Abstract
Illness leading to critical care causes an emotional crisis for the patient, the family, and the staff in the PICU. It challenges the coping abilities of the patient and the family. The stressors encountered may unmask a primary psychiatric disorder or precipitate a secondary psychiatric disorder. The management approach to the mood and behavior of patients and parents depends upon whether the response is normal or disordered. Four types of interventions - environmental manipulation, education, pain control, and supportive psychological techniques - will help most children better adjust to the PICU. Delirium and dementia, when encountered, require special attention and treatment. Psychiatric consultation is often required. The parent with a major psychiatric disorder may also need the services of a psychiatric consultant. Suicidal, abused, or dying patients present special problems for the PICU staff. The multi-problem family is especially challenging and a multidisciplinary approach is needed.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 86-100 |
| Number of pages | 15 |
| Journal | Problems in Critical Care |
| Volume | 2 |
| Issue number | 1 |
| State | Published - 1988 |
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ASJC Scopus subject areas
- Critical Care and Intensive Care Medicine
Cite this
The critically ill child or adolescent. / Holden, P.
In: Problems in Critical Care, Vol. 2, No. 1, 1988, p. 86-100.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - The critically ill child or adolescent
AU - Holden, P.
PY - 1988
Y1 - 1988
N2 - Illness leading to critical care causes an emotional crisis for the patient, the family, and the staff in the PICU. It challenges the coping abilities of the patient and the family. The stressors encountered may unmask a primary psychiatric disorder or precipitate a secondary psychiatric disorder. The management approach to the mood and behavior of patients and parents depends upon whether the response is normal or disordered. Four types of interventions - environmental manipulation, education, pain control, and supportive psychological techniques - will help most children better adjust to the PICU. Delirium and dementia, when encountered, require special attention and treatment. Psychiatric consultation is often required. The parent with a major psychiatric disorder may also need the services of a psychiatric consultant. Suicidal, abused, or dying patients present special problems for the PICU staff. The multi-problem family is especially challenging and a multidisciplinary approach is needed.
AB - Illness leading to critical care causes an emotional crisis for the patient, the family, and the staff in the PICU. It challenges the coping abilities of the patient and the family. The stressors encountered may unmask a primary psychiatric disorder or precipitate a secondary psychiatric disorder. The management approach to the mood and behavior of patients and parents depends upon whether the response is normal or disordered. Four types of interventions - environmental manipulation, education, pain control, and supportive psychological techniques - will help most children better adjust to the PICU. Delirium and dementia, when encountered, require special attention and treatment. Psychiatric consultation is often required. The parent with a major psychiatric disorder may also need the services of a psychiatric consultant. Suicidal, abused, or dying patients present special problems for the PICU staff. The multi-problem family is especially challenging and a multidisciplinary approach is needed.
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UR - http://www.scopus.com/inward/citedby.url?scp=0023929077&partnerID=8YFLogxK
M3 - Article
AN - SCOPUS:0023929077
VL - 2
SP - 86
EP - 100
JO - Problems in Critical Care
JF - Problems in Critical Care
SN - 0889-4701
IS - 1
ER -