Psychological management of two cases of self injury on the paediatric intensive care unit

Self injury has not been previously reported in an intensive care setting. Two cases are presented of ventilator dependent children with high spinal cord lesions who exhibited an unusual form of self mutilation, namely lip biting. The key to extinguishing this behaviour was to address the children’s...

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Veröffentlicht in:	Archives of disease in childhood 2003-04, Vol.88 (4), p.335-336
Hauptverfasser:	Colville, G A, Mok, Q
Format:	Artikel
Sprache:	eng
Schlagworte:	Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Artificial respiration Attention Behavior Problems Biological and medical sciences Case Report Case studies Child Childhood Needs Children & youth Communication Skills Dependents Emotional Response Female Females Hospitals Humans Injuries Intensive care Intensive care medicine Intensive care units Intensive Care Units, Pediatric Lip - injuries Mechanical ventilation Medical sciences Mental Disorders Miscellaneous Mothers Neurological Impairments Ostomy Patients Physical restraints Play Therapy Psychological aspects Psychological Needs Psychological Patterns Psychologists psychology Psychotherapy - methods Quality of life Respiratory therapy Self destructive behavior self injury Self mutilation Self Mutilation - etiology Self Mutilation - prevention & control Speech Therapy Spinal Cord Injuries - psychology Tuberculosis ventilator Ventilators Weaning
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Beschreibung
Zusammenfassung:	Self injury has not been previously reported in an intensive care setting. Two cases are presented of ventilator dependent children with high spinal cord lesions who exhibited an unusual form of self mutilation, namely lip biting. The key to extinguishing this behaviour was to address the children’s psychological needs.
ISSN:	0003-9888 1468-2044
DOI:	10.1136/adc.88.4.335