By Michael A. Rapoff

ISBN-10: 0306460823

ISBN-13: 9780306460821

ISBN-10: 058537581X

ISBN-13: 9780585375816

The 1st finished assessment of this subject that balances medical and learn concerns, Adherence to Pediatric scientific Regimens experiences the superiority and most likely severe effects of terrible adherence to clinical regimens for young children and teenagers. This unique textual content examines intimately the nature of adherence difficulties, purposes for nonadherence, innovations for assessing and bettering adherence to either acute and persistent affliction regimens, and released examine. the writer offers protocols for adherenceenhancement and applies adherence theories to particular medical situations.

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Additional info for Adherence to Pediatric Medical Regimens (Clinical Child Psychology Library)

Example text

The patient has a 6-month-old sister (who does not have CF). Applying SCT to this clinical example would suggest the following assessment and intervention strategies: Although SCT primarily focuses on self-eficacy, it also emphasizes the importance of prerequisite skills for carrying out tasks. The clinician could directly observe how well the patient and parents execute regimen tasks (such as proper technique for using a metered-dose inhaler to deliver bronchodilator and antibiotic medications) and give corrective feedback, training, and practice as needed.

Also, the parents may be preoccupied with their own adjustment and coping problems. The children and adolescents themselves are also likely to have adjustment and coping problems and may be less knowledgeable about their disease and treatment. They are also likely to have primary responsibility for carrying out regimen tasks with little or no supervision from their parents. At-risk children and adolescents have also had to cope with their disease and treatment over a protracted period, with fluctuations in disease symptoms.

In a very real way, we are driven to make sense of our world, ourselves, and others around us. All clinicians have at least implicit theories about why people think, feel, and behave as they do. By explicating and critically analyzing their theories, clinicians can clarify how they conceptualize and approach adherence issues. The other reason why clinicians should consider theories is to get them out of their "conceptual ruts" (Wicker, 1985). Examining adherence issues from different perspectives will help clinicians find new ways to assess, analyze, and solve adherence problems.

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Adherence to Pediatric Medical Regimens (Clinical Child Psychology Library) by Michael A. Rapoff

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