Pain is described as “an unpleasant sensory and emotional experience associated with, or resembling that associated with, actual or potential tissue damage”. This definition from IASP guides clinicians to potential prevention and intervention points for a reduction in the experience of pain for our patients.
Author Archives: Grand Rounds
Use of the internet and social media is now almost ubiquitous amongst adolescents. Parents express concern about their children’s use of social media and the risk of exposure to both unwanted and sought-after content, especially sexual content. Negotiating the digital world and understanding who their children are communicating with is becoming more difficult for parents.
Genetic conditions are the leading cause of death in children in high-income countries. Accurate and timely diagnosis is critical for being able to provide prognostic information and guide treatment, yet often takes many years.
Sophie Deane is a 20-year-old young woman with some pretty big ideas about what she would like to do with her life. She has just finished school and is keen to get on and find a job, move out of home, travel – and maybe even get married. She would like the chance to tell you more about those hopes and dreams.
“Let our families and others who are important to us, be with us to care for us and love us” (Charter on The Rights of Children and Young People in Healthcare Service in Australia, 2017).
Patient and family-centred care has been widely accepted as an ideal way to care for children in hospitals. This was not always the case. Drawing on the RCH Archives collection, interviews with current and past patients, families and nursing staff, we will explore how family-centred care has evolved over time, to the present era where the child and family are at the forefront of our care.
Too often research evidence fails to inform practice or policy, and opportunities to improve children’s health and wellbeing are lost. The Melbourne Children’s Knowledge Translation and Research Impact Project, funded by the RCH Foundation, seeks to better understand campus KT and impact needs, and has developed and piloted strategies to advance knowledge translation, implementation and research impact.
Medulloblastoma is the most common malignant brain tumour of childhood. Despite multidisciplinary therapies offered by neurosurgery, radiation oncology and paediatric oncology through cooperative group clinical trials, there are significant late effects of therapy, including but not limited to neuroendocrine deficits, neurocognitive impairment and second malignant neoplasms
Hospitalisation for treatment of serious illness can place infants, and their families, at risk with respect to their mental health. Trauma responses are common, and optimal infant-parent relationship development may be disrupted. Significant additional environmental and psychosocial burdens were placed on this group in 2020 as a consequence of measures adopted to protect the community from COVID-19.
Neuroscience Advanced Clinical Imaging Service (NACIS) is the translational clinical and research program embedded in the Neurosurgery Department at The Royal Children’s Hospital (RCH). Although officially established in January 2020, NACIS emerged from work since 2012 which was supported by a Clinical Paediatric Neurosurgery Research Fellowship from the RCH Foundation.
In this interactive and case-based session, the Children’s Bioethics Centre team will introduce the ethical idea of deciding with children, rather than ‘for’ them. We will briefly describe the ethical foundations of this idea, discuss what it means in practice, and why it matters.