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Growing Up in the Hospital
Maryland Pao, MD;
Elizabeth D. Ballard, BA;
Donald L. Rosenstein, MD
JAMA. 2007;297:2752-2755.
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We must be prepared to answer questions concerning the general physical and mental health of our patients as well as to correct accidents that occur in the course of [his] development.—Leo Kanner, 19371
Major advances in medical technology, such as chemotherapy, bone marrow transplantation, and immunotherapy, have increased survival rates and changed the lives of ill children and their families. One consequence of these advances in medical care has been that many children have experienced multiple, intensive, long-term hospitalizations. Despite pressures from insurers to shorten lengths of stay, children with serious chronic conditions can spend much of their childhood in a hospital. In 2000, approximately 2 million children and adolescents were hospitalized for pediatric illness.2 It also has been estimated that "childhood disability" accounts for 5 million hospital days each year.3 These illnesses can range from relatively common . . . [Full Text of this Article] Illness and Hospitalization as a Disruption of Normal Development
Impact of Hospitalization on Family Interactions and Discipline Hospitalization as a Traumatic Experience Current Interventions in the Hospital Institutional Modifications Physician and Staff Involvement Family and Patient Interactions Future Interventions in the Hospital
Author Affiliations: National Institute of Mental Health, National Institutes of Health, Bethesda, Md.
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