1 / 7

The Long-stay Paediatric Inpatient and Consultation-liaison Psychiatry

The Long-stay Paediatric Inpatient and Consultation-liaison Psychiatry. Dr Zanda Jaquire MBChB FCPsych Senior Registrar Child Psychiatry Dept. Child Psychiatry, UCT & Red Cross Hospital. What is a Long-stay Patient?. Definition: 6 days or more = long stay

lcrocker
Download Presentation

The Long-stay Paediatric Inpatient and Consultation-liaison Psychiatry

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. The Long-stay Paediatric Inpatient and Consultation-liaison Psychiatry Dr Zanda Jaquire MBChB FCPsych Senior Registrar Child Psychiatry Dept. Child Psychiatry, UCT & Red Cross Hospital

  2. What is a Long-stay Patient? • Definition: 6 days or more = long stay • Every hospitalised child: psychological reaction • Degree varies - developmental level - pre-morbid emotional - chronic / serious condition - reaction of the family

  3. Models of Interaction with Paediatrics • Emergency response • Anticipatory • Case finding • Continuous care and collaboration • Education and support

  4. Risk-factors for Emotional Problems: Childyounger age pre-morbid emotionally vulnerable sudden / unprepared admission prolonged hospitalisation Physical factorschronic / more severe conditions invasive / painful procedure immobilisation, disfigurement Parents emotions (understanding, expectations, guilt…) marital stress / disruption financial drain

  5. Why you become concerned: • Anxiety • Depression • Behaviour problems • Parent

  6. Psychiatry Assessment: • Time and flexibility • Knowledge of normal development Emotional defence or regression • Child as an individual in current context • Relationships: parent-staff-outside • Knowledge of medical illness and potential role of neuro-active medication

  7. Abigail and Guillian-Barrè S. • Physically extremely ill, urban ? clinically depressed • Regular assessment impossible • Focus on support structure identity autonomy • Input from everyone associated • Medication

More Related