No Child is an Island: Contextual Pediatrics and the “New” Health Supervision

Green, Morris

doi:10.1016/s0031-3955(16)38909-x

Cited by 13 publications

(10 citation statements)

References 6 publications

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“…O conceito de pediatria contextual, o qual se refere à prática clínica que vê a criança, a família e a comunidade como um conjunto contínuo 23 , não é novo. Há relatos de reconhecimento da influência de atitudes familiares, ambiente e classe socioeconômica sobre o desenvolvimento da criança que datam dos primórdios da pediatria, no final do século XIX 24,25 .…”

Section: Conclusõesunclassified

“…Um dos pontos-chave é o diagnóstico de saúde, que inclui a observação seqüencial dos problemas e trunfos da família e de seu entorno 23,27 (ver Tabela 2). Uma dessas iniciativas mais abrangentes é o projeto Bright Futures, desenvolvido por Morris Green e Judith Palfrey 28 , centrado na puericultura, o qual sugere que ela se baseie numa conexão vertical entre pediatras e todos os demais profissionais de saúde de um determinado serviço, associada a uma conexão horizontal com os diferentes programas comunitários de associações de bairro, creches, escolas, igrejas e serviços de saúde pública.…”

Section: Fatores Intrapessoaisunclassified

“…A pediatria contextual, de acordo com Morris Green, que cunhou o termo, é uma mera extensão da prática clínica tradicional, isto é, responsabilidade precípua de todo pediatra 23 . Nesse sentido, cuidar da criança e do jovem na sua integralidade, na de sua família e de sua cultura, considerando uma ampla gama de opções terapêuticas apoiadas em evidências científicas o que já foi chamado de medicina holística , é simplesmente boa medicina 36 .…”

Section: Os Papéis Do Pediatraunclassified

“…Nesse sentido, cuidar da criança e do jovem na sua integralidade, na de sua família e de sua cultura, considerando uma ampla gama de opções terapêuticas apoiadas em evidências científicas o que já foi chamado de medicina holística , é simplesmente boa medicina 36 . Para melhor assumir seu papel nesse processo, o pediatra deve reforçar o relacionamento longitudinal com as famílias, aproveitando as oportunidades de intervenção construtiva; promover uma aliança terapêutica baseada na confiança; saber encaminhar os problemas mais difíceis a outros profissionais 23 .…”

Section: Os Papéis Do Pediatraunclassified

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Injury control from the perspective of contextual pediatrics

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2005

J Pediatr (Rio J)

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Como citar este artigo: Blank D. Controle de injúrias sob a ótica da pediatria contextual. J Pediatr (Rio J). 2005;81(5 Supl):S123-S136. AbstractObjective: To describe the relationship between injury control and contextual pediatrics.Sources of data: Quasi-systematic review of MEDLINE, SciELO and LILACS databases, using combinations of the words contextual, community, injury, accident and violence; and non-systematic review of book chapters and classic articles.Summary of the findings: Safety depends on the interaction of family habits, cultural patterns and surroundings. Contextual pediatrics sees the child, the family, and the community as a continuum; health diagnosis (sequential observation of problems and assets) is one of its cornerstones. Changing intrapersonal factors for injuries requires the use of both passive and active strategies. Family and cultural risk factors for injury: home overcrowding, moving, poverty, and young, illiterate and unemployed parents. The main neighborhood factors: material deprivation and traffic. Cultural factors: illiteracy, unsafe products, lack of mass transportation, handguns, workplaces without safety rules, faulty community organization, lack of communication between social sectors, inadequate legislation, low priority for safety among government actions, lack of economic resources, and low academic commitment with the field of safety. Conclusions:The pediatricians roles include strengthening of the longitudinal relationship with families, integrated interdisciplinary work, constructive intervention, partnership with community, counseling on injury risks pertaining to each developmental stage, by using lists with explicit processes and contents, and by handing out written materials. Active advocacy for safety promotion in different environments, besides the clinical setting.

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Section: Conclusõesunclassified

Section: Fatores Intrapessoaisunclassified

Section: Os Papéis Do Pediatraunclassified

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Injury control from the perspective of contextual pediatrics

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2005

J Pediatr (Rio J)

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“…19 Figure 1 also shows the close relationship between looking at health from a contextual perspective and notion of comprehensive control over the risk factors of all types of injuries (unintentional, violence and suicide) and their treatment at all levels (prehospital care to rehabilitation). 21,22 The concept of contextual pediatrics, which consists of the clinical practice that sees the child, family and community as a continuous set, 23 is not new. There have been reports of acknowledgment of the influence of family attitudes, environment and socioeconomic class on child development, which date back to the origins of pediatrics, in the late 19th century.…”

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Controle de injúrias sob a ótica da pediatria contextual

Blank¹

2005

J. Pediatr. (Rio J.)

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Suggested citation: Blank D. Injury control from the perspective of contextual pediatrics. J Pediatr (Rio J). 2005;81(5 Suppl):S123-S136. AbstractObjective: To describe the relationship between injury control and contextual pediatrics. Sources of data:Quasi-systematic review of MEDLINE, SciELO and LILACS databases, using combinations of the words contextual, community, injury, accident and violence; and non-systematic review of book chapters and classic articles.Summary of the findings: Safety depends on the interaction of family habits, cultural patterns and surroundings. Contextual pediatrics sees the child, the family, and the community as a continuum; health diagnosis (sequential observation of problems and assets) is one of its cornerstones. Changing intrapersonal factors for injuries requires the use of both passive and active strategies. Family and cultural risk factors for injury: home overcrowding, moving, poverty, and young, illiterate and unemployed parents. The main neighborhood factors: material deprivation and traffic. Cultural factors: illiteracy, unsafe products, lack of mass transportation, handguns, workplaces without safety rules, faulty community organization, lack of communication between social sectors, inadequate legislation, low priority for safety among government actions, lack of economic resources, and low academic commitment with the field of safety. Conclusions:The pediatricians roles include strengthening of the longitudinal relationship with families, integrated interdisciplinary work, constructive intervention, partnership with community, counseling on injury risks pertaining to each developmental stage, by using lists with explicit processes and contents, and by handing out written materials. Active advocacy for safety promotion in different environments, besides the clinical setting.J Pediatr (Rio J). 2005;81(5 Suppl):S123-S136: Community medicine, wounds and injuries, counseling, health education. Injury control from the perspective of contextual pediatricsDanilo Blank* 0021-7557/05/81-05-Suppl/S123 Jornal de Pediatria Copyright © 2005 by Sociedade Brasileira de Pediatria REVIEW ARTICLEPediatrics is a contextual specialty concerned about children, their families, and the communities in which they live (...) Although the morbidity and mortality of children have changed over the past 150 years, the need for engaging in the community with families and community-based partners has not. Rather, the salience of community pediatrics has risen as the effects of societal forces have intensified and knowledge of the bioenvironmental interface has become more sophisticated (...)Pediatricians began collaborating with others in the community to prevent disease and promote health.Beyond the clinic doors, they found clear patterns and explanations. Child health outcomes were in a dynamic interplay with the environment, secular trends, commercial developments, the economy, family customs, and cultural norms.Judith S. Palfrey, Thomas F. Tonniges, Morris Green and Julius Richmond 1 S124 Jornal d...

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