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Involving family in medical rounds benefits both family and medical team
Date:11/24/2009

INDIANAPOLIS Involving family members of pediatric cancer and hematology patients in medical rounds benefits both the family and the medical team, according to a new Indiana University School of Medicine study.

Riley Hospital for Children, where the study was conducted, is now one of only a small number of hospitals nationwide routinely offering the parents of pediatric cancer and hematology patients the opportunity to join their child's medical team as active participants in the discussion and planning of their son's or daughter's care.

Medical rounds in hospitals across the United States have changed over the years. They have evolved from formal didactic presentations conducted with great pomp in auditoriums with theater seating where the patient sat quietly on display; to bedside rounds as portrayed in television programs such as Scrubs, Grey's Anatomy and House. The current practice of sit-down team rounds physically removed from the family and patient have become standard due to heighted sensitivity to medical privacy.

The composition of rounding teams has evolved as well. At leading medical institutions, like Riley Hospital, the rounding team has expanded to include nurses, social workers, nutritionists, clinical pharmacists, and others in addition to the traditional medical students, residents, fellows and the attending physician. The more medical participants involved, the less likely parents were to participate as team rounds moved from the bedside to the conference room.

"Parents of children with cancer are often in an unsettling environment and are under a lot of stress. They frequently feel unable to communicate effectively with the many people who are taking care of their daughter or son. They may be reluctant to leave their child's bedside for fear of missing the opportunity to talk with members of the medical team," said Holly M. Knoderer, M.D., M.S., clinical assistant professor of pediatrics and clinical p
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Contact: Cindy Fox Aisen
caisen@iupui.edu
317-274-7722
Indiana University School of Medicine
Source:Eurekalert

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