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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.
This book aims to provide otolaryngology residents, otology and neurotology fellows, teachers, and young practitioners with comprehensive, up-to-date information on middle ear anatomy that fully meets their needs. It will enable those undergoing surgical training to hone their surgical skills and will assist in ensuring that patients receive appropriate management. The anatomy of the middle ear is explained in easy-to-understand descriptions and exquisitely depicted in more than 100 color photos and numerous helpful color diagrams. Key features of the book are the correlation of clinical situations to the anatomical basis of disease, the simplified explanation of embryology to provide a better understanding of developmental anomalies, and the inclusion of carefully selected CT scans that will assist in the reading of normal anatomy and the identification of pathological features.
Sadly, southern Africa is no exception to this statement and every healthcare professional will see survivors of abuse during their career. One of the objectives of Child Abuse: Guidelines and Applications for Primary Healthcare Professionals is to equip healthcare professionals with the knowledge to detect such abuse early. The authors provide detailed information on the risk factors and indicators of abuse, the ethical decisions around reporting, and in-depth clinical information for the clinician. Final chapters give information on the legal aspects of child abuse, including giving evidence in court and the avenues available to prosecute the perpetrator.
Neonatal hematology is a fast-growing field, and the majority of sick neonates will develop hematological problems. This is an essential guide to the pathogenesis, diagnosis and management of hematologic problems in the neonate. Guidance is practical, including blood test interpretation, advice on transfusions and reference ranges for hematological values. Chapters have been thoroughly revised according to the latest advances in the field for this updated third edition. Topics discussed include erythrocyte disorders, platelet disorders, leukocyte disorders, immunologic disorders and hemostatic disorders. Coverage of oncological issues has been expanded to two separate chapters on leukemia and solid tumors, making information more easily accessible. Approaches to identifying the cause of anemia in a neonate are explained, with detailed algorithms provided to aid clinicians in practice. Covering an important hematologic niche with an ever increasing amount of specialized knowledge, this book is a valuable resource for hematologists, neonatologists and pediatricians.
This accessible handbook introduces the subject to the wide array of frontline workers in health, education and social services who have regular contact with children and young people, and need some knowledge of the mental health issues that affect them, and the services available.
The purpose of this title is to provide a basis for tutors from which to teach undergraduate medical students. It is not intended to be a comprehensive work on paediatric surgery or to cover all the opinions on the subject, but rather to be a practical guide to what the general practitioner should know about paediatric surgery.
This book examines the many ethical issues related to health and health care in children. It describes the field of Pediatric ethics, a unique and important aspect of the discipline of bioethics, the study of moral conduct in health care and the rational process for determining the best course of action in the face of conflicting choices. The book begins with an exploration of what it means to be a child in America and the unique kinship relationships and obligations engendered by the decision of parents to have a child, and it examines ethical principles and professional obligations related to the care of children. Each of the chapters in the book focuses on important ethical concerns. It begins with ethical issues in creating babies using reproductive technologies, and then continues with an analysis of the ethical issues in labor and delivery of a child. The book continues with an in depth analysis of the many hard choices faced by families and clinicians in the care of critically ill neonates, and then goes on to describe current controversies in caring for older children who are dying and their families, as well as ethical issues concerning adolescents, research ethics as it relates to children, issues concerning genetic testing, screening and biobanking, and surgical and medical enhancement of children. Each chapter has case examples to illustrate the real life concerns of patients, families and clinicians. The book is intended for students in pediatrics and ethics, as well as for practicing clinicians, and interested families.
Discover new perspectives and recent research findings to apply to the children and families on your caseload With Movement Sciences: Transfer of Knowledge into Pediatric Therapy Practice, you will explore the motor control, learning, and development of children with movement disorders, allowing you to increase the effectiveness of intervention. This book provides cutting-edge information on motor disabilities in children such as cerebral palsy, Down syndrome, or Erb's palsy and how prehension, balance, and mobility are affected. Expert researchers and practitioners offer their findings and techniques for improving motor processes, using figures, tables, and extensive resources to help you create more effective pediatric rehabilitation programs. With this book, you will gain a better understanding of: motor control for posture and prehension the motor learning challenges of children with movement dysfunction predictors of standing balance in children with cerebral palsy the effect of environment setting on mobility methods of children with cerebral palsy the reliability of a clinical measure of muscle extensibility in preterm and full-term newborn infants Movement Sciences: Transfer of Knowledge into Pediatric Therapy Practice will help physical therapists, occupational therapists, and other health care professionals implement motor learning concepts safely and effectively. This book also delivers practical advice for achieving the best results with a younger population by utilizing interventions that address the needs of their clients. With this guide, you will be able to determine which approaches are acceptable to the children and families in your practice, and ensure the therapy is meaningful to their daily lives.
Examine the effects of childhood trauma on sexual orientation and behavior! This pioneering book examines the effects of childhood trauma including sexual abuse on sexual orientation and behavior. It will help you expand your sensitivity and expertise in a critically important way: by providing a nonjudgmental look at the profound effects of long-standing early abuse on the sexual identities, orientation, behaviors, and fantasies of the people who come to you for help. From the editors: "In the modern era of trauma studies, clinicians and researchers have been treating and investigating the effects of trauma including the sexual abuse of children for more than two decades. And yet, we know far more about sequelae such as post-traumatic and dissociative symptoms, disrupted attachment, addictions, eating disorders, and somatoform symptoms than we do about the effects of trauma on sexual behavior. With the exception of a relatively few articles in the scientific literature (many of which were written by the authors in this collection), little has been published about the sexual effects of sexual abuse and other childhood maltreatment. "Why have we neglected this obvious and important area? Perhaps the reason can be simply attributed to our Victorian legacy of reluctance to openly discuss sexuality. Or, perhaps the reason may be related to some of the expressions of sexuality that are sometimes seen in persons with childhood trauma. At times, expressions such as sexual addiction, homosexuality, sadomasochistic behavior, and prostitution have been classified as deviant. This may have contributed to our reluctance to discuss them openly. Or, perhaps the reason is that we collectively wish to deny the effects of abuse on one of the core aspects of ourselves to deny that early traumatic events forever change the sexual lives of persons in such an intimate and profound way." The contributors to this well-referenced book combine their insight and expertise to address sensitive areas, including: the concepts of "femininity" and "masculinity" and how these personality styles are direct and indirect outcomes of trauma and reflective of dissociation treatment approaches for lesbian, gay, bisexual, and transgendered trauma survivors the need to address sexuality in treatment and to always keep in mind that there are many different healthy expressions of sexuality and gender the relationship of dissociation to sexual addiction/compulsivity in survivors of childhood sexual abuse sexual behavior problems in children who have been abused, including sexually reactive behaviors, extensive but mutual sexual behaviors, and children who molest essential reading for anyone who doesn't want to see abused children mislabeled as sexual offenders! hyposexuality and hypersexuality as a result of childhood trauma the relationship between trauma history, trauma-related symptoms, and sexual risk behaviors that can lead to infection by HIV or other STDs as well as unplanned pregnancy
Like the successful first edition, this improved, updated and expanded second edition covers the presentation of the common orofacial disorders and a wide range of less common and some rare disorders. It also now includes treatment recommendations for the most common oral diseases, tailored to the pediatric age group.
Any health professional called upon to diagnose and treat children who have orofacial problems will benefit from the wealth of material offered here.
This book constitutes a clear, comprehensive, up-to-date
introduction to the basic principles of psychological and
educational assessment that underlie effective clinical decisions
about childhood language disorders. Rebecca McCauley describes
specific commonly used tools, as well as general approaches ranging
from traditional standardized norm-referenced testing to more
recent ones, such as dynamic and qualitative assessment.
Highlighting special considerations in testing and expected
patterns of performance, she reviews the challenges presented by
children with a variety of problems--specific language impairment,
hearing loss, mental retardation, and autism spectrum disorders.
Three extended case examples illustrate her discussion of each of
these target groups. Her overarching theme is the crucial role of
well-formed questions as fundamental guides to decision making,
independent of approach.
First published in 1988. Routledge is an imprint of Taylor & Francis, an informa company.
When Love Is Not Enough relates how a multitude of factors--the competence of staff; the safety, nurturing, and protective elements of the emotional, physical, and political setting; and all overt and covert organizational dynamics--determine whether or not a treatment setting accomplishes its therapeutic aims. Authors in When Love Is Not Enough continue the emphasis on the group-as-a-whole "Group Relation" model of organizational and group processes begun with Wilfred Bion's work at the Tavistok Clinic in London in the 1940s. This model helps those providing services to children and adolescents evaluate their treatment programs and make the necessary changes toward improvement.Chapters in When Love Is Not Enough are dedicated to improving the psychological treatment of children and adolescents in postmodern society, a society in which life in interdependent communities is becoming increasingly important for the health and survival of all persons. Topics covered include: the Tavistok approach to understanding group and organizational behavior the emphasis on group-as-a-whole in problem solving and treatment design narrowing the gap between plan and outcome the dynamics involved in the psychiatric treatment of children issues of staff selection, training, and development in programs designed to treat children countertransference responses in the treatment of children and adolescents revitalizing organizations the subjective experience of school lifeWhen Love Is Not Enough helps organizations realize the ways in which they may, inadvertently, undermine the emotional and cognitive functioning of the staff or the identified patients and set serious limits on the growth of members of the organization, staff and patients alike. It urges organizations to conduct an ongoing self-scrutiny concerning their rational and irrational processes, as this self-examination is crucial to the health and vitality of the treatment offered to others. The book also promotes thinking of the conscious and unconscious dynamics of the group-as-a-whole to more completely inform organizational decisions concerning changes that may enhance the treatment of children and adolescents.When Love Is Not Enough serves as an invaluable guide for mental health professionals who treat children and adolescents, group therapists, hospital and clinic administrators, psychoanalysts, nurses, social workers, psychologists, and psychiatrists.
This book provides a comprehensive overview of the biological basis of renal tumors in childhood and the clinical approaches to their treatment. Recent advances in our understanding of the molecular genetics of Wilms and other renal tumors are placed in their clinical context, including the differing treatment approaches of immediate surgery or pre-operative chemotherapy. The challenges in applying this knowledge to improve risk stratification and to incorporate biologically targeted agents into front-line therapy are discussed. All of the authors are experts from Europe and North America and the book has been written specifically as an easy reference for the practising clinician and the research scientist. It lays the basis for understanding the future direction of clinical and translational research to improve outcomes in patients with childhood renal tumors and will prove indispensable for those treating or researching into these diseases.
Occupational and Physical Therapy in Educational Environments covers the major issues involved in providing lawful, team-oriented, and effective occupational and physical therapy services for students with disabilities in public schools. For those involved with students with disabilities, this book helps them make sound decisions about services that will make a meaningful difference in the lives of these children.Since the 1975 enactment of Public Law 94--142, which mandated that occupational and physical therapy be provided "as may be required by a handicapped child to benefit from special education," this required link between therapy and education has continued to lead to confusion and controversy about which students should receive therapy in school and what types of services should be provided. The purpose of Occupational and Physical Therapy in Educational Environments is to clarify the major issues surrounding occupational and physical therapy in public schools, and to provide a framework for delivery of team- and family-oriented services that meet individual needs of students with disabilities.For those unsure of current regulations regarding handicapped students, or those who need clarification on the law, the book begins with a review of legislation and regulations. This begins to guide and shape schools'provision of therapy services. The following chapters assist occupational and physical therapists and important members of the educational teams of disabled students to make sound decisions about which students need school-based therapy services: Laws that Shape Therapy Services in Educational Environments: summarizes the major statutory law, federal regulations, and case law interpretation in which school-based practice is grounded. Pediatric Therapy in the 1990s: reviews contemporary theories of motor development, motor control, and motor learning that have had major impact on therapy for school-age children with disabilities. Related Services Decision-Making: describes a strong team approach to determining a student's need for occupational and physical therapy services, which takes into account the unique characteristics of both the student and the educational team. Assessment and Intervention in School-Based Practice: describes an approach to assessment and intervention in schools that clearly illustrates a relationship between therapy and educational programs that result in meaningful outcomes for students. Challenges of Interagency Collaboration: reports on a qualitative study that points out that schools are not the only settings in which many students with disabilities receive services, so coordination between various agencies is essential to avoid gaps, overlaps, and cross purposes.Those who can benefit from Occupational and Physical Therapy in Educational Environments include occupational and physical therapists who work in public schools, school administrators, teachers, and even parents of disabled children.
Dr. Miller's valuable resource helps members of the medical team navigate the complexity of cerebral palsy care by explaining unfamiliar treatments that fall outside of their own disciplines. Readers also benefit from a review of current practices in their own fields. Includes recommended treatment algorithms and is designed to help improve decision making. Written in a very conversational style and illustrated with lots of color the volume provides rehabilitational (part 1) and surgical aspects (part 2). Accomplished by a CD-ROM which provides lots of case studies - including walking analysis. The most comprehensive title on this topic written by a leading expert.
This unique manual is a "surgical cookbook" designed to provide clear and concise guidance for trainees in paediatric surgery. With the aid of simple line drawings depicting each operative step, more than one hundred frequently performed procedures are explained and demonstrated. The reader will learn how to perform each procedure effectively and safely, avoiding potential complications. The full range of surgery is covered, including basic surgical skills, day surgery procedures, emergency surgery procedures and minimally invasive surgery. The book will be of value not only to trainees in paediatric surgery but also to trainees in general surgery, theatre nurses, parents and carers.
This timely book provides for the therapist working with cases of intrafamily child sexual abuse both a theoretical background and practical information for the treatment of incest and gives new insight into the complex problems associated with incest. With the enactment of more stringent child abuse reporting laws nationwide and increased public education about the problem, there has been a dramatic increase in the need for incest-related psychotherapy. Treating Incest is an important source of information about the assessment and treatment of the family that will enable clinicians to provide appropriate crisis intervention for families and make informed judgments about referrals, if necessary. The book's central theme is that effective treatment of incest requires a systemic approach because incestuous activity is the product of a problematic family, rather than the cause. The book is divided into two helpful sections: assessment issues and treatment issues and techniques.
This superbly illustrated book combines the systematic approach of a textbook with the simplicity of consultation of an atlas in order to provide a comprehensive guide to the applications and benefits of scintigraphic studies in children. All of the clinical scenarios in which conventional nuclear medicine techniques frequently play a role in children are covered, with explanation of imaging diagnosis, the relevance of clinical history, problem solving, and pitfalls. The images themselves are the key focus of the book, and in each setting the added value offered by scintigraphy is carefully identified. The book also describes management of the pediatric patient and addresses general considerations, including reception, interaction with parents, radiopharmaceutical administration, image acquisition, radiation exposure, and the relationship of nuclear medicine and radiology. Since the child is not a young adult, it is insufficient simply to adapt nuclear medicine procedures performed in adults to the age and size of the child. Conventional Nuclear Medicine in Pediatrics will be a rich source of information for all who perform these procedures in the pediatric setting.
This book is designed to present a comprehensive and state-of the-art approach to the management of adrenal neoplasms that provides a resource to the broad group of providers that will encounter such a patient. Sections address issues that are faced by providers who encounter a patient with an adrenal neoplasm. These areas include an overview of the genetic basis and familial cancer syndrome-associated with adrenal neoplasms, pathobiology, advanced and tumor specific imaging approaches and technologies, biochemical analysis, standard medical and surgical therapies, and emerging technology and treatment approaches to benign and malignant adrenal neoplasms. Written by experts in the field, each of these sections address level of clinical evidence and provide recommendations and treatment algorithms. Extensive illustrations make this an interactive text. Management of Adrenal Masses in Children and Adults will serve as a very useful resource for all providers dealing with, and interested in this common but challenging tumor. It will provide a concise yet comprehensive summary of the current status of the field that will help guide patient management and stimulate investigative efforts.
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