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“…paediatric patients facing any acute medical procedure benefit from good preparation….this also includes the establishment of a suitable context and environment”.
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ObiettiviMigliorare lo stato emotivo del bambino e del genitore
Procedura Valutazione
Passare dalla paura alla fiducia
Stabilire un contatto È una cosa normale, lo fanno tutti i bambini qui Esaminare e parlare dei singoli aspetti in base all’età
Obiettivi
Ridurre l’ansia al minimo Aumentare la collaborazione al massimo Coinvolgere il genitore con un ruolo preciso
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Valutazione dell’ansia
Aspetto principaleHai solo una possibilità…
Bambino
Genitore
Interazione a dueContatto emotivo
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Coinvolgimento dei genitori
Come possono essere d’aiuto
Come possono vanificare il tuo lavoro
Valutare quando possono essere d’aiuto e quando no
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Distrarre paga sempre....
Distrarre dalla fonte di ansia e/o dolore ( aghi e siringhe non in vista, ambiente adeguato, “distrattori” a mano..) Relazionarsi al pazienteCoinvolgimentoAree di interesse
Assegnare un compito sia al bambino che ai genitori
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warning“If an adult tells you not to worry and you weren’t worried before, you better hurry up and start because you’re already running late.”
1. Warning that the parent is worried
2. “Reinforcement” of the child anxiety
3. Allowed to express “distress”
permission facilitate the release of negative emotions
cyclical modeldistress-reassurance-distress
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Pain 2010
ReassuranceReassurance DistractionDistraction
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From: Cohen LL. Behavioral Approaches to Anxiety and Pain Management for Pediatric Venous Access. Pediatrics2008;122:S134–S139.
Suggested Language for Parents and Health Care Providers
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Il contatto fisico
I neuroni delle carezze
La pelle è un organo sociale
Morrison I Exp Brain Res. 2010; 204(3):305-14Dunbar RI Neurosci Biobehav Rev. 2010;34(2):260-8
ossitocina
endorfine
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Il contatto fisico
Nature 2013
I neuroni delle carezze
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Il contatto fisico
PNAS 2012
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Leggetevi : A piece of my mind