老挝|Overview
Attending to Burnout and Secondary Traumatic Stress in a Pediatric Hospital
挑战
Many years of widespread conflict and poverty have stalled healthcare development in Laos, and poor infrastructure combined with a mountainous terrain present a constant barrier for children and families to access high-quality health care. As a result, children often die from preventable conditions and treatable diseases. These realities can weigh heavily on hospital staff who are frequently working around the clock with limited resources in fast-paced, high-stress situations to save children’s lives.
Where We Started
The老挝朋友的儿童医院（LFHC）于2015年2月开业，目的是由老挝人民建立本地可持续的医院。自从其作为门诊诊所开业以来，LFHC已迅速发展成为一家多部门国际标准的儿科医院。欧宝彩票平台波士顿儿童医院已与LFHC合作，以支持这一增长。最近，来自波士顿儿童的临床心理学家艾玛·卡德利（Emma Cardeli）受邀进行需求评估，以增强LFHC对程序化和临床压力源的理解，除了弹性杠杆外。
Our Impact
10月，Cardeli博士完成了38次与老挝的定性访谈，并在医院的各种职务上工作。她审查了与LFHC领导团队的发现，并概述了一项针对医院工作人员的多层自我护理计划，并考虑了文化上特定的员工需求。
Moving Forward
波士顿儿童将继续与LFHC合作，为多层自我护理计划增强能力。这将包括培训LFHC的人员反思性监督技术以及基于证据的应对技巧，以管理倦怠症状和继发性创伤压力。
接触
Emma Cardeli, PhD
Addressing Longitudinal Care in the Treatment of Extreme Anemia
挑战
Thalassemiais an inherited blood disorder and a major cause of severe anemia in the southeast Asian population. In northern Laos, where years of poverty, poor infrastructure, and geographic barriers to care exist, mortality rates for thalassemia are among the highest in the region. It remains a largely under-diagnosed, under-recognized public health problem in national statistics.
Where We Started
Local leadership at Lao Friends Hospital for Children (LFHC) identified the need to reliably diagnose and systematically see patients affected by this disease, who were being managed in a fragmented outpatient care system. In late 2016, they advocated to create a thalassemia clinic to begin providing regular blood transfusions and health maintenance. As the clinic reach expanded and children are anticipated to live longer, the clinic has experienced issues with retention, compliance, and longer-term treatment plans for these patients.
Our Impact
Boston Children’s former Pediatric Global Health Fellow Neeru Narla, MD, MPH, partnered with LFHC to support clinic logistics, patient counseling and education, blood supply, and surgical care planning. She worked with local Lao providers to develop a model of assessment and education for pediatric patients through their transition into adolescence and adulthood.
Moving Forward
We hope to maintain improved systematic management for early adolescents with other childhood-onset diseases, includingnephrotic syndrome和癫痫,目前在医院的overwhelme照顾d pediatric outpatient system. The goal is to foster continued support for the successful transition of these patients who are now living to adulthood with better access to healthcare.
接触
Nirmala Narla, former Pediatric Global Health Fellow