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Biomedical subjects

B Pfefferbaum

Publications and source records attributed to B Pfefferbaum.

30 records · Page 2Linked to original sources
PubMed1982

Comparison of physician and patient perceptions of communications issues.

Sixty-three adolescent cancer patients and 53 physicians participated in a study designed to compare physician and patient perceptions of (1) the delivery of information at diagnosis, (2) patient reactions to treatment-related concerns, and (3) physician utilization patterns. Both patients and cancer center physicians appeared comfortable with the designation of the cancer center physicians as specific care providers for cancer-related issues and the community physicians as care providers for other health problems. however, differences in physician-patient perceptions were found in regard to the diagnostic period. Considerable disparity was also noted between physician and patient perceptions of tests and treatments, with physicians reporting significantly more patient fear, lack of understanding, discomfort, dissatisfaction with choice, and preoccupation with illness than was reported by the patients. Analysis of physician responses according to level of training showed concordance across all levels. Implications for continuing education are discussed and recommendations are offered.

Adolescent↗
PubMed1982

Adolescent cancer patient and physician responses to a questionnaire on patient concerns.

In order to help physicians provide informational support to young patients with cancer, 63 adolescent cancer patients and 53 physicians completed self-administered questionnaires; 30 disease-related information items were included on the questionnaire. Although physicians and patients agreed on one-half of the items, they differed significantly on the others. Physician responses were not significantly related to the physicians' level of training, suggesting that education programs on this topic should be required at all levels of medical training. Psychiatrists may have a role to play in designing these programs.

Adolescent↗
PubMed1979

Management of acute psychologic problems in pediatric oncology.

Several psychologic issues in pediatric oncology are addressed and case illustrations of psychologic intervention for selected problems are offered. Psychologic intervention must take into account the patient's perception of his illness, the patient's developmental level, the parents' coping mechanisms, the dynamics of the child's emotional and behavioral responses, the staff's perception of the problems, and the community's capacity for reintegration of the patient. Each of these issues is addressed by use of case examples to demonstrate important aspects of psychosocial intervention.

Acting Out↗
PubMed1979

Lithium therapy and toxicity.

Lithium is a potent agent for the control of psychiatric disease. It is safe and effective when properly administered; however, its use requires a maximally informed physician and careful clinical monitoring of patients. The drug's side effects are usually dose related, and certain patients are at greater risk of experiencing toxicity than others. Management of acute intoxication involves gastric lavage, sodium replacement and the administration of other agents or dialysis to facilitate clearance.

Bipolar Disorder↗
PubMed1978

Stages in pediatric bone marrow transplantation.

Bone marrow transplantation is a relatively new and aggressive procedure that is being used in the treatment of leukemia and aplastic anemia. We observed approximately 30 children and their families at the UCLA Medical Center throughout the procedure. Various psychological responses during the treatment are outlined. Eleven stages are identified, including the patient's and family's first awareness of this procedure, the preadmission evaluation and psychosocial assessment, the introduction into isolation, the donor's hospitalization, the transplantation itself, and the various reactions and interactions of the patient, family, and staff throughout these stages.

Anemia, Aplastic↗
PubMedDate not supplied

A comprehensive program of psychosocial care for mastectomy patients.

The traumatic experience of the discovery of a lump in the breast, the diagnosis of cancer and eventual mastectomy have focused medical attention on the importance of providing adequate psychosocial care for mastectomy patients. This paper outlines a comprehensive program now underway. This program includes the premastectomy (preventive), postoperative (interventive) and recovery (postventive) periods. To secure more information for this program, an initial project examining the psychological effects of mastectomy on women and their spouses has been undertaken. It is anticipated that these findings will be helpful in identifying some of the problems encountered and aid in the success of the program in attaining the desired results.

Adaptation, Psychological↗
PubMedDate not supplied

Pediatric oncology: a review of the changing psychological aspects.

This paper outlines the psychological concerns in pediatric oncology. Taking an historical perspective, early concerns pertained to issues of death and dying and what to tell the child about his diagnosis. With the marked improvement in the early diagnosis and treatment of childhood cancer, the psychological issues have changed considerably. There is ample evidence to indicate that psychological problems in the child and his family result from the turmoil from these diseases. However, current concerns may focus on problems of living rather than problems of dying. The child and his family being encouraged to live as normal a life as possible, may need assistance from the professional community in the attempt to achieve this status. This presents an ever increasing need for the health care professional to interface with not only the child and his family, but also with the school and community at large so that the child and his family alone do not shoulder the burden of the normalization process and so that the school and community may be in a better position to assist in the reintegration process.

Attitude to Death↗