine 'This book offers invaluable guidance to all healthcare workers involved in the care of children who might be undergoing anxiety inducing procedures. The author draws on his extensive experience to provide readers with strategies to help reduce anxiety in children and young people, and also help them to develop coping strategies to manage their anxiety. This knowledge should form part of the core skills that everyone should have who is involved in the care of children.' The Association of Paediatric Anaesthetists of Great Britain and Ireland 'This book is unique because it presents expert clinical information, yet it does not limit the readers background to physicians or advanced practitioners, making it applicable to a broader audience.' Luis Salcedo, Doody's Notes ' The book is well organized, with sections numbered for easy reference. The information throughout is detailed and technical. While these aspects are helpful, they contribute to the book reading like an encyclopedia. Dr Martin describes interactions in a mechanistic way, and there are no cases described to pull the reader into the importance of the topic at a more personal level, this book serves as a good reference volume.' Elizabeth C. Halloran, Family Medicine Journal

Daugiau informacijos

A practical guide examining procedure induced anxiety in children during medical intervention, its consequences and management strategies.
Preface ix
Acknowledgements x
1 Introduction
1(13)
1.1 Terminology
1(1)
Procedure-Induced Anxiety (PIA)
1(1)
Operative Procedure-Induced Anxiety (OPIA)
1(1)
Procedure-Induced Psychological Trauma (PIPT)
1(1)
Post-procedure Dysfunctional Behaviour (PPDB)
1(1)
Post-operative Dysfunctional Behaviour (PODB)
1(1)
1.2 Anxiety, Fear and Fight/Flight
1(3)
1.2.1 Nature of the Anxiety State
2(1)
1.2.2 Threat until Proven Otherwise and Overwhelming Message: Non-threat
3(1)
1.3 Why Some Children Manage Their Anxiety and Others Don't
4(2)
1.3.1 Coping Strategies
4(2)
1.4 Resources
6(1)
1.5 Operative Procedure-Induced Anxiety (OPIA)
7(2)
1.5.1 Incidence of OPIA
7(1)
1.5.2 Consequences of OPIA
7(1)
1.5.3 Short-Term
7(1)
1.5.4 Long-Term
8(1)
1.5.5 Life-Long?
8(1)
1.5.6 Transgenerational
9(1)
1.6 Post-operative Dysfunctional Behaviour: UK Statistics
9(1)
1.7 Critical Elements of Child-Clinician Interaction
10(4)
1.7.1 Rapport
10(1)
1.7.2 Trust
10(1)
1.7.3 Compassion
11(1)
1.7.4 Compliance/Coercion
12(1)
1.7.5 Restraint
12(1)
Key Points
13(1)
2 Emergent Management of Procedure-Induced Anxiety (PIA)
14(2)
2.1 Core Principles
14(1)
2.1.1 Altered State
14(1)
2.1.2 Resistance
14(1)
2.1.3 Mass Effect
14(1)
2.1.4 Congruence
14(1)
2.2 We All Communicate
15(1)
3 Non-verbal Communication
16(11)
3.1 Proxemics
16(3)
3.1.1 Intimate Distance
17(1)
3.1.2 Personal Distance
17(1)
3.1.3 Social Distance
18(1)
3.1.4 Public Distance
18(1)
3.2 Height
19(1)
3.3 Eye Contact
20(1)
3.4 Facial Expression
21(1)
3.5 Head Movement
21(1)
3.6 Posture
22(2)
3.6.1 Tension and Relaxation
22(1)
3.6.2 Torso Angle
22(1)
3.6.3 Open and Closed Posture
22(1)
3.6.4 Interactive Orientation
23(1)
3.6.5 Mirroring
23(1)
3.6.6 Frame of Dominant Orientation
24(1)
3.7 Animation
24(1)
3.8 Relational Communication, Satisfaction and Compliance
25(2)
Key Points
25(2)
4 Verbal Communication
27(13)
4.1 Paralinguistics
27(1)
4.2 Influence
27(1)
4.3 Therapy
28(1)
4.4 Conscious, Preconscious/Subconscious and Unconscious Awareness
28(1)
4.5 Two-Level Communication Theory
29(1)
4.6 The Microdynamics of Suggestion
29(2)
4.7 Conversational Suggestion
31(5)
4.7.1 Nature and Complexity of Suggestion
31(1)
4.7.2 Permissiveness
32(1)
4.7.3 Imagination
32(1)
4.7.4 Metaphor and Storytelling
33(1)
4.7.5 Content Free Suggestions
33(1)
4.7.6 Embedded Suggestion/Interspersal of Suggestions
34(1)
4.7.7 Implication
34(1)
4.7.8 Utilisation
35(1)
4.7.9 Use of Negatives
36(1)
4.8 Positive and Negative Vocabulary
36(1)
4.9 Positive Pre-emptive Interpretation
37(1)
4.10 Dynamic Transition
38(2)
Key Points
39(1)
5 Enhanced Communication Strategies
40(18)
5.1 Internal Focus
40(1)
5.2 Rapport Building
40(1)
5.3 Coping Strategies
41(1)
5.4 Obstacles and Opportunities in a Child's Mindset
41(1)
5.5 Strategies
41(17)
5.5.1 Expectancy Violations Theory (EVT)
42(1)
5.5.2 Touch: Haptics
43(1)
5.5.3 Confusion/Overload
44(1)
5.5.4 Incongruent Behaviour
45(1)
5.5.6 Challenging Negative Preconceptions
46(1)
5.5.7 Tag-Team Talking
47(1)
5.5.8 Humour
47(1)
5.5.9 Distraction
48(1)
5.5.10 Yes Set
48(1)
5.5.11 The Bind: An Illusion of Choice
49(1)
5.5.12 Tension/Release
50(1)
5.5.13 Pseudo-orientation
50(1)
5.5.14 Validation
50(1)
5.5.15 Cognitive Appraisal
51(1)
5.5.16 Successive Approximation
52(1)
5.5.17 Guided Imagery and Storytelling
52(1)
5.5.18 Hypnosis
53(2)
5.5.19 Magic
55(1)
5.5.20 Decompression
55(1)
Key Points
56(2)
6 Premedication
58(6)
6.1 Acceptance/Refusal
58(1)
6.2 Snatching Defeat from the Jaws of Victory
59(1)
6.3 Sedation Anxiolysis: Anxiety Dynamic
60(1)
6.4 Organisation and Timing
60(1)
6.5 Agents
60(4)
6.5.1 Midazolam
60(1)
6.5.2 Clonidine
61(1)
6.5.3 Dexmedetomidine
61(1)
6.5.4 Ketamine
61(1)
6.5.5 Oral Morphine
62(1)
6.5.6 Fentanyl
62(1)
6.5.7 Sufentanyl
62(1)
Key Points
62(2)
7 Disordered Behaviour
64(5)
7.1 Autistic Spectrum Disorder
64(1)
7.2 Stereotypical Characteristics and Anxiety Management
64(1)
7.3 Attention Deficit Hyperactivity Disorder (ADHD)
65(1)
7.4 Learning Difficulties (LD)
65(1)
7.5 Anxiety Management Strategies
66(1)
7.5.1 Management in the Community
66(1)
7.5.2 Elective Management in Advance of Intervention
66(1)
7.5.3 Management on the Day of Intervention
66(1)
7.5.4 Reducing Sources of Stress
67(1)
7.5.5 Resources
67(1)
7.5.6 Premedication
67(1)
7.6 Extreme Cases
67(2)
Key Points
68(1)
8 Family
69(2)
8.1 Challenging Behaviour
70(1)
Key Points
70(1)
9 Additional Anxiogenic Influences
71(3)
9.1 Equipment
71(1)
9.2 Clothing and Personal Protection Equipment (PPE)
71(1)
9.3 Paediatric Themes: Colour and Lighting
72(1)
9.4 Other Children and Procedures: Sight and Sound
72(1)
9.5 Taste and Odour
73(1)
9.6 Temperature and Tactile Stimuli
73(1)
Key Points
73(1)
10 Elective Management
74(7)
10.1 Anxiety Management Services
75(1)
10.2 Elective Therapy
75(1)
10.3 Therapeutic Interventions
76(1)
10.3.1 Psychology
76(1)
10.3.2 Play Specialists
76(1)
10.3.3 Play Therapists
77(1)
10.3.4 Hypnotherapy
77(1)
10.4 Preparation Programmes
77(1)
10.5 Commonly Deployed Interventions
78(1)
10.5.1 Life and Coping Skills Training
78(1)
10.5.2 Hospital Tours and Written Information
78(1)
10.5.3 Audiovisual
79(1)
10.6 Evolving Technology
79(2)
10.6.1 Virtual and Augmented Reality
79(1)
10.6.2 Apps
79(1)
Key Points
80(1)
References 81(9)
Index 90
Dr Richard Martin is a Consultant in Paediatric Anaesthesia at Great Ormond Street Hospital in London and an Honorary Associate Professor at University College London.