ABSTRACT
Children with chronic diseases have to undergo numerous and repeated painful medical procedures. Psychological interventions have produced good results in the treatment of this kind of pediatric pain and, although they have not been routinely incorporated into pediatric practice, they provide an effective complement to physical and pharmacological therapies. The present article reviews research into cognitive-behavioral treatment of the distress, pain and anxiety associated with medical procedures in pediatric oncology. We present the possible benefits of these interventions and suggest uses for cognitive-behavioral techniques when performing painful medical procedures.
Subject(s)
Adaptation, Psychological , Behavior Therapy , Neoplasms/psychology , Pain Management , Pain/psychology , Child , Humans , Neoplasms/diagnosis , Neoplasms/therapy , Pain/etiologyABSTRACT
Los niños con enfermedades crónicas tienen que padecer numerosos y repetidos procedimientos médicos dolorosos. Las intervenciones psicológicas han conseguido buenos resultados en el tratamiento de este tipo de dolor pediátrico y resultan ser un buen complemento para las terapias físicas y farmacológicas, aunque este tipo de intervenciones no se han aplicado de manera sistemática en la práctica pediátrica. En este artículo se revisan algunos trabajos de investigación sobre el tratamiento cognitivoconductual del estrés, del dolor y de la ansiedad asociados a procedimientos médicos en la población oncológica pediátrica. Se exponen los posibles beneficios derivados de este tipo de intervenciones, además de sugerencias para la realización de procedimientos médicos dolorosos utilizando técnicas cognitivo-conductuales (AU)
Subject(s)
Child , Humans , Behavior Therapy , Adaptation, Psychological , Pain , NeoplasmsABSTRACT
Authors report five consecutive cases of spontaneous neonatal chylothorax (SNC). Three patients had also Down's syndrome, one a VSD and the remaining one was a premature. Two infants with bilateral pleural effusions started with severe neonatal asphyxia in absence of previous fetal alteration. Two right-side chylothoraces made a satisfactory recovery. Fith patient died a few hours after birth because of prematurity. Special mention is made of difficulties for an accurate etiologic diagnostic in the majority of SNC. Interest of association with Down's syndrome, of which only two cases have been previously reported, is pointed out. Finally, the presence of polihydramnios is interpreted as an expression of a lymphatic anomaly and/or an alteration of reabsorption of amniotic fluid at pulmonary level.
