Article
Parents' perceptions of disclosure of the diagnosis of cerebral
palsy
G Bairda, H McConachieb, D Scruttonc
a Guy's and St
Thomas's NHS Trust, Newcomen Centre, Guy's Hospital, 1 St Thomas
Street, London SE1 9RT, UK, b Department of Child Health, University of
Newcastle, The Fleming Nuffield Unit, Burdon Terrace, Jesmond,
Newcastle-upon-Tyne NE2 3AE, UK, c Neurosciences Unit, Institute of Child Health
and Paediatric Department, Guy's, King's College and St Thomas's
Hospitals Medical and Dental Schools, King's College, London, UK
Correspondence to: Dr Baird Gillian.Baird{at}gstt.sthames.nhs.uk
Accepted 13 July 2000
The aim of the paper is to propose guidelines for good practice
in disclosing the diagnosis of cerebral palsy to parents. The
guidelines draw on an interview study with parents of 107 children,
average age 24 months, in the South East Thames region. In addition
case notes were examined, and mothers completed questionnaires to
measure current levels of depression and coping strategies. Dissatisfaction with how the diagnosis had been disclosed was greater
where children had been premature and/or low birth weight, where they
developed more severe degrees of physical disability, and where the
diagnosis had been made later. Dissatisfaction was related to greater
degrees of later self reported depression. The guidelines take account
of the findings, in particular the need for early close liaison between
neonatology and community paediatric services. Suggestions are made
for how to ensure implementation and monitoring of good practice.
Keywords: cerebral palsy; patient satisfaction; early diagnosis; guidelines.
© 2000 by Archives of Disease in Childhood
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