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. 1989 Spring;22(1):101–109. doi: 10.1901/jaba.1989.22-101

Ecobehavioral characteristics of a pediatric burn injury unit.

K J Tarnowski 1, L K Rasnake 1, T R Linscheid 1, J A Mulick 1
PMCID: PMC1286157  PMID: 2708172

Abstract

Behavioral observations were conducted on 40 children admitted consecutively to an inpatient pediatric burn care unit (PBCU) over a 6-month period. Children's responses to the PBCU environment as well as adult responses to patients were assessed. Data indicated that children most frequently (a) were oriented and alert, (b) emitted vocalizations or verbalizations, (c) were environmentally engaged, (d) and demonstrated positive or neutral affective responding. Adult-child interactions occurred during the majority of observations. Age was found to be significantly related to the type of distress response exhibited. Positive responses indicative of patient well-being were found to be associated with environmental engagement and the presence of other patients. In general, little evidence emerged to support the notion of a PBCU response pattern which resembles that observed in pediatric intensive care units (i.e., ICU syndrome). The use of observational methods for studying the behavioral adaptation of children in medical settings and the implications of the data for the design of interventions on PBCUs are discussed.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Cataldo M. F., Bessman C. A., Parker L. H., Pearson J. E., Rogers M. C. Behavioral assessment for pediatric intensive care units. J Appl Behav Anal. 1979 Spring;12(1):83–97. doi: 10.1901/jaba.1979.12-83. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Clarke A. M. Thermal injuries: the care of the whole child. J Trauma. 1980 Oct;20(10):823–829. doi: 10.1097/00005373-198010000-00001. [DOI] [PubMed] [Google Scholar]
  3. Felce D., de Kock U., Repp A. C. An eco-behavioral analysis of small community-based houses and traditional large hospitals for severely and profoundly mentally handicapped adults. Appl Res Ment Retard. 1986;7(4):393–408. doi: 10.1016/s0270-3092(86)80013-3. [DOI] [PubMed] [Google Scholar]
  4. Katz E. R., Kellerman J., Siegel S. E. Behavioral distress in children with cancer undergoing medical procedures: developmental considerations. J Consult Clin Psychol. 1980 Jun;48(3):356–365. doi: 10.1037//0022-006x.48.3.356. [DOI] [PubMed] [Google Scholar]
  5. Kavanagh C. A new approach to dressing change in the severely burned child and its effect on burn-related psychopathology. Heart Lung. 1983 Nov;12(6):612–619. [PubMed] [Google Scholar]
  6. Klein R. M., Charlton J. E. Behavioral observation and analysis of pain behavior in critically burned patients. Pain. 1980 Aug;9(1):27–40. doi: 10.1016/0304-3959(80)90026-3. [DOI] [PubMed] [Google Scholar]
  7. Maron L., Bryan-Brown C. W., Shoemaker W. C. Toward a unified approach to psychological factors in the ICU. Crit Care Med. 1973 Mar-Apr;1(2):81–84. doi: 10.1097/00003246-197303000-00004. [DOI] [PubMed] [Google Scholar]
  8. Rescorla R. A. Probability of shock in the presence and absence of CS in fear conditioning. J Comp Physiol Psychol. 1968 Aug;66(1):1–5. doi: 10.1037/h0025984. [DOI] [PubMed] [Google Scholar]
  9. Schroeder S. R., Kanoy R. C., Mulick J. A., Rojahn J., Thios S. J., Stephens M., Hawk B. Environmental antecedents which affect management and maintenance of programs for self-injurious behavior. Monogr Am Assoc Ment Defic. 1982;(5):105–159. [PubMed] [Google Scholar]
  10. Shorkey C. T., Taylor J. E. Management of maladaptive behavior of a severely burned child. Child Welfare. 1973 Oct;52(8):543–547. [PubMed] [Google Scholar]
  11. Simons R. D., McFadd A., Frank H. A., Green L. C., Malin R. M., Morris J. L. Behavioral contracting in a burn care facility: a strategy for patient participation. J Trauma. 1978 Apr;18(4):257–260. doi: 10.1097/00005373-197804000-00006. [DOI] [PubMed] [Google Scholar]
  12. Tarnowski K. J., McGrath M. L., Calhoun M. B., Drabman R. S. Pediatric burn injury: self- versus therapist-mediated debridement. J Pediatr Psychol. 1987 Dec;12(4):567–579. doi: 10.1093/jpepsy/12.4.567. [DOI] [PubMed] [Google Scholar]
  13. West D. A., Shuck J. M. Emotional problems of the severely burned patient. Surg Clin North Am. 1978 Dec;58(6):1189–1204. doi: 10.1016/s0039-6109(16)41686-5. [DOI] [PubMed] [Google Scholar]
  14. Zide B., Pardoe R. The use of behavior modification therapy in a recalcitrant burned child: case report. Plast Reconstr Surg. 1976 Mar;57(3):378–382. doi: 10.1097/00006534-197603000-00025. [DOI] [PubMed] [Google Scholar]

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