RESUMO
To achieve successful dermatologic surgery in a pediatric patient, several factors should be considered, including recognizing a child's inherent anxiety, ability to understand/comply with instructions, engaging their caregiver, and minimizing pain. Distraction techniques, including use of smart devices or classic play, have been shown to reduce anxiety, perception of pain, and increase overall satisfaction with the needed procedure. Customizing the child's need based on their stage of development and family preferences further improves how effectively the techniques are deployed. Because children are naturally playful, suturing techniques and dressing of surgical wounds may also require modification for best possible outcome.
Assuntos
Ansiedade/prevenção & controle , Cuidadores , Procedimentos Cirúrgicos Dermatológicos/métodos , Dermatopatias/cirurgia , Adolescente , Anestesia Local , Ansiedade/etiologia , Criança , Pré-Escolar , Procedimentos Cirúrgicos Dermatológicos/efeitos adversos , Procedimentos Cirúrgicos Dermatológicos/instrumentação , Humanos , Lactente , Recém-Nascido , Posicionamento do Paciente , Seleção de PacientesRESUMO
Ethnomedical practices are increasing in all parts of the world, including many urban centers. We describe a unique case of a 7-year-old girl with atopic dermatitis who was responsive to parent-initiated treatment with the extract of a plant from the Chenopodium genus. A brief discussion raises awareness of such practices to the practicing dermatologist.