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Rapid Communication| Volume 27, ISSUE 5, P557-562, October 2012

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Challenges in Treating Oppositional Defiant Disorder in a Pediatric Medical Setting: A Case Study

  • Ann M. Kledzik, MD
    Ann M. Kledzik
      Affiliations
      Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, IN
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    • Michele C. Thorne, PhD, HSPP
      Michele C. Thorne
      Correspondence
      Corresponding author: Michele C. Thorne, PhD, HSPP.
      Contact
      Affiliations
      Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, IN
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    • Vivek Prasad, MD
      Vivek Prasad
        Affiliations
        Indiana University, General Psychiatry Residency 2010, Indianapolis, IN
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      • Kathy H. Hayes, LCSW
        Kathy H. Hayes
          Affiliations
          Psychiatry Consultation/Liaison Service, Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, IN
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        • Lori Hines, RN
          Lori Hines
            Affiliations
            Psychiatry Consultation/Liaison Service, Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, IN
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          Published:July 20, 2011DOI:https://doi.org/10.1016/j.pedn.2011.06.006
          Challenges in Treating Oppositional Defiant Disorder in a Pediatric Medical Setting: A Case Study
          Previous ArticleThe Integration of a Specialized Eating Disorders Nurse on a General Inpatient Pediatric Unit
          Next ArticleExploratory Factor Analysis of the Pediatric Nursing Student Clinical Comfort and Worry Assessment Tool
              Advertisement
              The following case study is presented to highlight the importance of consistency in identifying and treating oppositional defiant disorder in a pediatric patient with a life-threatening medical illness. A pediatric transplant patient's oppositional behaviors are described, as well as the educational behavioral training program provided to the patient's caregivers and medical staff. As a result of the training, the patient engaged in less oppositional behavior, was more cooperative and pleasant with staff, and was more compliant with her treatment. Subjective reports from caregivers indicated that the training with its emphasis on consistency effectively reduced the patient's symptoms and enhanced the caregivers' ability to care for the patient.

              Key words

              • Critically ill children
              • Oppositionality and defiance
              • Nursing training
              • Behavior modification
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              References

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              Additional Resources for Nurses and Parents

              Websites:

              1. American Academy of Child and Adolescent Psychiatry: http://www.aacap.org/cs/ODD.ResourceCenter#AboutODD.

                • Google Scholar
              2. American Academy of Pediatrics http://www.healthychildren.org/English/health-issues/conditions/adhd/pages/Behavior-Therapy-Parent-Training.aspx.

                • Google Scholar
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                • Google Scholar

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                • Barkley R.A.
                • Benton C.M.
                Your defiant child: Eight steps to better behavior.
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                1,2,3 Magic: Effective discipline for children 2–12 (advice on parenting).
                ParentMagic, Inc, Glen Ellyn, IL2010
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              Article info

              Publication history

              Published online: July 20, 2011

              Identification

              DOI: https://doi.org/10.1016/j.pedn.2011.06.006

              Copyright

              © 2012 Elsevier Inc. Published by Elsevier Inc. All rights reserved.

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              Access this article on ScienceDirect

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