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Biomedical subjects

S A Lambert

Publications and source records attributed to S A Lambert.

5 recordsLinked to original sources

The effects of hypnosis/guided imagery on the postoperative course of children.

Hypnosis, guided imagery, and relaxation have been shown to improve the postoperative course of adult surgical patients. Children have successfully used hypnosis/guided imagery to significantly reduce the pain associated with invasive procedures and to improve selected medical conditions. The purpose of this study was to examine the effect of hypnosis/guided imagery on the postoperative course of pediatric surgical patients. Fifty-two children (matched for sex, age, and diagnosis) were randomly assigned to an experimental or control group. The experimental group was taught guided imagery by the investigator. Practice of the imagery technique included suggestions for a favorable postoperative course. Significantly lower postoperative pain ratings and shorter hospital stays occurred for children in the experimental group. State anxiety was decreased for the guided imagery group and increased postoperatively for the control group. This study demonstrates the positive effects of hypnosis/guided imagery for the pediatric surgical patient.

Adolescent↗

Variables that affect the school-age child's reaction to hospitalization and surgery: a review of the literature.

The purpose of this paper has been to identify the variables documented in the literature that affect the school-age child's reaction to hospitalization and surgery. The variables were categorized as pertaining to the child, the parents, or the hospital. Variables in the category pertaining to the child that affect the child's reaction to hospitalization and surgery are developmental level and mechanisms used to cope with hospitalization and surgery. In the parent category, presence of the mother, preparation of the mother, support of the child by the mother, parental values, and socioeconomic status were considered variables that affect the child's reaction to hospitalization and surgery. The hospital environment is generally considered to be threatening to school-age children. The major variables identified in the hospital category that affect the child's reaction to hospitalization and surgery were specific events, length of hospitalization, nature and degree of illness, type of procedure, and method of preparation for the hospital experience.

Adaptation, Psychological↗

Easing the wait: development of a pager program for families.

Waiting is inevitable for patients and families seeking health care services. Anxiety, frustration, and stress are exacerbated. A pager program, where pagers are loaned free of charge to families, uses a family-centered approach to counteract the aggravation of waiting. Patients and families can leave the hospital room or clinic setting and then be paged to return as needed. In any clinical setting, having choices and control will enhance coping and satisfaction for both patients and families.

Adaptation, Psychological↗

Therapeutic relations decision making: the Rainbow Framework.

The giving and receiving of gifts, funeral attendance, post-discharge babysitting, usurping of parental roles, indiscriminate sharing of personal information, and other issues prompted a pediatric tertiary care facility in the Midwest to examine intricacies involved in the promotion and maintenance of therapeutic relationships. A multidisciplinary group developed a therapeutic relations decision-making framework to (a) foster a proactive process of conscious deliberation regarding nurse/patient interactions, and (b) afford a nonthreatening mechanism for retrospective review of apparently non-therapeutic relationships. The framework, based upon an "act utilitarian" approach to moral reasoning, promotes the clarification of personal philosophy and values. The framework provides a basis for deliberate, consistent, and confident nursing care delivery and the impetus for developing of new patient and family care initiatives.

Child↗