Paediatric Patient: Child, Adult, or Both?
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...
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| Format: | Article |
| Language: | English |
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"Paediatrician" Publishers LLC
2018-12-01
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| Series: | Вопросы современной педиатрии |
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| Online Access: | https://vsp.spr-journal.ru/jour/article/view/1958 |
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| author | Valeriy P. Chemekov Aleksandra V. Shasheleva |
| author_facet | Valeriy P. Chemekov Aleksandra V. Shasheleva |
| author_sort | Valeriy P. Chemekov |
| collection | DOAJ |
| description | 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 formulation of a complaint and a picture of the disease, the perception of prescriptions and adherence to compliance is provided by the parent. During the pre-school (3–7 years) and primary school (7–11 years) periods, the picture is mosaic: the doctor compares the opinion of the parent and his child to get a picture of the disease, he gives prescriptions to the parent and/or to the child, so both of them can be a subject to compliance. And only in adolescence (12–17 years) a child can be almost a completely independent subject in all aspects of interaction in the doctor-patient system. |
| format | Article |
| id | doaj-art-31b0d6a6dabf43da88c4e0f62cd275ff |
| institution | Kabale University |
| issn | 1682-5527 1682-5535 |
| language | English |
| publishDate | 2018-12-01 |
| publisher | "Paediatrician" Publishers LLC |
| record_format | Article |
| series | Вопросы современной педиатрии |
| spelling | doaj-art-31b0d6a6dabf43da88c4e0f62cd275ff2025-08-20T03:59:53Zeng"Paediatrician" Publishers LLCВопросы современной педиатрии1682-55271682-55352018-12-0117540841210.15690/vsp.v17i5.19581785Paediatric Patient: Child, Adult, or Both?Valeriy P. Chemekov0Aleksandra V. Shasheleva1Sechenov First Moscow State Medical University (Sechenov University)Sechenov First Moscow State Medical University (Sechenov University)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 formulation of a complaint and a picture of the disease, the perception of prescriptions and adherence to compliance is provided by the parent. During the pre-school (3–7 years) and primary school (7–11 years) periods, the picture is mosaic: the doctor compares the opinion of the parent and his child to get a picture of the disease, he gives prescriptions to the parent and/or to the child, so both of them can be a subject to compliance. And only in adolescence (12–17 years) a child can be almost a completely independent subject in all aspects of interaction in the doctor-patient system.https://vsp.spr-journal.ru/jour/article/view/1958paediatric patientcompliancesubject to compliancecomplex patientinternal picture of the diseasepersonalityperiodization of the development |
| spellingShingle | Valeriy P. Chemekov Aleksandra V. Shasheleva Paediatric Patient: Child, Adult, or Both? Вопросы современной педиатрии paediatric patient compliance subject to compliance complex patient internal picture of the disease personality periodization of the development |
| title | Paediatric Patient: Child, Adult, or Both? |
| title_full | Paediatric Patient: Child, Adult, or Both? |
| title_fullStr | Paediatric Patient: Child, Adult, or Both? |
| title_full_unstemmed | Paediatric Patient: Child, Adult, or Both? |
| title_short | Paediatric Patient: Child, Adult, or Both? |
| title_sort | paediatric patient child adult or both |
| topic | paediatric patient compliance subject to compliance complex patient internal picture of the disease personality periodization of the development |
| url | https://vsp.spr-journal.ru/jour/article/view/1958 |
| work_keys_str_mv | AT valeriypchemekov paediatricpatientchildadultorboth AT aleksandravshasheleva paediatricpatientchildadultorboth |