Producing systemic change in pediatric practice: An intervention protocol for reducing distress during painful procedures.

Kazak, Anne E.; Blackall, George F.; Himelstein, Bruce P.; Brophy, Patricia; Daller, Ruth

doi:10.1037/h0089141

Cited by 17 publications

(6 citation statements)

References 16 publications

(18 reference statements)

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“…In the area of pain associated with invasive procedures such as bone marrow aspirations, parent-directed interventions can be added to pharmacologic intervention to reduce child discomfort (Kazak, Penati, Brophy, & Himelstein, 1998). In the interventions described, an associated change in practice was also described, as multidisciplinary staff changed their overall approach to children's pain as part of a research study of the intervention protocol (Kazak et al, 1996; Kazak, Blackall, Himelstein, Brophy, & Daller, 1995).…”

Section: Examples Of Clinical Intervention Based On the Ppphmmentioning

confidence: 99%

Pediatric Psychosocial Preventative Health Model (PPPHM): Research, practice, and collaboration in pediatric family systems medicine.

Kazak

2006

Families, Systems, & Health

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333

205

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A biopsychosocial framework for assessing and treating families of children in pediatric health care settings is presented. Guided by a social ecological perspective on child health, the Pediatric Psychosocial Preventative Health Model (PPPHM) is a 3-tier model based on a public health orientation. The goal of the PPPHM is to conceptualize how families of acutely and chronically ill children might be provided psychosocial support to match their level of need and risk. The largest group of families, Universal, consists of competent and adaptive families confronting health-related stressors. A smaller group of families, Targeted, is at some elevated risk for ongoing psychosocial difficulties. The smallest group of families, Clinical/Treatment, exhibits more evident symptomatology. Examples of family and systems interventions that integrate care among behavioral health care providers and within multidisciplinary treatment teams, across levels of the PPPHM, are presented and discussed.

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Section: Examples Of Clinical Intervention Based On the Ppphmmentioning

confidence: 99%

Pediatric Psychosocial Preventative Health Model (PPPHM): Research, practice, and collaboration in pediatric family systems medicine.

Kazak

2006

Families, Systems, & Health

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333

205

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“…Although each age group presents different developmental risks, it is clear that both adolescents and young children need age-appropriate support and intervention. A good deal of effort has gone into developing appropriate prehospitalization programs for children (e.g., Falck, 1987;Gillis, 1990;Kazak, Blackall, Himelstein, Brophy, & Daller, 1995;Melamed, Meyer, Gee, & Soule, 1976;Melamed & Ridley-Johnson, 1988), including medical play (Bolig, Yolton, & Nissen, 1991;Petrillo & Sanger, 1980). However, the same attention has not been focused on adolescents.…”

Section: Developmental Risks Of Hospitalized Adolescentsmentioning

confidence: 99%

Design Issues in Hospitals

Blumberg¹,

Devlin

2006

Environment and Behavior

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Adolescents are underrepresented in the research on health care design. This qualitative study examined the preferences of 54 male and 46 female junior high school students, aged 12 to 14, regarding the physical design and visiting policies of hospitals. Participants compared and rated color photos of hallways and lobbies for units with adult-oriented decoration versus child-oriented decoration and answer questions about such issues as privacy, amenities, entertainment, and visiting hours policy. Responses were analyzed to explore adolescents' criteria for hospital design. Adolescents prefer the bright colors associated with childhood but reject the emblems of childhood, such as teddy bears and balloons. Recommendations from adolescents include private bedrooms and bathrooms, full-coverage pajamas, access to DVDs, continuous availability of food, and a lenient visiting policy.

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“…Children struggling with the physical symptoms of their illness, in concert with the discomfort, pain, and possible toxic effects from diagnostic and medical treatment protocols (18), come up against unavoidable barriers as they attempt to master their psychological and social world. Seriously ill children quickly discover that their developing problem-solving skills are compromised by the seemingly endless medical evaluations and unwanted but unavoidable painful treatments.…”

Section: Loss Of Masterymentioning

confidence: 99%

“…Current advances in pediatric pain management are just one example of how a health care team can participate in directly controlling a child-centered distressing event. With a timely and creative combination of analgesic agents and psychological interventions, the health care team can directly participate in minimizing or eliminating distress caused by illness or procedurerelated pain (18).…”

Section: The Protocolmentioning

confidence: 99%

A protocol for seriously ill children with severe psychosocial symptoms: Avoiding potential disasters.

Simms

1995

Family Systems Medicine

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Producing systemic change in pediatric practice: An intervention protocol for reducing distress during painful procedures.

Cited by 17 publications

References 16 publications

Pediatric Psychosocial Preventative Health Model (PPPHM): Research, practice, and collaboration in pediatric family systems medicine.

Pediatric Psychosocial Preventative Health Model (PPPHM): Research, practice, and collaboration in pediatric family systems medicine.

Design Issues in Hospitals

A protocol for seriously ill children with severe psychosocial symptoms: Avoiding potential disasters.

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