Biomedical subjects
Publications and source records attributed to M Adams-Greenly.
Meeting and exceeding customers' expectations is the heart of any quality improvement program. The authors describe the development of a survey tool designed to assess patient satisfaction and its role in the hospital's total quality management initiative.
Advances in the long-term survival and possible cure of the child with cancer have challenged pediatric professionals to no longer view this child as terminally ill, but rather as a developing person with a future. The time of initial diagnosis presents the family with coping tasks which, once mastered, lay the ground work for future adjustment and, hopefully, the child's eventual return to good health. A multidimensional psychosocial assessment can be used to identify strengths and difficulties. A range of psychosocial interventions helps children and families with the coping tasks of this difficult but challenging experience.
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Explore the source record for details and available documents.
Advances in the treatment of childhood cancer have required a shift in our approach to the patient and family. Previously parents were helped to cope with the inevitable decline of the child's health over a rather short period of time; the child was acutely ill and crisis-oriented intervention was utilized. Today, the family unit can be helped to maintain normal life amidst intensive medical treatment; the child is acutely ill at times, but also chronically ill, and even well. Crisis intervention is still appropriate, but so is education, ego-supportive counseling, and insight-oriented psychotherapy. Psychological staging of pediatrics cancer patients and their families is essential in order to properly anticipate psychological adjustment and plan appropriate interventions. Assessment and staging require a multi-dimensional perspective including stage of disease, socioeconomic vulnerability, degree of psychopathology, family cohesion, and personal/family history. This article discusses this multi-dimensional perspective and implications for intervention. Illustrative case material is utilized.
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