Improving the Communication of Healthcare Professionals with Affected Children and Adolescents

Author(s):  
Anna Nordenström ◽  
Ute Thyen
Author(s):  
Ulrike Hoffmann ◽  
Vera Clemens ◽  
Elisa König ◽  
Elmar Brähler ◽  
Jörg M. Fegert

Abstract Background International studies show that child maltreatment is a widespread but often underestimated problem that causes high individual, social and economic costs. Child maltreatment is an important topic for the medical sector as well. On the one hand, affected persons often seek support and help from healthcare professionals, but on the other hand, assaults can also occur in medical institutions by healthcare professionals. Surprisingly, there is hardly any data on the frequency of child maltreatment by healthcare professionals in general and particularly by nursing staff. Methods Therefore, in a large representative survey of the German population of 2,516 subjects aged between 14 and 91, the experience of child maltreatment in medical institutions by nursing staff was assessed retrospectively. Results Of the 46 subjects who had an inpatient stay in a child and adolescent psychiatry before the age of 18, 33.3% reported to have experienced maltreatment by nursing staff, while 17.3% of the 474 persons who had an inpatient stay in general or pediatric hospitals experienced maltreatment by nursing staff. All forms of maltreatment were significantly more frequent in psychiatric compared to general and pediatric hospitals. Conclusions The results of our representative retrospective survey demonstrate that maltreatment by nursing staff are not rare individual cases, but that medical facilities bear systemic risks for assault. Therefore, it is necessary that all medical institutions, in particular psychiatric hospitals, address this issue. In order to reduce the risk for assaults, it is important not only to implement structural measures but also to develop an attitude that emphasizes zero tolerance for violence against children and adolescents.


2021 ◽  
Vol 9 ◽  
Author(s):  
Łukasz Dembiński ◽  
Gottfried Huss ◽  
Igor Radziewicz-Winnicki ◽  
Zachi Grossman ◽  
Artur Mazur ◽  
...  

The COVID-19 pandemic and global lockdown have had drastic socioeconomic and psychological effects on countries and people, respectively. There has been limited access to health care and education. These negative consequences have had a significant impact on the well-being of children and adolescents. Therefore, the EAP and the ECPCP are requesting state, health, and education authorities as well as European pediatric societies and the healthcare professionals that special attention be given to this population and the problems they face as a result of the pandemic.


Children ◽  
2021 ◽  
Vol 8 (12) ◽  
pp. 1139
Author(s):  
Thorvaldur S. Palsson ◽  
Alessandro Andreucci ◽  
Christian Lund Straszek ◽  
Michael Skovdal Rathleff ◽  
Morten Hoegh

Spinal pain in adults is a significant burden, from an individual and societal perspective. According to epidemiologic data, spinal pain is commonly found in children and adolescents, where evidence emerging over the past decade has demonstrated that spinal pain in adults can, in many cases, be traced back to childhood or adolescence. Nevertheless, very little focus has been on how to best manage spinal pain in younger age groups. The purpose of this article is to put the focus on spinal pain in children and adolescents and highlight how and where these problems emerge and how they are commonly dealt with. We will draw on findings from the relevant literature from adults to highlight potential common pathways that can be used in the management of spinal pain in children and adolescents. The overall focus is on how healthcare professionals can best support children and adolescents and their caregivers in making sense of spinal pain (when present) and support them in the self-management of the condition.


PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0247446
Author(s):  
Sarah Leitzen ◽  
Diana Dubrall ◽  
Irmgard Toni ◽  
Julia Stingl ◽  
Maike Schulz ◽  
...  

The objective of this study was to analyse reports on adverse drug reactions (ADRs) from Germany in the particularly vulnerable patient group of children and adolescents. Reporting characteristics, demographic parameters and off-label use were examined among others. The ratio of ADR reports per number of German inhabitants and the ratio of ADR reports per number of German inhabitants exposed to drugs were calculated and compared. These parameters were examined to derive trends in reporting of ADRs. 20,854 spontaneous ADR reports for the age group 0–17 years were identified in the European ADR database EudraVigilance for the time period 01.01.2000–28.02.2019 and analysed with regard to the aforementioned criteria. 86.5% (18,036/20,854) of the ADR reports originated from Healthcare Professionals and 12.2% (2,546/20,854) from non-Healthcare Professionals. 74.4% (15,522/20,854) of the ADR reports were classified as serious. The proportion of ADR reports per age group was 11.8% (0–1 month), 11.0% (2 months—1 year), 7.4% (2–3 years), 9.3% (4–6 years), 25.8% (7–12 years), and 34.8% (13–17 years) years, respectively. Male sex slightly dominated (51.2% vs. 44.8% females). Only 3.5% of the ADR reports reported off-label use. The annual number of ADR reports increased since 2000, even if set in context with the number of inhabitants and assumed drug-exposed inhabitants. The pediatric population declined in the study period which argues against its prominent role for the increase in the total number of ADR reports. Instead, among others, changes in reporting obligations may apply. The high proportion of serious ADR reports underlines the importance of pediatric drug safety.


2019 ◽  
Vol 21 (1) ◽  
pp. 58
Author(s):  
Ana Lídia Soares Cota ◽  
Andreza Maria Correia de Queiroz ◽  
Mariana Maria Castro Jatobá Remígio ◽  
Daniel Alves Reis ◽  
Daniela Do Carmo Kabengele

Child abuse is a serious violation of the child’s basic rights and the precocious diagnosis of maltreatment cases and early intervention are important for the protection of the involved individuals. Most of the lesions involve the mouth, craniofacial regions, and neck. Therefore, dentists are in an exceptionally favorable position to recognize child abuse. Thus, the aim of the present study, through an integrative review, to guide dentists in the identification and report of children and adolescents’ maltreatment. A review of the literature was performed from secondary sources such as manuals, official documents and articles from scientific journals published in the electronic databases “Scientific Electronic Library Online (SciELO) and “Latin American and Caribbean System on Health Sciences Information “ (LILACS). Based on the critical analysis carried out, it is concluded that it is an ethical, legal and moral duty of these healthcare professionals to recognize signs and behaviors indicative of any kind of child neglect, violence (physical, sexual and / or psychological abuse). The suspected or confirmed cases must be reported to the competent organs, aiming at the interruption of violent episodes and ensuring the inclusion of minors in policies that promote their full and healthy development.Keywords: Dentists. Child Abuse. Domestic Violence.ResumoOs maus-tratos contra crianças e adolescentes representam uma grave violação dos seus direitos básicos, sendo importante o diagnóstico precoce dos casos de violência e a intervenção precoce para a proteção dos indivíduos envolvidos. Uma vez que a maioria das lesões decorrentes das agressões envolvem a boca, regiões craniofaciais e pescoço, os cirurgiões-dentistas apresentam uma posição estrategicamente favorável para reconhecer o maltrato infantil. Desta forma, o objetivo do presente trabalho é, por meio de uma revisão integrativa, orientar os cirurgiões-dentistas na identificação e denúncia de maus-tratos contra crianças e adolescentes. Foi realizada uma revisão da literatura a partir de fontes secundárias como manuais, documentos oficiais e artigos de periódicos científicos publicados nas bases de dados eletrônicas “Scientific Eletronic Library Online” (SciELO) e “Literatura Latino-Americana e do Caribe em Ciências da Saúde” (Lilacs). Com base na análise crítica realizada, observou-se que é dever ético, legal e moral desses profissionais de saúde o reconhecimento de sinais e comportamentos indicativos de qualquer tipo de violência infantil (negligência, abuso físico, sexual e/ou psicológico), seguido da denúncia dos casos suspeitos ou confirmados junto ao Conselho Tutelar, visando a interrupção de episódios violentos e a garantia da inclusão dos menores em políticas de promoção de seu desenvolvimento pleno e saudável.Palavras-chave: Odontólogos. Maus-Tratos Infantis. Violência Doméstica.


2014 ◽  
Vol 22 (3) ◽  
pp. 425-431 ◽  
Author(s):  
Gabriella Michel dos Santos Benedetti ◽  
Mara Lúcia Garanhani ◽  
Catarina Aparecida Sales

OBJECTIVE: to understand the experiences of parents of children and adolescents with cancer undergoing treatment.METHOD: qualitative research, based on Heidegger's existential phenomenology, in which 13 parents of eight patients under 19 years of age, assisted by a charity association, were interviewed.RESULTS: three topics resulted from the analysis: "Experiencing the unpleasantness of the treatment"; "Fearing the possibility of a frightening situation" and "Experiencing the carelessness of another person". It was showed that during and after the treatment, the parents experience the fear of the unknown and the uncertainty of the future of their children, especially as they witness the death of other children; they also experience the indifference of professionals working in the local healthcare units and feel helpless and insecure.CONCLUSION: It is essential that the healthcare professionals, particularly the nurses, reflect about their care actions focused on the parents of children with cancer, recognizing their existential needs with the purpose of assisting them in their situation.


1992 ◽  
Vol 1 (2) ◽  
pp. 36-43 ◽  
Author(s):  
Marilyn A. Nippold ◽  
Ilsa E. Schwarz ◽  
Molly Lewis

Microcomputers offer the potential for increasing the effectiveness of language intervention for school-age children and adolescents who have language-learning disabilities. One promising application is in the treatment of students who experience difficulty comprehending figurative expressions, an aspect of language that occurs frequently in both spoken and written contexts. Although software is available to teach figurative language to children and adolescents, it is our feeling that improvements are needed in the existing programs. Software should be reviewed carefully before it is used with students, just as standardized tests and other clinical and educational materials are routinely scrutinized before use. In this article, four microcomputer programs are described and evaluated. Suggestions are then offered for the development of new types of software to teach figurative language.


Author(s):  
Melen McBride

Ethnogeriatrics is an evolving specialty in geriatric care that focuses on the health and aging issues in the context of culture for older adults from diverse ethnic backgrounds. This article is an introduction to ethnogeriatrics for healthcare professionals including speech-language pathologists (SLPs). This article focuses on significant factors that contributed to the development of ethnogeriatrics, definitions of some key concepts in ethnogeriatrics, introduces cohort analysis as a teaching and clinical tool, and presents applications for speech-language pathology with recommendations for use of cohort analysis in practice, teaching, and research activities.


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