Resémenes Bibliográficos Fichero: ADOLESCENTE.DOC Proyecto de Biblioteca Hospitalaria de Atención al Paciente Infanto-Juvenil

ADOLESCENT, HOSPITALIZED Cambridge: MEDLINE 1992 January AU: AUTHOR Holme R Adolescent needs. Care study. SO: SOURCE Nurs-Times; 1991 Oct 9-15; 87(41); P 34 LA: LANGUAGE English MJ: MAJOR SUBJECT HEADING Adolescent, Hospitalized:PX. Femoral Fractures:NU MN: MINOR SUBJECT HEADING Adolescence:. Body Image:. Case Report:. Femoral Fractures:PX. Human:. Male:

AU: AUTHOR Tesler MD; Savedra MC; Holzemer WL; Wilkie DJ; Ward JA; Paul SM TI: TITLE The word-graphic rating scale as a measure of children's and adolescents pain intensity. SO: SOURCE Res-Nurs-Health; 1991 Oct; 14(5); P LA: LANGUAGE English MJ: MAJOR SUBJECT HEADING Pain Measurement:MT MN: MINOR SUBJECT HEADING Adolescence:. Adolescent, Hospitalized:PX. Adolescent, Hospitalized:SN. Child:. Child, Hospitalized:PX. Child, Hospitalized:SN. Comparative Study:. Evaluation Studies:. Human:. Pain:EP. Pain:PX. Pain Measurement:SN. Pain, Postoperative:EP. Pain, Postoperative:PX. Pilot Projects:. Reproducibility of Results:. Support, Non-U.S. Gov't:. Support, U.S. Gov't, P.H.S.:

AB: ABSTRACT A program of studies was designed to select and test a pain intensity scale for inclusion in a multidimensional pain assessment tool for children and adolescents. The focus was on determining each scale's validity, reliability, ease of use, preference, and the lack of age, gender, and ethnic biases. Five pain scales were evaluated in four separate studies: a word-graphic rating scale, a visual analogue scale, a graded-graphic rating scale, a magnitude estimation scale (0 to 10), and a color scale. Subjects (N = 1,223) were 8 to 17 years of age and, in three of the studies, were hospitalized and judged to be in pain. In Study 1, well children used the scales to assess pain in an analogue situation selecting the color scale easiest to use and best liked. Convergent validity for the five scales was supported. In Study 2, hospitalized children, who were experiencing pain, overwhelmingly selected the word-graphic rating scale as their choice. A pilot version of a multidimensional pain assessment tool incorporating the word-graphic rating scale was tested in Study 3 using a repeated measures design. The scale demonstrated sensitivity to changes in postoperative pain intensity over time. In Study 4, convergent validity of the five scales and test-retest reliability of the word-graphic rating scale were supported. The series of four studies provides strong evidence to support use of the word-graphic rating scale to measure pain intensity in pediatric populations. ABSTRACT.

AU: AUTHOR Vander Stoep A; Bohn P; Melville E TI: TITLE A model for predicting discharge against medical advice from adolescent residential treatment. SO: SOURCE Hosp-Community-Psychiatry; 1991 Jul; 42(7); P LA: LANGUAGE English MJ: MAJOR SUBJECT HEADING Adolescent, Hospitalized:SN. Family:PX. Hospitals, Psychiatric:UT. Mental Disorders:TH. Patient Discharge:SN. Patient Dropouts:SN MN: MINOR SUBJECT HEADING Adolescence:. Female:. Human:. Juvenile Delinquency:PX. Male:. Mental Disorders:PX. Risk Factors:. Social Support:. Treatment Refusal:. Washington:

AB: ABSTRACT Characteristics of adolescents discharged from a psychiatric residential treatment center were examined to create a model for predicting patient discharge against medical advice (AMA). Subjects were 81 adolescents in two consecutive cohorts discharged between 1983 and mid-1988 (N = 49 and N = 32). In both groups 41 percent of the discharges were AMA. Logistic regression analysis found that an equation based on three factors--history of juvenile court involvement, unsupportive family attitude toward treatment, and diagnosis of conduct disorder--was 69 percent accurate in predicting discharge status in group 1 and 81 percent accurate in predicting discharge status in group 2. A positive correlation between rates of staff turnover and AMA discharge was noted. ABSTRACT.