Current Problems in Pediatric and Adolescent Health Care最新文献_第6页

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IF 1.6 4区医学

Current Problems in Pediatric and Adolescent Health Care Pub Date : 2024-02-01 DOI: 10.1016/S1538-5442(24)00048-8

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FOREWORD: Expanding horizons in child abuse pediatrics, part 1 前言：拓展虐待儿童儿科领域的视野，第 1 部分。

IF 1.6 4区医学

Current Problems in Pediatric and Adolescent Health Care Pub Date : 2024-02-01 DOI: 10.1016/j.cppeds.2024.101587

Louis M. Bell MD (Associate Editor)

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Utilizing screening as a trauma-responsive approach in pediatric health care settings 在儿科医疗机构中利用筛查作为创伤应对方法。

IF 1.6 4区医学

Current Problems in Pediatric and Adolescent Health Care Pub Date : 2024-02-01 DOI: 10.1016/j.cppeds.2023.101548

Shannon D. Chaplo PhD, Lindsay D. Shepard Abdulahad PhD, LCSW, Brooks R. Keeshin MD

{"title":"Utilizing screening as a trauma-responsive approach in pediatric health care settings","authors":"Shannon D. Chaplo PhD, Lindsay D. Shepard Abdulahad PhD, LCSW, Brooks R. Keeshin MD","doi":"10.1016/j.cppeds.2023.101548","DOIUrl":"10.1016/j.cppeds.2023.101548","url":null,"abstract":"<div><p><span><span>Given the widespread impact of child trauma, it is important that child- and family-serving systems adopt trauma-informed care. Because of their integral relationships with families, pediatricians and family medicine physicians play critical roles in disrupting negative societal and developmental cascades for trauma-exposed youth through their potential for early identification and intervention. When implemented alongside organization-wide trauma-informed care practices, trauma screening is one concrete trauma-informed care practice that has shown both feasibility and positive impacts on </span>pediatric healthcare. In support of this practice, the Care Process Model for Pediatric </span>Traumatic Stress (CPM-PTS) helps pediatric care providers to identify and respond to children and adolescents who may need trauma-focused supports. In this paper we discuss the importance of pediatric physicians adopting trauma-informed care and how evidence-based screening practices in pediatric settings is a trauma-responsive approach with great potential for meeting unmet needs among trauma-exposed children and families.</p></div>","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"54 2","pages":"Article 101548"},"PeriodicalIF":1.6,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139713274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Specialized programs employing different models of care delivery work collaboratively to address the health care needs of children in foster care 采用不同护理提供模式的专业计划通力合作，以满足寄养儿童的医疗保健需求。

IF 1.6 4区医学

Current Problems in Pediatric and Adolescent Health Care Pub Date : 2024-02-01 DOI: 10.1016/j.cppeds.2024.101577

Jennifer Keim , Kristine Fortin

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Expanding horizons in child abuse pediatrics 扩大虐待儿童儿科的视野。

IF 1.6 4区医学

Current Problems in Pediatric and Adolescent Health Care Pub Date : 2024-02-01 DOI: 10.1016/j.cppeds.2024.101571

Kristine Fortin, Colleen E. Bennett

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Shared-decision-making and communication in paediatric palliative care within Uganda 乌干达儿科姑息治疗中的共同决策和沟通。

IF 1.6 4区医学

Current Problems in Pediatric and Adolescent Health Care Pub Date : 2024-01-01 DOI: 10.1016/j.cppeds.2024.101556

J Downing PhD, RGN , E Namukwaya MBchB, PhD , J Nakawesi MMed, MPH, MD , M Mwesiga MPH, MMS

{"title":"Shared-decision-making and communication in paediatric palliative care within Uganda","authors":"J Downing PhD, RGN , E Namukwaya MBchB, PhD , J Nakawesi MMed, MPH, MD , M Mwesiga MPH, MMS","doi":"10.1016/j.cppeds.2024.101556","DOIUrl":"10.1016/j.cppeds.2024.101556","url":null,"abstract":"<div><p><span>The first palliative care services were started in Uganda 30 years ago with services continuing to develop since then. The Ministry of Health and the Palliative Care Association of Uganda have played key roles in the development of </span>paediatric palliative care<span> in the country. There are a range of paediatric palliative care service providers in Uganda, and these have developed alongside educational programmes and research in PPC. Care is provided across the Uganda health system and across the age range from neonates through to adolescents and young adults. Whilst recognising the importance of shared decision-making there is little literature with regards to this in the Ugandan context. However, a variety of factors have been shown to influence decision-making, along with the challenges and recommendations for the future. Uganda has made significant strides in the provision of paediatric palliative care although there is still a way to go before all children with palliative care needs, and their families, can access palliative care.</span></p></div>","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"54 1","pages":"Article 101556"},"PeriodicalIF":1.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139565086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Current status of pediatric palliative care and decision making in Japan 日本儿科姑息治疗和决策的现状。

IF 1.6 4区医学

Current Problems in Pediatric and Adolescent Health Care Pub Date : 2024-01-01 DOI: 10.1016/j.cppeds.2024.101557

Nobuyuki Yotani M.D., Ph.D.

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Pediatric palliative care in Sweden 瑞典的儿科姑息治疗。

IF 1.6 4区医学

Current Problems in Pediatric and Adolescent Health Care Pub Date : 2024-01-01 DOI: 10.1016/j.cppeds.2023.101455

Charlotte Castor RN, PhD , Kerstin Ivéus RN , Ulrika Kreicbergs RN

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Shared decision-making in pediatric palliative care in the Netherlands 荷兰儿科姑息治疗中的共同决策。

IF 1.6 4区医学

Current Problems in Pediatric and Adolescent Health Care Pub Date : 2024-01-01 DOI: 10.1016/j.cppeds.2023.101549

Michiels EM , Joren CY , Kars MC , Aris JL , Verhagen AAE

{"title":"Shared decision-making in pediatric palliative care in the Netherlands","authors":"Michiels EM , Joren CY , Kars MC , Aris JL , Verhagen AAE","doi":"10.1016/j.cppeds.2023.101549","DOIUrl":"10.1016/j.cppeds.2023.101549","url":null,"abstract":"<div><p><span>Shared decision-making (SDM) is a process in which health care<span> professionals (HCPs) involve parents and children - when appropriate- to decide together on future treatment. These decisions are based on values that are important for the family, goals of care and preferences for future care and treatment. Elucidation of these values and preferences is preferably done early in the disease trajectory via so-called </span></span>Advance Care Planning (ACP) conversations.</p><p>In the Netherlands, ACP and SDM are being adopted by most health care professionals. This has happened only recently. Ten years ago, ACP and SDM were unknown concepts for the vast majority of Dutch HCPs. Today, interest in these conversational approaches is booming in both daily practice and in research.</p><p>This rise has been reinforced by two recent major advancements in Dutch pediatric palliative care: the Individual Care Plan (ICP) and the Dutch Evidence-Based Guideline on Pediatric Palliative Care (DGPPC).</p><p>Despite this positive evolution, a lot of work is still ahead. ACP and SDM demand a change in mindset from the traditional paternalistic approach by which the HCP ‘knows what is best for this child’ to a more humble and open approach in which (non-medical) factors that are important to the child and family and may influence the final treatment decision. Such changes in mindset don't happen overnight.</p><p>In this article we describe the situation of pediatric palliative care in the Netherlands, with focus on the recent evolution of ACP and SDM.</p></div>","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"54 1","pages":"Article 101549"},"PeriodicalIF":1.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139089158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Paediatric palliative care around the world: Malaysia 世界各地的儿科姑息治疗：马来西亚。

IF 1.6 4区医学

Current Problems in Pediatric and Adolescent Health Care Pub Date : 2024-01-01 DOI: 10.1016/j.cppeds.2023.101452

Erwin Jiayuan Khoo MBBS, FRCPCH

{"title":"Paediatric palliative care around the world: Malaysia","authors":"Erwin Jiayuan Khoo MBBS, FRCPCH","doi":"10.1016/j.cppeds.2023.101452","DOIUrl":"10.1016/j.cppeds.2023.101452","url":null,"abstract":"<div><p>The evolution of paediatric palliative care in Malaysia has followed a distinct trajectory compared to adult palliative care. While adult palliative care was well-established by the mid-1990s, paediatric palliative care was still then largely ad hoc, with individual paediatricians and NGOs taking on the responsibility. Despite progress over the last decade, challenges persist. There is a shortage of trained paediatricians in this subspecialty, and financial constraints hinder progress. Decision-making in paediatric palliative care is also influenced by cultural values, religious beliefs, and societal norms. Parents are steered by cultural practices and the guidance of elder family members in a setting of communitarian traditions that are prevalent in Asian cultures. Discussions about end-of-life matters are hampered by cultural taboos. Additionally, the hierarchical medical culture, where doctors are seen as authoritative, hinder patients, including parents, from taking an active role in decision-making. The paper exemplifies these complexities through a case study, where the family's hopes and concerns were overlooked in a hectic and hurried hospital environment. The narrative calls for a compassionate, collaborative ecosystem that bridges cultural gaps and embraces shared decision-making in paediatric palliative care. It emphasizes the need to harmonize palliative care with societal values, involving healthcare providers, families, and the community. However, recognizing individual preferences and avoiding cultural assumptions are crucial. Healthcare professionals must develop skills in cultural diversity, delivering distressing news with compassion, and effectively communicate to involve families in decision-making, all while respecting their beliefs and values.</p></div>","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"54 1","pages":"Article 101452"},"PeriodicalIF":1.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72015905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0