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A Journal on Pediatrics, Neonatology, Adolescent Medicine,
Child and Adolescent Psychiatry

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Minerva Pediatrica 2014 Jul 14

language: Italian

Pilot guidelines for the use of two-way webcam with children suffering from advanced-stage oncological disease

Giacon B. 3, Biassoni V. 3, Clerici C. A. 1, 2, Spreafico F. 3, Meazza C. 3, Veneroni L. 3, 2, Massimino M. 3

1 SSD Psicologia Clinica, Fondazione IRCCS Istituto Nazionale Tumori, Milano;
2 Dipartimento di Fisiopatologia Medico Chirurgica e dei Trapianti, Università degli Studi di Milano;
3 S.C. Pediatria, Fondazione IRCCS Istituto Nazionale dei Tumori, Milano


AIM: The paper presents guidelines for school staff on the use of two-way webcam for the sake of school-continuity with school children suffering from malignant tumors. The proposed guidelines are designed to prepare school staff about the interests of those involved in the interaction (sick child,classmates, teachers).
METHOD: Methods. Repeated clinical observations were conducted after virtual school attendance (requested by parents) of children treated at the pediatric Oncology Unit. During the virtual school attendance the school staff required counseling to the psychological team of the Fondazione IRCCS Istituto Nazionale dei Tumori about difficulties which have arisen.
RESULTS: The reported difficulties are: (1) difficulties for the sick patient concerning functional impediments and fears of possible shame experiences resulting from physical changes, (2) difficulties for the classmates due to emotional ties with the sick child and dynamics of identification, (3) professional and personal difficulties of teachers.
CONCLUSIONS: This work aims at introducing some guidelines to guide the principal and teachers at school about the adoption of webcam for children suffering from malignant tumors. The importance of acquiring some information about the opinion of the sick child (to adopt the webcam), and of the classmates is highlighted. It is also indicated the need for teachers to consider their own and others' possible emotional reactions and the possible involvement/support of a specialist in clinical psychology.

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