scholarly journals Child life specialists as facilitators of child participation : a thematic literature review

Author(s):  
Caron Mills

The child's right to participate is a fundamental right outlined in the UN convention on the rights of the child. Canada signed and ratified this convention in 1991. Through secondary literature and the author's personal experience this paper explores the child's right to participate in the context of canadian pediatric medicine. In particular, this paper examines if and how a child is encouraged to participate in their health care, and which members of the health care team facilitate this participation. The paper also outlines a number of factors that limit or enhance child participation. Recommendations and next steps are included in the paper with the purpose of enhancing the quality and amount of participation that is offered to pediatric patients within hospital settings. One recommendation that is developed and discussed is the increased role of the child life profession as a tool for enabling child participation.

2021 ◽  
Author(s):  
Caron Mills

The child's right to participate is a fundamental right outlined in the UN convention on the rights of the child. Canada signed and ratified this convention in 1991. Through secondary literature and the author's personal experience this paper explores the child's right to participate in the context of canadian pediatric medicine. In particular, this paper examines if and how a child is encouraged to participate in their health care, and which members of the health care team facilitate this participation. The paper also outlines a number of factors that limit or enhance child participation. Recommendations and next steps are included in the paper with the purpose of enhancing the quality and amount of participation that is offered to pediatric patients within hospital settings. One recommendation that is developed and discussed is the increased role of the child life profession as a tool for enabling child participation.


Author(s):  
Chantal K. LeBlanc ◽  
Christine T. Chambers

Child life specialists, as members of the health care team, are frequently involved in the assessment and management of pain in hospitalized children and children in emergency settings. Child life refers to a non-medical therapeutic service designed to address the developmental, educational, and psychosocial needs of paediatric patients. Child life specialists are professionals who ‘promote effective coping through play, preparation, education, and self-expression activities. They provide emotional support for families, and encourage optimum development of children facing a broad range of challenging experiences, particularly those related to healthcare and hospitalization’ (Child Life Council, 2012a), including painful procedures and coping with other types of pain (e.g. postoperative pain). This chapter provides an overview of the role of a child life specialist, including a historical perspective on the evolution of the field and current child life practices. The chapter then provides a summary of the specific contributions of child life specialists to pain assessment and management, including innovative uses of technology often facilitated by child life specialists.


PEDIATRICS ◽  
1988 ◽  
Vol 81 (5) ◽  
pp. 725-726
Author(s):  
T. BERRY BRAZELTON ◽  
RICHARD H. THOMPSON

This past May more than 250 members of the Child Life Council gathered in Halifax, Nova Scotia, Canada, for their annual conference and celebrated the fifth anniversary of the organization. Established in 1982 under the auspices of the Association for the Care of Children's Health, this young organization has grown steadily and now numbers nearly 700 members. In another indication of the development of the profession of child life, more than 300 individuals were granted certification as child life specialists in 1986/1987, the first year in which certification was available. As the Child Life Council enters its second half-decade, and because the profession shows additional signs of maturation, it would be wise to reflect on the contributions made by this relatively new member of the pediatric health care team.


2006 ◽  
Vol 11 (3) ◽  
pp. 144-151 ◽  
Author(s):  
Gail A. Heckler-Medina

Abstract The author asks of the reader: Have you ever been called to start a peripheral intravenous (IV) catheter or place a peripherally inserted central catheter (PICC) in a child, and you wished someone else could do it? Performing vascular access procedures on children is considered by many one of the most stressful and difficult jobs. This article discusses the role of certified child life specialists (CCLSs) and some of the techniques used to assist children in coping with painful procedures as well as the necessity for proper assessment and pain management. The goal of this article is to eliminate the uncertainty of performing these procedures on pediatric patients. By making a few changes in your practice, one could dramatically increase successful outcomes and improve the overall quality of care provided to the patient.


PEDIATRICS ◽  
1993 ◽  
Vol 91 (3) ◽  
pp. 671-673
Author(s):  

Child life programs have become the standard in pediatric settings to address the psychosocial concerns that accompany hospitalization and medical care. Child life specialists facilitate coping and the adjustment of children and families by providing play experiences, presenting information about events and procedures, and establishing supportive relationships with children and parents to encourage family involvement in each child's medical care. These activities are shared by other members of the health care team. The role of the child life specialist, however, is unique because it combines each of these services as the primary duty. The child life specialist focuses on the strengths and health of children.1 Most major hospitals for children have child life programs, and the number of these has doubled since 1965. The patient-to-staff ratio should not exceed 15 patients to 1 child life specialist. Child life or similar services should be offered by all hospitals. Most child life specialists work in inpatient settings, but they are increasingly serving outpatient populations. Certification of child life specialists is available through the Child Life Certifying Commission, which was established in 1986. PLAY Play is the core of the child life program. Play activities are offered both in group settings and individual sessions. Play opportunities in health care settings communicate a respect for and understanding of children. Play helps eliminate the distinction between the comfortable and familiar setting outside the hospital and the foreign and intimidating hospital environment. Play contributes to the child's adjustment in several important ways. By providing age-appropriate activities, the possibility that hospitalization may disrupt normal development is minimized.


2015 ◽  
Author(s):  
Elizabeth G Nabel

The role of a physician as healer has grown more complex, and emphasis will increasingly be on patient and family-centric care. Physicians must provide compassionate, appropriate, and effective patient care by demonstrating competence in the attributes that are essential to successful medical practice. Beyond simply gaining medical knowledge, modern physicians embrace lifelong learning and need effective interpersonal and communication skills. Medical professionalism encompasses multiple attributes, and physicians are increasingly becoming part of a larger health care team. To ensure that physicians are trained in an environment that fosters innovation and alleviates administrative burdens, the Accreditation Council for Graduate Medical Education has recently revamped the standards of accreditation for today’s more than 130 specialties and subspecialties. This chapter contains 6 references and 5 MCQs.


2013 ◽  
Author(s):  
Elizabeth G Nabel

The role of a physician as healer has grown more complex, and emphasis will increasingly be on patient and family-centric care. Physicians must provide compassionate, appropriate, and effective patient care by demonstrating competence in the attributes that are essential to successful medical practice. Beyond simply gaining medical knowledge, modern physicians embrace lifelong learning and need effective interpersonal and communication skills. Medical professionalism encompasses multiple attributes, and physicians are increasingly becoming part of a larger health care team. To ensure that physicians are trained in an environment that fosters innovation and alleviates administrative burdens, the Accreditation Council for Graduate Medical Education has recently revamped the standards of accreditation for today’s more than 130 specialties and subspecialties. This review contains six references.


1990 ◽  
Vol 1 (3) ◽  
pp. 585-592 ◽  
Author(s):  
Nancy A. Stotts ◽  
Donna F. Washington

Nutrients are essential to wound healing and patients in critical care are often at risk for lack of sufficient nutrients that may result in impaired healing. Understanding the role of the various nutrients in healing provides the basis for assessment and therapy. Use of a practical and consistent nutritional assessment technique is an important part of care for critically ill patients with wounds. The health care team must provide care based on current knowledge of the effects of nutrition on wound healing and work collaboratively in doing nutritional assessment and providing nutritional support to optimize wound healing outcomes


2019 ◽  
Vol 4 (1) ◽  
pp. 136-142 ◽  
Author(s):  
Hilary Mabel ◽  
Murat Altinay ◽  
Cecile A. Ferrando

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