(269) Children's Comfort Promise; successfully implementing an evidence based pain protocol for needle procedures throughout a large children's hospital and clinic system

Eull, Donna; Postier, Andrea; Hermes, Daniel; Weidner, Christian; Friedrichsdorf, Stefan J.

doi:10.1016/j.jpain.2016.01.174

Cited by 1 publication

(2 citation statements)

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“…Finally, we can prepare individuals to make and implement a procedural care plan, shared to help medical staff understand what strategies the individual needs to be able to cope and cooperate with the procedure. CBT, including graduated exposure and systematic desensitization, can also be effective in building habituation to anxiety‐provoking stimuli and skills to manage PA. Table 4 highlights developmentally appropriate comfort positions and strategies to minimize the development of PA 53,56 …”

Section: Procedural Anxietymentioning

confidence: 99%

“…While there are many PA targets worthy of attention, the collection of interventions with strong empirical support to offer individuals to cope effectively and cooperate safely during procedures 52‐54 are fairly similar. First, the individual should be optimally prepared for what to expect, guided by individual preference, age, and development.…”

Section: Procedural Anxietymentioning

confidence: 99%

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Promoting emotional wellness in children with CF, part II: Mental health assessment and intervention

Georgiopoulos

Christon

Filigno

et al. 2021

Pediatric Pulmonology

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This is the second of two companion papers that examine the emotional wellness of children with cystic fibrosis (CF) during the early years of life, defined here as the period between birth and age 12. Both papers promote optimal mental health and well‐being, with an emphasis on early identification and intervention. The first paper explores child and family resilience. Here, we discuss strategies for pediatric CF teams to provide routine, systematic mental health assessment, anticipatory guidance, brief intervention, and triage to evidence‐based treatment when needed, while addressing barriers to accessing care. Many mental health conditions emerge before the age of 12, with the potential for lifelong effects on individuals, their families, and society. Living with a chronic illness such as CF can further increase the risk of mental health concerns and, in a bidirectional manner, their consequences for the quality of life, sustaining daily care, and health outcomes. There has been a significant focus in recent years on the mental health and wellness of adolescents and adults with CF, but less attention to specifics of depression and anxiety in younger children, or to other common pediatric comorbidities including trauma, developmental disorders such as attention‐deficit/hyperactivity disorder or autism spectrum disorder, and oppositional behavior. Given the availability of psychometrically sound screening instruments and effective interventions, routinely addressing the mental health of children with CF and their families is feasible to integrate within multidisciplinary CF care, allowing for a personalized approach respecting individual needs, values, and goals.

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Section: Procedural Anxietymentioning

confidence: 99%

Section: Procedural Anxietymentioning

confidence: 99%