RESUMO
Advancing medical technology presents problems to medical professionals previously unforeseen. Psychiatric consultants are frequently called upon to assist staff, patients, and families in addressing these issues. The nursing staff of an infant intensive care unit was surveyed as to their perceptions of their work and their coping strategies. The results confirmed that in this technologically novel environment, staff were still attempting to acquire coping strategies to effectively meet demands placed upon them. The present study indicates that consultants need to be cognizant of such concerns to effectively assist such staff.
Assuntos
Atitude do Pessoal de Saúde , Unidades de Terapia Intensiva Pediátrica/organização & administração , Recursos Humanos de Enfermagem Hospitalar/psicologia , Psiquiatria , Encaminhamento e Consulta , Adaptação Psicológica , Atitude Frente a Saúde , Humanos , Lactente , Relações Enfermeiro-Paciente , Equipe de Enfermagem , Enfermagem Pediátrica , Relações Profissional-Família , Inquéritos e QuestionáriosRESUMO
This paper presents the case of a 6.5-year-old girl with malignant astrocytoma of the left brain hemisphere. During the course of her chemotherapy treatment, severe vomiting developed to the degree that on several occasions she became dehydrated. Discontinuation of chemotherapy was being considered when she was referred for hypnotherapy. Despite severe neurological impairments which excluded many traditional techniques, hypnosis was successful in eliminating emesis. Hypnosis was also utilized to decrease pain and to improve sleep patterns. Drawings are presented to help show how this child resolved anxiety associated with treatment and fears surrounding the knowledge of her impending death.
Assuntos
Protocolos de Quimioterapia Combinada Antineoplásica/efeitos adversos , Astrocitoma/tratamento farmacológico , Neoplasias Encefálicas/tratamento farmacológico , Hipnose/métodos , Vômito/terapia , Criança , Feminino , Humanos , Vômito/induzido quimicamenteRESUMO
Patient resistance presents many therapeutic challenges. Reframing has proven to be a potent method of circumventing such issues. The present article describes methods of constructing, cultivating, and delivering reframes. Several examples of this intervention strategy are provided.
Assuntos
Transtornos Mentais/terapia , Resolução de Problemas , Relações Profissional-Paciente , Psicoterapia/métodos , Adulto , Terapia Familiar/métodos , Feminino , Humanos , Lactente , Masculino , Transtornos Mentais/psicologia , Encaminhamento e ConsultaRESUMO
The staff of a burn unit was surveyed concerning attitudes about their patients and the treatment procedure. Previous research indicates that in such medical settings paradoxical interactions (double binds) may occur among staff, patient, and family. We hypothesized that the paradoxical environment of burn care units facilitates individuals who can change their perspective (or reframe these situations) and that this ability is related to attitudes and feelings about burn patients and their treatment. Contrary to expectation, however, reframing ability and attitudes about burn care were not related. Staff members are quite positive about burn treatment and agree that the staff instills hope. The staff's endorsement of providing accurate information, while behaving optimistically even if pessimistic about the patient's condition, does represent possible double-binding communication patterns. Nursing managers with high reframing ability may facilitate staff coping with these issues.
