1. Certified Child Life Specialist role in implementation of individualized coping plans for children receiving botulinum toxin injections.
- Author
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Mikuluk, Brittany, Guttoo, Parishma, Anderson, Avery, and Skeens, Micah
- Subjects
ANXIETY prevention ,OCCUPATIONAL roles ,BOTULINUM toxin ,INJECTIONS ,PSYCHOLOGY of parents ,PHYSICAL medicine ,CHILDREN'S hospitals ,INDIVIDUALIZED medicine ,RETROSPECTIVE studies ,ACQUISITION of data ,DOCUMENTATION ,T-test (Statistics) ,PRE-tests & post-tests ,TREATMENT effectiveness ,PEDIATRIC nursing ,NURSES ,HEALTH care teams ,MEDICAL records ,DESCRIPTIVE statistics ,PSYCHOLOGICAL adaptation ,DATA analysis software ,CEREBRAL palsy ,BRAIN injuries ,NEED (Psychology) ,EVIDENCE-based nursing ,PAIN management ,OUTPATIENT services in hospitals ,PSYCHOLOGICAL distress ,CHILDREN - Abstract
Purpose: The purpose of this paper is to describe the implementation of evidence‐based, individualized coping plans and to compare the rates of child anxiety, child cooperation, and parent anxiety before and after implementation of these coping plans for children receiving recurring BoNT‐A injections emphasizing the role of Certified Child Life Specialists (CCLSs) within the interdisciplinary team approach. Design and Methods: A retrospective chart review was conducted for children receiving BoNT‐A injections at a Physical Medicine clinic pre‐ and post‐implementation of the coping plan. Descriptive statistics were used to evaluate care plan implementation, child cooperation, child anxiety, and parent anxiety. Results: Post‐implementation of coping care plans, children experienced improved cooperation during BoNT‐A injections. Parental anxiety decreased once coping plans were implemented. Documentation improved after the implementation of coping plans specific to areas involving cooperation, child's anxiety and distress, and parental anxiety and distress. It was also noted that there was an increase in child anxiety assessments within documentation. Practice Implications: CCLS were able to utilize their expertise to collaboratively create individualized coping care plans to increase child's cooperation and decrease parental anxiety during BoNT‐A injections. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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