One mother described part of the complications of consenting to her one-week-old child's high-risk heart surgery. 'I can't imagine her being any more precious to me than she is now. I can hardly bear feeling so close to her as it is...I can't wait until I see her again. It's worse than being in love.' Can emotional parents be rational enough to give informed proxy consent? Research observations and interviews with many parents and practitioners in the wards, clinics and medical meetings in two London hospitals show how parents' moral emotions of fear and hope are central to their informed decision-making and voluntary consent. This record from the 1980s offers useful historical comparisons with today's paediatric cardiac services in both the remarkable progress over nearly 40 years and the continuing concerns.

Whilst there was a large number of primary-care staff wanting to treat psychiatrically ill children, they lacked adequate training. There was, in the past, an insufficient number of prescribable, measurable, techniques to aid any training in this field of work. This resulted in confusion and apathy amongst staff, together with long periods of treatment which often weakened family relationships. Originally published in 1985, this book was designed to equip all professionals dealing with emotionally or behaviourally disturbed children and their families, with practical methods and techniques. It demonstrates how staff can work more effectively when each child and family being treated has a detailed treatment programme, each component of which can be readily understood and measured. The 61 techniques included in this handbook were developed over many years during the authors' experience in Canada, Hong Kong and New Zealand.

With collaboration of Dr. Bonita Stanton, Drs. Coppes and Fisher-Owens have created a current issue that looks at oral health in children, with a much needed update in the literature for pediatricians. Top experts have contributed clinical reviews on the following topics: Oral Health and Development; Infant Oral Health and the Influence of Habits; Prevention of tooth decay; Fluoride; Caries; Disparities in Children's Oral Health (including Oral Health of Native Children); Children with Special Health Care Needs; Orthodontics; Oral Manifestations of Systemic Disease (specific to pediatrics and life course); Soft Tissue; Trauma; The Role of Primary Care Physicians (pediatricians and others) in Prevention Oral Disease; and Oral Health Care/Policies. Pediatricians will come away with the current clinical recommendations they need to improve oral health in children.

With consultation of Dr. Bonita Stanton, Consulting Editor, Drs. Li and Higgins have secured experts in the field to provide clinical reviews on the latest updates in diagnosing and treating children with rheumatologic disease. The issue contains articles on the following topics: Approach to the Child with Joint Pain; What goes wrong that Leads to Rheumatic Disease; Juvenile Idiopathic Arthritis; Spondyloarthropathies; Systemic Arthritis; Systemic Lupus Erythematosus; Sjogren's and Mixed CTD in Children and Adolescents; Idiopathic Inflammatory Myopathies in Children; Juvenile Scleroderma; Chronic Non-Infectious Osteomyelitis and Chronic Recurrent Multifocal Osteomyelitis; Non-Inflammatory Musculoskeletal Pain in Children or Pediatric Pain Syndromes; Complications of Immunosuppressive and Biologic Response Modifier Therapy; General Health Concerns and Fitness for the Child with Rheumatic Disease; Transition of Rheumatic Disease Care: Pediatric to Adult Care; and Advocacy for Children with Rheumatic Diseases. Readers will be able to utilize the information in the issue to improve outcomes in patients with rheumatologic disease.

This issue of Child and Adolescent Psychiatric Clinics, guested edited by Dr. Vera Feuer, will cover an array of essential topics surrounding Emergency Child and Adolescent Psychiatry. Articles include: Suicide screening in Pediatric Emergency Settings, Agitation management in pediatric emergencies, Child Life's role in a Clinical Pathway for Behavioral Emergencies, The role of Security personnel and a model curriculum, Clinical pathways in ER, Social services and Behavioral Emergencies, Referrals-linkage, Telepsychiatry in Emergency Rooms, and Crisis services in community, among others.

Updated to include a succinct yet thorough review of the most recent evidence-based information and data-driven best treatment practices in child and adolescent psychiatry, this fourth edition of the Clinical Manual of Child and Adolescent Psychopharmacology not only examines the evidence for treating mental health disorders in younger patients but also illuminates how clinical trials of various methodologies can inform different aspects of clinical practice. Organized by DSM-5-TR diagnosis rather than drug class, this clinically accessible volume offers an exhaustive analysis of the use of psychotropic agents in disorders that include • Attention-deficit/hyperactivity disorder • Depressive disorders • Autism spectrum disorder • Early schizophrenia and psychotic illnesses • Eating disorders Comprehensive medication tables allow for easy reference of dosing, side effects, and tips for management. Additionally, key points at the conclusion of each chapter summarize essential information for treating clinicians. With a depth of information unmatched by any other guide, this new edition of the Clinical Manual of Child and Adolescent Psychopharmacology is an indispensable desktop reference for clinicians working with young patients.

This manual is a practical guide to the diagnosis and management of neonatal disorders, helping trainees prepare for OSCE examinations. Divided into ten sections, each chapter provides step by step direction, from history taking, clinical examination and assessment, to drugs, instruments, imaging, and interpretation. A complete chapter describes various case studies to assist understanding. The book covers both routine and more complex conditions and features more than 200 clinical photographs and diagrams to enhance learning. Key points Practical guide to diagnosis and management of neonatal disorders Provides comprehensive preparation for OSCE examinations Features case studies to assist understanding Includes more than 200 clinical photographs and diagrams

In the last several decades the amount of research focusing on children with motor coordination disorder has steadily risen. In Motor Coordination Disorders in Children, the authors examine the available literature on the topic using their knowledge of childrenÆs motor development. They explore the nature of the disorder, developmental progressions, associated features, and long-term prognosis. The book was written to benefit teachers, physiotherapists, occupational therapists, psychologists, and pediatricians who often work with children labeled as ôclumsyö or ômaladroit.ö Topics covered include what motor coordination disorders look like, how they are assessed, the nature of the disorder, and its development, progression, and intervention. The first volume of its kind, Motor Coordination Disorders in Children will be a valuable resource for professionals and students in clinical and counseling psychology, developmental psychology, nursing, social work, and family studies.

Management, Organization and Childbirth: Towards a New Model for the Birth Path explores the complex topic of the birth path with a multidisciplinary magnifying glass on the paradigms, languages, and tools critical to the organization, management, and clinical science. The work consists of five chapters. The first chapter provides a multidimensional analysis of childbirth. The second chapter presents an organizational analysis that moves in unison with different models of health. The third chapter studies the birth path in organizational and cynical terms by describing it in its core processes. The fourth chapter proposes a study conducted in the Italian context, which identifies some useful determinants for redesigning the birth path. The fifth chapter formulates a proposal for redesigning the birth path based on a new health paradigm. The proposed model offers useful insights for multiple categories of readers. To students of medicine and higher education tracks in healthcare management, it can offer opportunities to raise awareness not only regarding multi-professional practice but also regarding confrontation with complementary disciplines. To practitioners and policy makers, it can provide useful stimuli to promote rational and informed decisions around the childbirth. To researchers studying the health context within different disciplinary domains, the model can offer unexplored research spaces within the new business complex system.

Radiology plays a fundamental role in the diagnosis and management of childhood diseases. This is reflected in both paediatric and radiology post graduate exams, where candidates are expected to have a working knowledge of paediatric pathology, clinical manifestations and appropriate radiological investigations. Building on the great success of the first edition, Paediatric Radiology for MRCPCH and FRCR retains the popular preexisting structure of the book, but presents an improved variety of clinical cases as well as updated text in-keeping with advances in medical practice and technology. There is more emphasis on cross-sectional imaging, as candidates are increasingly encountering these sophisticated imaging tests in postgraduate exams. Images have been updated, and all the clinical information has been reviewed and revised accordingly. Contains over 100 clinical cases, presented in exam format, with answers overleaf Includes a wide range of common and rare paediatric conditions with supplementary images to illustrate additional points Uses classic examination images, with salient radiological and clinical summaries of each condition - the "hot lists" Carries specific information for paediatricians and radiologists for each case An introductory chapter on the basic concepts of imaging aims to provide the reader with an approach to radiological imaging and an awareness of the different modalities available, with new sections on non-accidental injury and radiation protection.

This issue will provide a current update on diagnosis, treatment, and management of children with being hematological disorders. Dr. Callaghan has put together a comprehensive issue with clinical reviews written by top experts in the field. Articles are devoted to the following topics: Hemophilia; Sickle cell acute chest; Sickle cell drugs; Sickle cell gene therapy; Sickle cell menses and pain; Pediatric DVT; Atypical HUS; von Willebrand Disease; Female bleeding; Functional platelet disorders; Hemolytic anemia; Advocacy in hematology; ITP; and Acquired aplastic anemia. Readers will come away with the current clinical information they need to improve clinical outcomes.

Overcoming Teenage Low Mood and Depression: A Five Areas Approach uses the tried and tested Five Areas (TM) model of Cognitive Behavioural Therapy (CBT) to equip and empower young people experiencing low mood or depression with the key life skills they need to overcome these conditions. The Five Areas (TM) model communicates life skills and key interventions in a clear, pragmatic and accessible style, by examining five important aspects of our lives: Life situation, relationships, resources and problems Altered thinking Altered feelings or moods Altered physical symptoms or sensations Altered behaviour or activity levels This new edition of the book from the award-winning Overcoming series, which has sold tens of thousands of copies, addresses all the common challenges faced by young people during times of low mood and depression. Developed in liaison with a team of experts working with young people, this workbook course provides a practical and effective method for helping readers make positive changes in an achievable way. Using inspiring stories and worksheets, Overcoming Teenage Low Mood and Depression will not only provide an invaluable resource for young people, but also their friends and families, counsellors and therapists, or anyone looking to offer support.

Originally published in 1977 and as a second edition in 1988, this book introduces the reader to the women at the top of the midwifery profession up until the 17th Century who attended the aristocracy and Royalty. The author shows how their successors were gradually driven out of the better paid work until in the middle of the 19th Century it appeared that attendance on childbearing women would inevitably become the male monopoly it has virtually become in North America. This downward trend was reversed, thanks to efforts to preserve for women the choice of female attendance in childbirth and also to the labour of philanthropists to improve maternity services to the poor. However, the drive for the institutionalization and mechanization of childbirth during the 20th Century as well as a chronic shortage of midwives, has once again shone a spotlight on the profession. This unique history of developments in midwifery will be of interest to students of medical politics, 19th Century social history, the sociology of the professions and gender studies.

The diagnosis and treatment of both congenital and acquired thoracic pathologies in children and adolescents require a high degree of specialization. This book provides practical guidelines for thoracic surgeons who operate on patients from neonatal age to adolescence and for pediatric surgeons who are challenged to treat disorders such as cystic malformations of the lung, mediastinal tumors, or chest wall deformities. The chapters, written by internationally acclaimed authors, include expert commentaries with tips and tricks for the clinical practice. Plus: QR codes for access to videos of surgical procedures.

This book explores applied theatre practice for children in environments of illness and cure and how it can powerfully normalise children's hospitalisation experience. It is an essential tool for making meaning of children's illness, putting it into a fictional context and developing better control of their clinical experiences. It can be central to raising the standards of care and quality of life during illness. Taken from the author's research and participatory bedside theatre practice in hospitals before, during and after the COVID-19 pandemic, this book demonstrates new learning about aesthetics, ethics, emotions, stories, puppetry, digital arts and research methodologies about children's health and wellbeing. It provides a selection of ten unique stories told by children inspired by applied theatre practice in paediatrics, cardiac, oncology, neurosurgery, burns units and complex and intensive care wards. Stories aid in understanding the language of children's pain for a better assessment and management of pain by healthcare professionals through the arts. It analyses synergistic theatre performance in 'stitched lands' between challenging realities and safe fictionalities. This book enables artists to develop new ways of thinking and contributes to further improvements in the provision of education and reflective learning in the field. It also addresses the emotional labour of the artist in healthcare and makes recommendations for balanced training to prevent emotional exhaustion. Designed for artists, healthcare professionals, therapists, play specialists and teachers who work with children in healthcare, this text aims to help many people find creative ways of making a positive difference in sick children's lives. It is a book for those who love and care for children.

Utilizing a multidisciplinary approach and drawing on the experience of experts in their respective fields, this unique book presents and discusses an array of topics relevant to the ever-growing population of pediatric, adolescent and young adult female athletes. Each topic is clearly defined and includes epidemiology, diagnosis, treatment and future directions. Opening chapters discuss growth and development, sports nutrition, resistance training, and psychological considerations for the young female athlete, with a chapter focusing on the female athlete triad. Later chapters present injuries and management strategies common to the young female athlete, such as overuse injuries, spondylolysis, hip and ACL injuries, concussion, and cardiovascular complications. The concluding chapter considers the benefits of physical activity for chronic disease prevention later in life. The Young Female Athlete provides useful, up-to-date information for any practitioner treating this active population, encouraging sports participation with fitness, injury prevention, personal growth, and long-term health.

Keynote: This 4-volume set offers comprehensive coverage of children's psychological development during the critical early years of life. Infancy--which is defined as the period from birth to 18 months of age--is the single most critical stage in cognitive and socioemotional development. The comprehensive WAIMH Handbook of Infant Mental Health offers the first thorough interdisciplinary analysis of the biopsychosocial factors that impact normal and abnormal infant mental development. Assembled under the auspices of the leading international organization in infant development--the World Association of Infant Mental Health--this ground-breaking four-volume reference offers a state-of-the-art overview of the field by the world's leading researchers, clinicians, and scholars.

There is ample evidence that children and adolescents in large numbers are actively using integrative (complementary and alternative) therapies. Various studies now indicate that over 50% of pediatricians surveyed would refer a patient for integrative therapy, and they would welcome more natural therapies for children provided they were safe and effective. However, there has been little training for pediatricians in this area. Integrative Pediatrics addresses these issues and provides guidelines for pediatricians, parents, and general audiences in a balanced, evidence-based manner.
In this volume in the Weil Integrative Medicine Library series, the authors describe a rational and evidence-based approach to the integrative therapy of childhood disorders and well-child care, integrating the principles of alternative and complementary therapies into the principles and practice of conventional pediatrics. The authors examine what works and what doesn't and offer practical guidelines for physicians to incorporate integrative medicine into their practice and how to advise patients and their parents on reasonable and effective therapies. The text also covers areas of controversy and identifies areas of uncertainty where future research is needed. Chapters also cite the best available evidence for both safety and efficacy of all therapies discussed.
The series editor is Andrew Weil, MD, Professor and Director of the Program of Integrative Medicine at the University of Arizon. Dr. Weil's program was the first academic program in the US and he is the major name in integrative medicine in the US, and well-known around the world. His program's stated goal is "to combine the best ideas and practices of conventional and alternative medicine into cost effective treatments without embracing alternative practices uncritically."

Each chapter of the book addresses an issue or area of professional experience. Explores the possibilities for applying psychoanalytic theory when working with children in hospital, and how it can be extended to include parents, caregivers, health care staff and volunteers. Describes therapeutic interventions directed toward both children and parents.

This excellent research based textbook addresses nursing care issues rather than disease processes and therefore looks at issues such as discharge planning, adolescents and cancer, coping strategies for family and staff. It concentrates on the psychological and social aspects of care and reflects the radical changes that have occurred in recent years in thisfield. These include better survival rates in childhood cancer, advanced therapies, the move to community based care and increasing awareness of the long term effects of treatment.All post-graduate nurses working with children with cancer, whether in a community or hospital setting will find this text invaluable. It will equally benefit post-graduate nurses studying professional and academic specialist courses such as the ENB 240 paediatric oncology course or those who are already qualified paediatric oncology nurses but who need to keep themselves updated or need a reference in this area.Expert contributors and editor in this field who will provide up-to- date and relevant analysis of the subject. Emphasises the partnership between nurse, child and family.Discusses the impact of treatment on the nursing team. This is an important chapter as there is a lack of knowledge regarding the emotional cost of caring for children with cancer.

The only certification study guide to focus on advanced infant and child health assessment. This is the only study guide available focusing specifically on the specialized knowledge and skills required to conduct the pediatric health assessment. Designed to accompany the text Advanced Pediatric Assessment, it reinforces essential content through case studies and multiple choice Q&As that mirror the Pediatric Nurse Practitioner Certification Exam format. The third edition includes new critical thinking exercises, case studies, and certification-style Q&As. It delivers a completely new chapter that covers clinical decision-making, formulating differential diagnoses, and evidence-based practice. It also provides SOAP notes for the well and abnormal exams. The third edition continues to deliver essential practice items for all aspects of the exam, along with sample documentation and a space where students can practice their own subjective and objective findings. In addition, Anatomic Labeling Exercises reinforce knowledge essential to the APN role. Each chapter is formatted systematically for ease of use and includes chapter overview, learning objectives, essential terminology, case studies, the well child, the ill child/child with problem, multiple choice questions mirroring the exam format, SOAP notes for well and abnormal exams, and answers. New to the Third Edition: Includes new critical thinking exercises, case studies, and certification-style exam questions Delivers completely new chapter addressing clinical decision making, formulating differential diagnoses, and evidence-based practice Provides SOAP notes for well and abnormal exams Key Features: Reinforces content for Advanced Pediatric Assessment with case studies and multiple choice Q&As that mirror certification exam format Provides essential practice items for the exam Includes Anatomic Labeling Exercises to reinforce required knowledge Delivers essential terminology Offers sample documentation and space for students to practice their own documentation

The guest editors have compiled expert authors to provide current updates on the clinical management of inborn errors of metabolism. Authors have contributed clinical review articles on the following topics: Inborn errors of metabolism overview: pathophysiology, manifestations, evaluation, and management; Inborn errors of metabolism with acidosis: organic acidemias and defects of pyruvate and ketone body metabolism; Inborn errors of metabolism with hyperammonemia: urea cycle defects and related disorders; Inborn errors of metabolism with hypoglycemia: glycogen storage diseases and gluconeogenesis defects; Inborn errors of metabolism with myopathy: defects of fatty acid oxidation and carnitine transport; Inborn errors of metabolism with seizures: defects of glycine and serine metabolism and co-factor related disorders; Inborn errors of metabolism with hepatopathy: metabolism defects of galactose, fructose, and tyrosine; Inborn errors of metabolism with cognitive impairment: metabolism defects of phenylalanine, homocysteine and methionine, purine and pyrimidine, and creatine; Inborn errors of metabolism with movement disorders: defects in metal transport and neurotransmitter metabolism; Inborn errors of metabolism involving complex molecules: lysosomal and peroxisomal storage diseases; Inborn errors of metabolism with complex phenotypes: mitochondrial disorders and congenital disorders of glycosylation; and Newborn screening: history, current status, and future directions.

This book provides child care and pre-school providers, paediatricians, family practitioners, and public health officials with an up-to-date, easy to read reference on infections and infection control for children in day care and pre-school. The book covers both common and unusual infections and illnesses prevalent in this population, and offers practical guidance on issues of contagion, treatment, and transmission in this setting. Chapters also address special considerations for children who are at high risk of acquiring infection, or at risk of spreading infection in the day-care arena. The authors are infectious disease specialists who have spent their careers working in the areas they have written about, and they offer specific recommendations on how to deal with endemic problems of infection and transmission. The 8th edition is completely updated and includes new vaccines, new therapies, and a totally new chapter on Molluscum Contagiosum. This indispensable handbook continues to be the go-to source for best practices for treating and preventing the spread of infection in children in day care and pre-school. Features: User-friendly handbook offering practical guidance and expert advice Specific focus on epidemiology, prevention, and treatment of infections seen in the day care centre and pre-school setting Highly respected author team of senior infectious disease authorities in their fields

The Handbook of Medical Play Therapy and Child Life brings together the voices and clinical experiences of dedicated clinical practitioners in the fields of play therapy and child life. This volume offers fresh insights and up to date research in the use of play with children, adolescents, and families in medical and healthcare settings. Chapters take a strength-based approach to clinical interventions across a wide range of health-related issues, including autism, trauma, routine medical care, pending surgeries both large and small, injury, immune deficiency, and more. Through its focus on the resiliency of the child, the power of play, and creative approaches to healing, this handbook makes visible the growing overlap and collaboration between the disciplines of play therapy and child life.

Nominated for a 2018 Gradiva Award for Best Book by the National Association for the Advancement of Psychoanalysis, Using Projective Methods with Children is an enhanced synthesis of Steve Tuber's previously published research on the study of projective methods to assess the representations of self and others, as well as the actual interpersonal experiences children internalize in the form of these representations. Integrating conceptual and empirical work, with an emphasis on the Rorschach Inkblot Method (RIM), the book offers unique, evidence-based information on the importance of assessing particular aspects of a child's inner self. The studies cover a broad range of topics such as dreams, anxiety disorders, political oppression, homelessness, and multiculturalism, and each is supplemented with an analytical introduction. A section that discusses future areas of research is also included.