lecture 14:

Question 1

child response to medial intervention

Answer 1

-

Question 2

what can help practitioners to to assist children and family

Answer 2

• understand family dynamics and capabilities
• familiarise family/child with environment
• education resources like videos
• interactive materials
• adress and consider senstive/embarrasing topics
• relaction/coping techniques

Question 3

impact of chronic illness factors

Answer 3

1. type of diagnosis and degree of impaiement
2. visibility of illness
3. unvertainty of prognosis
4. irregular/unpredictable effects
5. treatment

Question 4

common psychological responses and coping strategies of children and adolescents

Answer 4

negative
- low self-esteem
- depression/anxiety
- acting out/substanc ese or risky behaviours
positive:
- empowerment
- escaped death (priority evaluation)
- healthier lifestyle changes

Question 5

causes on nonadherence in children and young people

Answer 5

• poor doctor/parent/patient communication
• complex treatment
• beliefs or values
• age (teens may want to take more control if they feel like they don’t have it)
• socieoeconomi/structural causes
• identiy/peerpressure
• denial
• stigma

Question 6

strategies to help children and young people adhere to treatment

Answer 6

• improve education (account of development stage, not age, rather understanding)
• educate risks for adults and increase autonimy, responsibility, and decision making for adolescents
• don’t be hard on teens

Question 7

psychological strategies to support young patient

Answer 7

1. educational (what, why, repeat, reinforce, resources, developmentally appropriate and specific)
2. modelling (good for complex treatments, demonstate, ask for repeat, ask for practise, provide resources, check-in)
3. incentives - operative condtioning (token economies are good, consider what yo are reinforcing)
4. family support (peer support, psychological support, connect parents to other groups)