Perioperative Family-Centered Care: Effectiveness of Parental Presence during Induction of Anesthesia and Parental Visitation in the Post-Anesthesia Care Unit
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Authors
Buell, Caesy L.
Issue Date
2008
Type
Thesis
Language
en_US
Keywords
Alternative Title
Abstract
Family-centered care is a health care model based on participation and
collaboration of patients, families and health care providers. Family-centered care
developed as an alternative to paternalistic medicine in response to the discovery of the
damaging effects of mother-child separation anxiety in children during hospitalization.
The perioperative environment is the area of medicine that deals with the medical care
prior to, during and after surgical procedures. The perioperative period is a stressful
experience during the hospitalization of a child and preoperative anxiety has been linked
to both operative complications, such as turbulent anesthesia induction and postoperative
complications, such as increased pain levels, increased anxiety levels and emergence
delirium. Family-centered practices, such as parental presence during the induction of
anesthesia (PPIA) and PACU (Post-Anesthesia Care Unit) visitation, have been
developed in an attempt to decrease anxiety and its consequences in both the pediatric
patient and their family. Current research has not concretely shown that either program
reduces the anxiety levels of pediatric patients, although PPIA and PACU visitation both
significantly increase parent's self-reported satisfaction with care and decrease self-reported anxiety levels. Family-centered perioperative preparation is needed in
conjunction with PPIA and PACU visitation to develop family-centered programs that
maximize anxiety management and satisfaction with care to the benefit of the child,
family and medical institution.
Description
vi, 64 p.
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