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Pediatric patient dosages diverge from adults due to disparities in body surface area, total body water, and extracellular fluid per kilogram of body weight. The dosing regimen considers the variations in pharmacokinetics and pharmacology across distinct age groups, encompassing preterm newborns, infants, young children, older children, and adolescents. Calculation of pediatric patient doses is predicated on determining body surface area, which exhibits a superior correlation with the child's...
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Updated: Jun 28, 2026

Making MR Imaging Child's Play - Pediatric Neuroimaging Protocol, Guidelines and Procedure
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Published on: July 30, 2009

Decision making about pre-medication to children.

M Proczkowska-Björklund1, I Runeson, P A Gustafsson

  • 1Division of Child and Adolescent Psychiatry, IMK, Faculty of Health Sciences, Linköping University, Linköping, Sweden. marie.proczkowska.bjorklund@lj.se

Child: Care, Health and Development
|October 31, 2008
PubMed
Summary
This summary is machine-generated.

Nurse communication during pediatric pre-medication did not predict compliance. Negotiation and questioning styles were linked to increased unwillingness, highlighting the need for better communication strategies in pediatric care.

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Area of Science:

  • Pediatric nursing
  • Medical communication
  • Child psychology

Background:

  • Child participation in medical decisions can influence behavior during procedures.
  • Understanding nurse communication during pre-medication for pediatric surgery is crucial.

Purpose of the Study:

  • To investigate nurse decision-making communication strategies with children undergoing pre-medication for ear, nose, and throat (ENT) surgery.
  • To analyze associations between communication styles, child factors, and child behavior (verbal hesitation, compliance).

Main Methods:

  • Video-recorded pre-medication process of 102 children (3-6 years) undergoing ENT surgery.
  • Categorization of nurse communication into six levels of participation.
  • Statistical analysis of communication patterns, child characteristics, verbal hesitation, and compliance.

Main Results:

  • Information, negotiation, and questioning were the most frequent communication categories.
  • Shy children received more negotiation, questioning, and self-determination communication.
  • Compromise and negotiation were used more with less compliant children.
  • No communication type predicted verbal hesitation; eye contact and proximity to parents were key predictors.
  • Verbal hesitation and lack of verbal response predicted lower compliance.

Conclusions:

  • Nurse decision-making communication did not predict child compliance during pre-medication.
  • Certain communication styles (negotiation, questioning, self-determination) were associated with increased child unwillingness.
  • Further research is needed on pediatric communication in medical settings to understand its impact on child behavior.