Nouvelles normalités Nouvelles pathologies Nouvelles ... - Psynem

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6° 6éme Congresso Congrès Européen Europeo de di Psicopatologia Psychopathologie dell’Infanzia de l’Enfance e et dell’Adolescenza de l’Adolescence Nuove Nouvelles normalità normalités Nuove Nouvelles patologie pathologies Nuove pratiche Nouvelles pratiques SATURDAY, May 7 PLENARY SESSIONS Plenary Session 6 Psychopharmacological, treatment in childhood and adolescence: when, what, why & where DO LO RE PEDRIATIC PALLIATIVE CARES Franca Benini ! fisico 76% dei casi Oncologiche Sintomo più trattato Efficacia del Wolfe J - 2000 Globale trattamento 27% ? Neurodegenerative 36% dei casi Hunte B - 1999 6% monitoraggio 84% dei casi Ans ia dep res sio ne NON FARMACOLOGICA Condivisione Comunicazione Psicoterapia CONTROLLO S. FISICI FARMACOLOGICA ANTIDEPRESSIVI (amitriptilina) BENZODIAZEPINE (Lorazepam, Diazepam) ANTIPSICOTICI Amore (espressioni d’affetto) Problem Comprensione (spiegazione, discussione) Accettazione (a prescindere…) psicologici Sicurezza - Appartenenza Autostima (coinvolgimento…) Fiducia (comunicazione onesta) 402 Dis pne a/ fati ca res pira tori aan or es sia OPPIOIDI (bolo con poi infusione continua - Morfina) CORTISONICI/BDL SEDATIVI (Benzodiazepine (Midazolam in infusione continua da 0.05 a 0.2 mg e più /Kg/ora) NEUROLETTICI (Talofen) Ventilazione assistita Gestione delle secrezioni NON FARMACOLOGICA rassicurazione scelta cibo, aromi, spezie, attraente alla vita e all’odore,poco e spesso, posizione ottimale.. FARMACOLOGICA Corticosteroidi, Progestinici, Procinetici, Alimentazione parenterale??? ca ch es Comu nicazi one Fin dove spingersi? Cosa rispondere? Recuperare una comunicazione iniziale non fatta? Il volere dei Genitori? Il diritto del Bambino? si a sottovalutare la comprensione della morte rispetto saggio della volontà capacità di accettare le reazioni
6° 6éme Congresso Congrès Européen Europeo de di Psicopatologia Psychopathologie dell’Infanzia de l’Enfance e et dell’Adolescenza de l’Adolescence Nuove Nouvelles normalità normalités Nuove Nouvelles patologie pathologies Nuove pratiche Nouvelles pratiques SATURDAY, May 7 PLENARY SESSIONS Plenary Session 6 Psychopharmacological, treatment in childhood and adolescence: when, what, why & where Symptom Prevalence in Children in Palliative care Drake et al. 2008 SIN High prevalence symptoms in 75% or more of children: lack of energy, drowsiness, pain, & anorexia. TO Two-thirds of children died in intensive care units Symptom burden was high; 89% suffered a lot MI Symptom treatment successful in 27% of children rottura nucleo fam iliare 36% 7% rinuncia/ FAM cam bio lavoro m adre 64% 34% IGLI cam bio lavoro padre 22% 1 1 % A cam bio progetti futuri 50% 1 9% PEDRIATIC PALLIATIVE CARES Franca Benini 1 caso influisce sulla vita di 300 persone SOSTEFORMAZ GNO IONE SUPERVSUPPOR ISIONE TO Analisi dei bisogni OPERATORI RISORSE 403 Famiglia Nel ruolo Nella care Emergenza Analisi dei bisogni RIFERIMENTO CLINICO CONTINUO FAMIGLI SOSTEGNO SOSTEGNO PSICOLOGICO ECONOMIC O A “SOSTITUZIONE” EDUCAZIONE Analisi dei bisogni FORMAZIONE SOSTEGNO SOCIALE MODELLO ORGANIZZ GLOBALITA’, ATIVO…. ALTA COMPETENZA, BASSA NUMEROSITA’, AMPIA DISTRIBUZIONE, CONTINUITA’, MULTIPROFESSIONALITA’, INTERISTITUZIONALITA’, FLESSIBILITA’, DINAMICITA’…..
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Nouvelles normalités Nouvelles pathologies Nouvelles ... - Psynem

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