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40
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Text
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Backlog
URL Address
<a href="http://doi.org/10.1017/s1481803500011799" target="_blank" rel="noreferrer">http://doi.org/10.1017/s1481803500011799</a>
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Title
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Intensive short-term dynamic psychotherapy to reduce rates of emergency department return visits for patients with medically unexplained symptoms: preliminary evidence from a pre-post intervention study
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Canadian Journal Of Emergency Medical Care
Date
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2009
Creator
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Abbass A; Campbell S; Magee K; Tarzwell R
Description
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OBJECTIVE: Somatization of emotions accounts for excess emergency department (ED) visits in the form of medically unexplained symptoms (MUS). Intensive short-term dynamic psychotherapy (ISTDP) has been used to diagnose and manage somatization. We examined the effectiveness of this procedure for ED patients with MUS. METHODS: We implemented a service that included staff education, timely access to consultation and gathering of outcome data. RESULTS: Patients were assessed and treated shortly after referral. There was a mean reduction of 3.2 (69.0%) ED visits per patient (standard deviation [SD] 6.4) the year afterward (95% confidence interval [CI] 1.3-5.0, p< 0.001). In comparison revisit rates during the same time interval for 3 available ED populations (i.e., those matched by visit rates, those with matching complaints and all patients referred to the service but never seen) showed either smaller reductions or higher ED use (ranging from a 15% reduction to a 43% increase). Treatments averaged 3.8 sessions per patient (SD 5.3). Self reported symptoms improved significantly with the Brief Symptom Inventory global rating, which changed from a mean of 1.21 (SD 0.58) before assessment to 0.86 (SD 0.63) ( p< 0.01) at the end of contact with the service. The service appeared acceptable to both emergency physicians and patients. CONCLUSION: This emotion-focused assessment and treatment method appeared to be feasible and may be effective in reducing both symptoms and repeat ED use.
2009
Identifier
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<a href="http://doi.org/10.1017/s1481803500011799" target="_blank" rel="noreferrer">10.1017/s1481803500011799</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
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Journal Article
2009
Abbass A
Backlog
Campbell S
Canadian Journal Of Emergency Medical Care
Journal Article
Magee K
Tarzwell R
-
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Title
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January 2023 List
Text
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January List 2023
URL Address
<a href="http://doi.org/10.1177/08404704221134588" target="_blank" rel="noreferrer noopener"> http://doi.org/10.1177/08404704221134588</a>
Dublin Core
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Title
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Re-examining medical assistance in dying for mature minors in Canada: Reflections for health leaders
Publisher
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Healthcare Management Forum
Date
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2022
Subject
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Mature Minors; Medical Assistance in Dying
Creator
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Campbell S; Denburg A; Moola F; Carnevale Franco A; Petch J
Description
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In Canada, Medical Assistance in Dying (MAiD) is legal for many Canadians based on several criteria, though minors who are deemed sufficiently capable to make medical decisions (ie, mature minors) remain ineligible. In this article, we provide insight into recent philosophical and legal evidence related to MAiD for mature minors. We begin by providing an overview of literature pertaining to MAiD for mature minors in particular (including evidence from Belgium and the Netherlands), followed by a discussion on the lessons that can be learnt from Canada’s MAiD implementation process (in general) and other forms of paediatric end-of-life care. As a whole, we aim to highlight some key takeaway messages for health leaders to consider as deliberations on MAiD for mature minors continue.
Identifier
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<a href="http://doi.org/10.1177/08404704221134588" target="_blank" rel="noreferrer noopener">10.1177/08404704221134588</a>
Rights
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2022
Campbell S
Carnevale Franco A
Denburg A
Healthcare Management Forum
January List 2023
Mature Minors
Medical Assistance in Dying
Moola F
Petch J
-
Dublin Core
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Title
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March 2022 List
Text
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Citation List Month
March 2022 List
URL Address
<a href="http://doi.org/10.1177/00302228211067034" target="_blank" rel="noreferrer noopener">http://doi.org/10.1177/00302228211067034</a>
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Title
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The Unspeakable Nature of Death & Dying During Childhood: A Silenced Phenomenon in Pediatric Care
Publisher
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Omega
Date
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2022
Subject
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children; euthanasia; youth; attitudes toward death and dying; silence
Creator
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Campbell S; Moola FJ; Gibson JL; Petch J; Denburg A
Description
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In pediatric settings, the concept of hope is frequently positioned as a fundamental aspect of care and at odds with the possibility and proximity of death. This arguably fosters silence about death and dying in childhood despite evidence indicating the benefits of open communication at the end of life. In this paper, we describe the unspeakable nature of death and dying in childhood, including its conceptual and clinical causes and dimensions, its persistence, and the associated challenges for children and youth facing critical illnesses, their families, and society. We explore how the tension between hope and death can be reframed and apply our analysis to the context of medical assistance in dying for mature minors in Canada. Considering the lack of related literature, this paper offers initial reflections to form a framework for the unspeakable nature of death and dying in childhood and to advance the crucial need for research.
Identifier
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<a href="http://doi.org/10.1177/00302228211067034" target="_blank" rel="noreferrer noopener">10.1177/00302228211067034</a>
Rights
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2022
attitudes toward death and dying
Campbell S
Children
Denburg A
Euthanasia
Gibson JL
March 2022 List
Moola FJ
Omega
Petch J
silence
Youth