Parental psychopathology in the pediatric intensive care unit

Alan S. Graham, Helen N. Turner, Lisa Madison, Michael A. Harris

Research output: Contribution to journalArticle

Abstract

While S.T.'s medical care was complex, it was further complicated by what seemed to be PDPs. The father seemed narcissistic, and the mother appeared dependent, deferring all decision making to her husband. The pediatric critical care nurse and the advanced practice nurse are uniquely positioned to identify potential PDPs and minimize the disruption they cause in the care of critically ill children. Key tactics to limiting this disruption are outlined in Table 2. A facilitated debriefing following such challenging cases is critical to ensure future team function and integrity. Avoiding interactions with PDPs in the PICU is not always possible, but early identification, consistent boundaries, and high-level communication among all caregivers can minimize the impact of PDPs on the child's care and the health care team's functioning.

Original languageEnglish (US)
Pages (from-to)133-138
Number of pages6
JournalAACN advanced critical care
Volume21
Issue number2
DOIs
StatePublished - Apr 1 2010

ASJC Scopus subject areas

  • Emergency Medicine
  • Critical Care

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