ABSTRACT
This study evaluated preventive intervention designed to enhance the quality of life of children with cancer at the end-of-life, based on a theoretical model of crises denoted as the Perceived Personal Control Crisis Model. Preventive intervention on the Social Action level consists of introducing policies and services in the pediatric hemato-oncology department designed to enhance the quality of life of children with cancer at the end-of-life.
Subject(s)
Neoplasms/therapy , Oncology Service, Hospital/standards , Organizational Policy , Quality of Life , Terminal Care/psychology , Attitude to Death , Bereavement , Child , Child, Hospitalized/psychology , Communication , Conscious Sedation , Crisis Intervention , Decision Making , Fear , Humans , Models, Theoretical , Palliative Care , Parents , Professional-Family Relations , Terminal Care/standardsABSTRACT
A perceived personal control (PPC) preventive intervention model that had earlier received empirical and theoretical verification was applied to a population of pediatric leukemia patients to promote their mental health and enhance their quality of life. The PPC model entails intervention on two complementary levels. On the personal interaction level, preventive intervention is administered by a network of natural and organized support systems, while the social action level leads to the introduction of changes in policies, structures, allocation of resources, and services. Preventive intervention in both domains is discussed with respect to changes in policies introduced between 1982 and 1998 in the hematology department of Rambam Medical Center in Haifa, Israel, as well as in other relevant departments catering to children with leukemia, to foster the positive mental health of these children.
Subject(s)
Leukemia/psychology , Leukemia/therapy , Mental Health , Quality of Life , Attitude of Health Personnel , Child , Child, Preschool , Hospitals/standards , Humans , InfantABSTRACT
The study of mothers of premature babies allows for the formulation of the specific psychological tasks that make for adaptive or maladaptive coping patterns. In line with a novel theoretical model of crisis denoted as the Perceived Personal Control Model (PPC), a preventive intervention program was implemented by medical caregivers trained in the underlying principles of the PPC model. That model as well as Social Action to facilitate the accomplishment of the adaptive psychological tasks of the target population are discussed.
ABSTRACT
The article focuses on the specific psychological tasks of mothers who encounter neonatal death and on their adaptive and maladaptive coping patterns. Crisis intervention protocols are also discussed. These protocols, designed to minimize the emotional sequelae of pregnancy loss, are implemented by professional caregivers in charge of the target population in the general hospital setting.
Subject(s)
Attitude to Health , Internal-External Control , Medical Staff, Hospital , Nursing Staff, Hospital , Adult , Female , Humans , Pregnancy , Psychological TestsABSTRACT
The Perceived Personal Control Model (PPC), a novel crisis intervention model for Ceasarean Birth (C/B) populations, is used at Rambam Medical Center by medical caregivers trained in the principles of the crisis intervention model. This model tackles risk factors in the environment by manipulating such situational variables as natural and organized support systems, information, sharing the decision making process, and developing task oriented activity geared to enhance emotional, cognitive, and behavioral control. The specific objective of the intervention model is to help the C/B mother to accomplish the specific psychological tasks. The general objective is to develop a prototype model for other high risk populations. The PPC model with respect to a C/B population is discussed.
