Gewählte Publikation:
Strennberger, G.
Preoperative communication with children: To a better outcome with stress and anxiety reduction.
Humanmedizin; [ Diplomarbeit ] Graz Medical University; 2017. pp.
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- Autor*innen der Med Uni Graz:
- Betreuer*innen:
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Bornemann-Cimenti Helmar
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- Abstract:
- Communication is the foundation on which every relationship relays and on which trust between people can be build. This is one of the reasons why the topic communication has become more relevant than ever.
A very important topic for doctors is the correct handling of children, as they are in contact with them in almost every discipline and good communication can lead to more satisfaction on both sides. Patient attorneys in Austria report that 80% of the problems arise from failed communication.
The aim of this thesis is the preparation of guidelines for physicians, with a special reference to anesthesiologists in dealing with children before surgery, in order to improve the postoperative outcome.
This work is a narrative literature research on the subject of communication with minor patients during the patient education and before the operation. The data was collected from the online database PubMed between October 2015 and January 2017.
It has been shown that there are very effective methods for anxiety reduction and that the right treatment of children can lead to a better relationship with the doctors and to a better outcome.
The making of a general guideline on the subject of preoperative communication with children is not possible due to the individuality of each person. Nevertheless, some important points were elaborated and clarified.
The most important points are:
• Parents should have the right to be present during the induction of anaesthesia, if there are no medical concerns.
• Patients have a right to an accurate and comprehensive education.
• Modern media, such as videos and the Internet, are a good way for anxiety reduction, the education of patients and informing them about anesthesia.
• Midazolam is a useful premedication, but should not be administered routinely.
• The distraction of children through videos, games and clowns are very effective ways to reduce the fear of anesthesia.