Memoirs of yesterday: The lived experience of individuals with separated parents

@#Separation issues have been rampant, and a significant rise in union dissolution cases in the Philippines has been observed. This certain occurrence should be given particular attention because it may alter the individual's way of living, particularly in perceiving and dealing with relationships. This study explores the lived experience of individuals who have undergone parental separation. The study utilized a Hermeneutic Phenomenological Design, which involved ten (10) respondents using a semi-structured key informant interview guide. The respondents were selected based on criteria as follows: (1) Have parents who have decided on the dissolution of marriage (annulled or informal) living separately; (2) 18 years of age and above; (3) Residents of Central Visayas; permanent or transient in Cebu City and; (4) Able to understand and express ideas in Cebuano dialect or English language. An Interpretative Phenomenological Analysis anchored on van Manen's six-step interpretive phenomenological approach with management and analysis done manually created a poem titled “Memoirs of Yesterday,” which incorporates three (3) major themes: (1) Into the Tunnel: Etiology of Separation, (2) The Darkness in the Tunnel: effects of the dissolution of marriage to children- emotional, psychological and academic status and (3) The Light After the Tunnel: attitude of the child and parent towards relationships and separation. The study implies that nurses should recognize the importance of assessing family concerns in rendering holistic and individualized client care. Thus, nurses should use assessed needs in advocating for the creation of more programs on awareness and counseling to families and, most especially, children.

A Comparative Study Between Intranasal Midazolam and Ketamine as Premedication in Pediatric Patients

Introduction: Surgery and anesthesia can be a traumatic experience for a child. Stormy induction of anesthesia in children canlead to an increased incidence of post-operative behavioral problems. Thus, sedative premedication may be used in childrento aid smooth induction of anesthesia. Hence, this study was conducted to compare the preanesthetic sedative effects ofintranasal midazolam and ketamine.Materials and Methods: This study was carried out on 60 ASA Grades I and II pediatric patients aged 2–5 years undergoingemergency or elective surgery lasting for 30 min–2 h. The exclusion criteria were established. Patients were included after writteninformed consent of the parent/guardian. They were randomly divided into two groups: Group M and Group K. Pre-operative,intraoperative, and post-operative parameters were observed.Results: Statistically significant tachycardia and increased blood pressure (BP) (both clinically insignificant) were observed inboth the groups (more persistent in the ketamine group). The sedation by both the drugs was adequate in terms of parentalseparation score, acceptance of facemask and response to venipuncture with no statistically significant difference. There werealso no significant side effects (namely, respiratory depression, increased secretions or emergence reaction).Conclusion: Both the drugs midazolam and ketamine provide adequate preanesthetic sedation through intranasal route andare safe to use in pediatric patients without any significant side effects.

Preanesthetic Medication In Children: A Comparative Study Among Intranasal Dexmedetomidine, Oral Midazolam And Oral Clonidine

The aim of this prospective study was to compare intranasal dexmedetomidine, oral clonidine & oral midazolam as premedicating agent on children undergoing surgeries under general anaesthesia. This study was conducted on 96 patients of ASA grade 1 & 2 of either sex between 2–12 years age undergoing routine surgeries. Patients are randomly allocated in 3 groups–M,C and D on basis of premedication given and were assessed on the basis of Preoperative degree of sedation and change in behavior, separation anxiety, effect of emergence agitation after surgery & adverse effects. Sedation status at parental separation of children from group D were significantly different from group C & M. Emergence agitation scores of children from group C & D were significantly different from group M. Children between 2–5yr age showed statistically significant reduction in emergence agitation in group D. No statistically significant difference groupwise regarding ease in separation of child from parents & post operative nausea vomiting (PONV) among 3 groups. So to conclude sedation and attenuation in emergence agitation was best with dexmedetomidine followed by clonidine and least with midazolam.

Crisis en la infancia: ¿qué piensan, sienten y dicen los niños sobre la separación de sus padres? / Crisis in the infancy: what the children think, feel and say, on the separation of the parents?

El artículo presenta el estudio cualitativo de narrativas de niños de 9 a 12 años de edad respecto de la separación de sus padres. La muestra estuvo constituida por 12 niños de nivel socioeconómico medio y el análisis de los datos se desarrolló según los procedimientos de la escuela Grounded Theory. El propósito del estudio es evidenciar la experiencia de niños chilenos respecto a la separación de sus padres y el significado que dicha experiencia tiene actualmente en sus vidas. Los resultados del estudio indican que la separación de los padres constituye una crisis para los niños, quienes la representan como la pérdida de la familia nuclear. Esta vivencia afecta su desempeño conductual y socioemocional, generándose cambios de estado de ánimo que se evidencien en el ámbito escolar y social. Transcurridos dos o tres años, los niños logran tomar cierta distancia de la experiencia y evaluarla desde una nueva perspectiva. Es así como algunos de ellos resignifican la crisis considerando elementos favorables que identifican en el presente.

The article presents the qualitative study of narratives of children from 9 to 12 years old, about the separation (divorce) of their parents. The sample consisted of 12 children (boys/girls), middle class and the analysis of the data was done according the procedures of the "Grounded Theory". The purpose of the study is to reveal the experience of Chilean children about their parents divorce and the meaning of that experience in their lives now. The study results indicate that the parental separation (divorce) is a crisis for the child, who represents it as the lost of the nuclear family. This experience affects his behavioral and socioemocional performance generating mood changes that are evident in the school and social area. After two or three years, the child manage to take some distance from the experience and evaluate it from a new perspective. Thus some of them reframing the crisis considering favorable elements identified in the present.