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Biomedical subjects

D P Hymovich

Publications and source records attributed to D P Hymovich.

16 recordsLinked to original sources

The meaning of cancer to children.

The meaning of cancer to children depends on a variety of individual and family characteristics, including the child's developmental and cognitive level, previous life experiences, the context of the illness, the family member with cancer, and family relationships. Cancer may mean alterations in physical characteristics, self-concept, feelings, and life-style, as well as loss of support and a need for information. This article reviews the cognitive, personal, and social meaning of cancer to children who have cancer, to those whose siblings have cancer, and to children of parents with cancer.

Child↗

Child-rearing concerns of parents with cancer.

A diagnosis of cancer creates multiple problems for families, including major changes in life-styles, relationships, communication, roles, and living patterns. This article describes the results of a qualitative study of child-rearing stressors of 13 parents: 10 patients with cancer and 3 of their spouses. Data were collected using open-ended interviews. The major categories derived from the data were parent stressors and coping strategies, and parents' perceptions of child stressors and coping strategies. Parent stressors were related to the parents' knowledge and feelings, to their children, and to parent-child communication. Parent coping strategies included seeking support, making decisions, talking with the children, making alternative childcare arrangements, and trying to be supportive to child and spouse. Child stressors identified by the parents included changes in family life-style, embarrassment over the parent's appearance, hospital visiting, and obtaining information. Nursing interventions based on the identified stressors are suggested.

Adaptation, Psychological↗

A theory for pediatric oncology nursing practice and research.

This article describes the development and application of a theoretical framework that can be used to guide pediatric oncology nursing practice and research. The framework's six dimensions provide the nurse with an approach to comprehensive assessment and intervention with families of children with cancer. These dimensions are: systems (individual, family, community, society); mediating variables (identifying characteristics, orientation to life); time; adaptation variables (stressors, coping strategies); level of functioning (tasks, capabilities, needs); and intervention.

Child↗

Psychosocial consequences of childhood cancer.

This article summarizes findings regarding the psychosocial late effects of chronic childhood cancer on long-term survivors. Overall, the psychosocial adjustment of many survivors appears to be within the normally expected range. Studies that compared cancer survivors with healthy controls on standardized scales found few or no significant differences in psychopathology. However, more subtle concerns or problems related to physical impairments, vocational discrimination, economic burden, and early and open communication within the family were identified. More research is needed to fully understand these subtle difficulties and to identify intervention strategies to prevent psychosocial late effects from occurring, and to ameliorate them when they are present.

Body Image↗

The Chronicity Impact and Coping Instrument: Parent Questionnaire.

The Chronicity Impact and Coping Instrument: Parent Questionnaire (CICI:PQ) is an instrument to measure (1) parent perceptions of the impact of chronic childhood disorders on the family and (2) how parents cope with the difficulties they encounter as a result of their child's condition. It is intended for use by clinicians in various settings and by researchers interested in a variety of chronic childhood illnesses.

Adaptation, Psychological↗

Development of the Chronicity Impact and Coping Instrument: Parent Questionnaire (CICI:PQ).

The CICI: PQ--Chronicity Impact and Coping Instrument: Parent Questionnaire--was developed to determine the impact of a child's chronic illness on parents and how parents cope with the impact. This article describes the development of the CICI:PQ and the results of three pilot studies to increase the instrument's reliability. Hoyt's coefficient of reliability for the total instrument is .95. The CICI:PQ is useful to health professionals working with chronically ill children and their families and to researchers interested in the same population.

Adaptation, Psychological↗