[Preoperative psychoeducation for a severely traumatized child].
N., an 8-year-old girl with a long term history of severe sexual abuse and maltreatment with consecutive mental disorders, was scheduled for surgery of clubfeet. The team consisting of an anesthesiologist, a psychologist and a pediatrician decided to prepare the girl for surgery without time pressure. In a first step we applied psychoeducation to obtain a certain degree of confidence. Psychoeducation is a special form of psychological treatment aiming to define cause and goal of surgery together with the patient and relatives. In a further step the anesthesiologist familiarized her with the surgical procedure and the operating theatre. Finally a careful anesthesia with a pain-free postoperative period was applied. Even extremely traumatized children can be prepared for surgery by the help of psychoeducative methods, without time pressure, a careful and pain-free anesthesia and an experienced team of doctors.
Kolz
S
S
Abteilung für Kinderorthopädie, Orthopädisches Spital Speising, Wien.
Fuchs
R
R
Grill
F
F
Gremel
K
K
Redl
G
G
D000758:Anesthesia; D002648:Child; D002650:Child Abuse, Sexual / Q000523:psychology*; D003025:Clubfoot / Q000601:surgery*; D005260:Female; D006801:Humans; D001523:Mental Disorders / Q000523:psychology*; D010149:Postoperative Pain / Q000188:drug therapy; D010353:Patient Education as Topic; D011300:Preoperative Care / Q000523:psychology*