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Issue 33August 2012
In This Issue

BacktoTopRESEARCH     



CHILD LIFE & THE NEWS  



RESEARCHRESEARCH


Research1iPads Can Be Effective Pain Management Tool in Pediatric Emergency Room
Pediatric Emergency Care * July 2012

In this article, researchers present a series of cases in which children were able to successfully undergo a painful procedure  in the emergency room without restraint or sedation, thanks to distraction using an Apple iPad. The authors make observations about the potential uses for iPads in helping to alleviate children's pain and anxiety in the pediatric emergency department, and discuss the ways that providers can identify appropriate applications (or "apps") for use with specific age groups, developmental stages, and types of procedure. Several available apps are reviewed.


Read Abstract 

Journal Reference
McQueen, A., Cress, C., & Tothy, A. (2012). Using a tablet computer during pediatric procedures: A case series and review of the "Apps". Pediatric Emergency Care, 28(7), p 712-714. doi: 10.1097/PEC.0b013e31825d24eb


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Research2Literature Review Assesses Effectiveness of Asthma Education Programs

Journal of Public Health * June 2012

CLC member Alison Chrisler, MA, CCLS, wrote this literature review, which identifies effective asthma education programs for pre-adolescent and adolescent youth. The report incorporates randomized controlled studies which met specific selection criteria, and were coded based on study characteristics, program design, outcomes, participant characteristics, and parent involvement.  The results of the review indicated that the majority of asthma education programs are school- or clinic-based, although there were also computer/web-based programs. All such programs demonstrated positive results, with the most significant outcomes across the largest number of outcome areas resulting from computer/web-based and clinic-based programs. The author identifies a few areas where additional research is needed, including more studies with a larger and more socioeconomically diverse population sample. She suggests that asthma education programs may wish to incorporate more programming targeted specifically at adolescents and at parents, which appeared to be lacking in many of the studies reviewed. Programs should also include a cost-benefit analysis.


Read Abstract
 
Journal Reference
Chrisler, A. (2012). Asthma education: a review of randomized controlled youth asthma-education programs. Journal of Public Health, 20(3), p 305-312. doi: 10.1007/s10389-011-0449-8

      

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Research3How do Parents' Reactions Influence Child Pain and Anxiety During Procedures?
Journal of Pediatric Psychology * July 2012

Findings from past studies have shown that parents' anxiety prior to a child's procedure can influence the child's acute procedural anxiety and pain.  To examine relationship between parents' anxiety and children's procedural pain, and to determine whether children's procedural anxiety is a mediating factor influencing this relationship, researchers collected child anxiety and pain ratings from 90 preschoolers receiving immunizations, their parents, and a nurse. Parents also rated their own pre-procedural anxiety. According to reports from parents and nurses, children's procedural anxiety influenced parents' anxiety, which in turn affected the children's procedural pain. While this was not always consistent with children's self-report of anxiety and pain, the results of the study suggest that efforts targeting parents' pre-procedural anxiety will be beneficial.


Read Abstract

Journal Reference
Bearden, D.J., Feinstein, A., & Cohen, L.L. (2012). The influence of parent preprocedural anxiety on child procedural pain: Mediation by child procedural anxiety. Journal of Pediatric Psychology, 37(6): p 680-686. doi: 10.1093/jpepsy/jss041

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Research4Children's Memories of Pain Influence How They'll Experience Future Painful Procedures
PAIN * August 2012

In an effort to better understand the influence of children's pain memories on their reactions to a subsequent pain experience, researchers asked 110 children, aged 8-12 years, to rate their pain after completing a laboratory pain task (e.g. immunization).  Two weeks later, the same group of children provided ratings based on their memory of pain and also provided feedback on their perceptions of future pain. After an additional two weeks, the children completed and rated another pain task. The results showed that children were more influenced by their memory of the pain intensity than by their initial rating of the pain. Children who remembered their pain as being more intense than they initially reported had expectations of greater pain, and demonstrated increases in pain ratings during the subsequent procedure.


Read Abstract

Journal Reference
Noel, M., Chambers, C.T., McGrath, P.J., Klein, R.M., & Stewart, S.H. (2012). The influence of children's pain memories on subsequent pain experience. PAIN, 153(8), p 1563-1572.
 

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Journal of Pediatric Nursing * August 2012

In this study, researchers conducted narrative interviews with parents of adolescents with heart defects in order to better understand their experience of support. Four mothers and two fathers participated in the interviews, and their feedback was interpreted using a phenomenological-hermeneutic method. Parents reported a sense of contentment in providing support for their children, their families, staff members at their children's schools, and others involved with their children. Parents say this sense of fulfillment gained from performing supportive functions is enhanced by the support that they receive from others, including care providers. 


Read Abstract

Journal Reference
Bruce, E., & Sundin, K. (2012). Experience of support for parents of adolescents with heart defects-Supported to be supportive. Journal of Pediatric Nursing, (27)4 , p 366-374. doi: 10.1016/j.pedn.2011.04.025 

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CLandTHENEWSCHILD LIFE & THE NEWS
 
News1National Public Radio Features Child Life Profession
NPR Morning Edition / Kaiser Health News * Jenny Gold * July 24, 2012

Hospital Specialists Help Remind The Sickest Kids They're Still Kids
A recent four-minute radio feature that aired on NPR News helped to put child life in the national spotlight. Featuring the child life program at Children's National Medical Center in Washington, DC, the piece highlights the importance and value of child life services from the perspective of doctors and administrators--as well as patients and families. According to Dr. Rahul Shah, a pediatric surgeon, child life specialists help to improve productivity. In Shah's experience, working without a child life specialist can be challenging, and often ultimately costs the medical team precious time during each visit, since anxious children are often less cooperative during procedures. Those lost minutes during each visit mean less patients treated each day.  

Jackie O'Hara, the mother of 9-year-old Owen, who spent weeks in isolation after a bone marrow transplant, says child life specialists have made a huge difference in helping her son to understand his illness and cope with his treatment. The child life program at Children's National Medical Center consists of 16 child life specialists, and costs the hospital about $800,000 per year. According to Mark Wietecha, president and CEO of the Children's Hospital Association, given the outcomes of child life services, the cost is "...really almost an insignificant amount of money on our national expenditure... and greatly worth it."

CLC members Kelly Schraf, CCLS, and Liz Anderson, CCLS, are featured in the story, with brief clips of their interactions with patients.

Listen to Radio Story 

 


News2Child Life Specialist Helps Ease Transition for Hospital Patients Returning to Classroom
CBS Minnesota Channel 4 * Rachel Slavik * June 25, 2012

Program Helps Young Cancer Survivor's Classmates Understand Illness
Last year, more than 100 young patients benefited from a school re-entry program provided by Children's Hospitals and Clinics of Minnesota. Julia Kauth, a 7-year-old who is recovering from kidney cancer, was one of these patients. After having a difficult time her first few days back at school, Julia and her family enlisted the help of Vicky Neis, a child life specialist at Children's. Neis paid a visit to Julia's classroom and helped to explain her illness, clarifying misconceptions about the cause and whether it was contagious.  "They told everyone what I was going to be doing, and it happens to other kids," Julia says.  "They [my classmates] don't ask questions about me anymore, and they don't stare at me."

The school re-entry program is provided through a partnership with Great Clips.

View News Feature  

  
News3'Dances With Wood' Projects Offer Patients a Creative Outlet
New Haven Register * Sandi Kahn Shelton * July 10, 2012

Connecticut Artisan Turns Wood Into Wonder For Hospitalized Children
Robert Wilkins, founder of the nonprofit organization Dances With Wood, is affectionately known as "Woody" by many of the children he has worked with over the years. Since 1995, Wilkins has been creating pre-fabricated woodworking kits for children in the hospital. Wilkins has created a variety of projects ranging in complexity-from a simple race cars to elaborate pirate ships-based on how long a child will be in the hospital. Each project comes with sanded pieces with rounded edges that are easily assembled by a child in a hospital bed. "The secret to what I do is letting the kids do it themselves," says Wilkins. "When they're allowed autonomy, it displaces the fear, anxiety and depression they feel." Wilkins himself was inspired to begin woodworking when he was only 6 years old and coping with a serious illness. "A lot of creative things kids do are gentle and soft," he says. "But when you have to physically grip the tools and engage, when you pound with the mallet, it raises up the life force that every cell in your body is listening for. It gives you endurance."

According to CLC member Ellen Good, manager of the Child Life Department at Yale-New Haven's Children's Hospital, the projects, "Invoke a child's imagination... A child building the pirate ship is on a journey. They talk about where the ship could take them, who would be the captain and the crew. Woody is a kid at heart, and he knows what kids need."
Wilkins has worked in a variety of professions over the last few decades, including teaching, cabinetmaking, and business, but he began to find his true calling working at a mental health residential home, and later in hospice care and with Hole in the Wall Gang Camp. After leaving Hole in the Wall, he started his own woodworking business in his garage, which has since grown to a studio with five part-time employees who assemble the kits. Dances With Wood serves 20 children's hospitals, providing woodworking kits to young patients and their families free of charge.

Read Full Article


 

 

 

News4Child Life Team at All Children's Hospital Uses iPads for Distraction, Education
Bay News 9 * Anne Imanuel * July 19, 2012

Hospital using iPads as diversion, learning tool for young patients
Child life specialists at All Children's Hospital in St. Petersburg are using iPads in a variety of ways to help their patients cope with experiences in the hospital. For 6-year-old Arjun Iyer, the iPad was a helpful distraction tool that helped him to get through a series of stitches on his ear. Arjun enjoyed playing a game on the portable device while the medical team did their work. According to CLC member Katie McGinnis, CCLS, this type of tool, along with other forms of distraction, can result in doctors needing to use less sedation during procedures. 

The child life team also uses the iPad to develop educational materials that help teach children about upcoming procedures in the hospital, including an app that allows children to explore the operating room virtually, and ask questions about the equipment they see in the room. "They're not as likely to be afraid of it if they know what's going on," says McGinnis.

Read Full Article



News5Child Life Programs Showcased on YouTube

 
While we only rarely share YouTube videos through Child Life News Monthly, a number of excellent videos have recently emerged that are great examples of the way that YouTube can be used to promote child life programming. The following videos are just a few of the highlights. If your hospital or program has other videos that you would like to see shared directly through one of our playlists on the Child Life Council YouTube page, please email the link to communications@childlife.org: 

A Day in the Life of a Child Life Specialist
Maimonides Medical Center * June 18, 2012 

 

Mika McLane-Bowes,CCLS, was featured in an installment of Maimonides' "Day in the Life" series. The video captures Mika engaging pediatric patients in medical play and recreational activities, helping them to understand and better cope with their treatment. View Video  

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BC Children's Hospital's Child Life Specialists: Healing Children Through Play
BC Children's Hospital Foundation * June 6, 2012 

 

The BC Children's Foundation captured the great work of their child life team in a video segment which aired during a Children's Miracle Network telethon earlier this year. A number of different child life interventions are demonstrated and explained. View Video  

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Child Life Services at St. Louis Children's Hospital
St. Louis Children's Hospital * February 24, 2012  

 

This video provides a compelling overview of the Child Life Services department at St. Louis Children's Hospital, from the perspectives of patients, families, and members of the staff. View Video   

 

 

  

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Disclaimer: Child Life News Monthly is a service of the Child Life Council intended to generate member awareness of the latest news and recently-published research that may be of interest to the child life professional community. CLC makes no representations as to the quality or accuracy of the articles summarized herein.

 

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