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Alleviating pain and distress in childhood chronic illness

  • Leora Kuttner
Article
  • 14 Downloads

Abstract

Painful medical procedures are often a source of anxiety for chronically ill children faced with frequent hospitalizations. Hospitals have developed preparation for surgery programs, but little has been done to provide children and their parents, faced with recurrent painful invasive procedures, with methods of making these experiences more tolerable.

Psychological techniques that are relatively easy to teach children and their parents include: breathing or blowing methods, distraction using pop-up books, and the more sophisticated hypnotic imaginative involvement techniques. These are described and case examples from the research documentation are provided.

Keywords

Bone Marrow Aspiration Painful Procedure Distress Score Psychological Method Psychological Technique 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Résumé

Les procédures médicales douleureuses constituent souvent une source d’anxiété pour les enfants atteints de maladies chroniques qui font face à des hospitalisations fréquentes. Les hôpitaux ont développés des programmes de préparation à la chirurgie, mais peu d’effort a été déployé pour que ces enfants et leurs parents trouvent cette expérience plus tolérable.

Les techniques psychologiques qui sont relativement faciles à enseigner aux parents et aux enfants incluent des méthodes de respiration, de soufflement, de distraction en utilisant des livres en trois dimensions, et les techniques les plus sophistiquées d’implication hypnotiques imaginatives. Celles-ci sont décrites et des exemples types issus de la recherche de documentation sont également apportés.

Resumen

Los procedimientos dolorosos en medicina son a menudo una fuente de ansiedad para los niños crónicamente enfermos que son hospitalizados frecuentemente. Los hospitales han desarrollado programas de preparación para la cirugía, pero se ha hecho poco para ofrecer a los niños y a sus padres que son enfrentados a procedimientos dolorosos recurrentes, otros métodos que hagan estas experiencias más tolerables.

Las técnicas sicológicas que son relativamente fáciles de enseñar a los niños y a sus padres, incluyen métodos de respiración o de soplamiento, de distracción usando libros en tercera dimensión y las técnicas las más sofisticadas de implicación hypnótica imaginativa. Se describen estas técnicas y se proveen ejemplos tipos de búsqueda de información.

References

  1. Erikson, E. H. (1963).Childhood and society (2d ed.) New York: W. W. Norton.Google Scholar
  2. Katz, E. R., Kellerman, J. & Siegal, S. E. (1980). Behavioural distress in children with cancer undergoing medical procedures: Developmental considerations.Journal of Consulting and Clinical Psychology, 48, (3), 356–365.CrossRefGoogle Scholar
  3. Kuttner, L. (1985). Psychological treatment of distress, pain and anxiety for young children with cancer. Doctoral dissertation, Simon Fraser University, Burnaby, B. C., Canada.Google Scholar
  4. Kuttner, L. (1986). “No fears, no tears: Children with cancer coping with pain” Videotape & Guide. Canadian Cancer Society, BC/Yukon Division, Canada.Google Scholar
  5. Teasdale, J. M. (1986). in videotape “No fears, no tears: Children with cancer coping with pain,” Canadian Cancer Society, B.C./Yukon Division, Canada.Google Scholar
  6. Zeltzer, L. & LeBaron, S. (1982). Hypnotic and nonhypnotic techniques for reduction of pain and anxiety during painful procedures in children and adolescents with cancer.Behavioral Pediatrics, 101, 1032–1035.Google Scholar

Copyright information

© Springer 1987

Authors and Affiliations

  • Leora Kuttner
    • 1
  1. 1.British Columbia Children’s HospitalVancouverCanada

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