Paediatric patient: Child, adult, or both?
Чемеков В. П., Шашелева А. В.
Вопросы современной педиатрии
Т. 17, Вып. 5, С. 408-412
Опубликовано: 2018
Тип ресурса: Статья
DOI:10.15690/vsp.v17i5.1958
Аннотация:
The paediatric patient is considered to be a child. However, when it comes to communication with a patient, his consent, implementation of appointments, then the party of interaction is supposed to be an adult. In this regard, the paediatric patient is represented by a child-adult alliance, which allows us to speak of a 'complex patient'. At the same time, his personal agency (the ability to independently formulate a complaint, accept appointments and achieve compliance) changes with the age of a child, coming to him from an adult. This determines the efficacy of screening as well as the main tactics of interaction between the doctor and the patient, explanation, and compliance. Based on the theory of periodization of the personality development, answers are given to the questions: who, a child or an adult, formulates a complaint, who accepts the explanation and who is the subject to compliance? It has been shown that in early childhood (up to 3 years) the patient's subjectivity in the
Ключевые слова:
Complex patient; Compliance; Internal picture of the disease; Paediatric patient; Periodization of the development; Personality; Subject to compliance
Язык текста: Русский
ISSN: 1682-5535
Чемеков В. П.
Шашелева А. В. Александра Валерьевна 1983-
Chemekov V. P.
Shasheleva A. V. Aleksandra Valeryevna 1983-
Paediatric patient: Child, adult, or both?
Текст визуальный непосредственный
Вопросы современной педиатрии
Издательство "Педиатръ"
Т. 17, Вып. 5 С. 408-412
2018
Статья
Complex patient Compliance Internal picture of the disease Paediatric patient Periodization of the development Personality Subject to compliance
The paediatric patient is considered to be a child. However, when it comes to communication with a patient, his consent, implementation of appointments, then the party of interaction is supposed to be an adult. In this regard, the paediatric patient is represented by a child-adult alliance, which allows us to speak of a 'complex patient'. At the same time, his personal agency (the ability to independently formulate a complaint, accept appointments and achieve compliance) changes with the age of a child, coming to him from an adult. This determines the efficacy of screening as well as the main tactics of interaction between the doctor and the patient, explanation, and compliance. Based on the theory of periodization of the personality development, answers are given to the questions: who, a child or an adult, formulates a complaint, who accepts the explanation and who is the subject to compliance? It has been shown that in early childhood (up to 3 years) the patient's subjectivity in the