Vaccine Hesitancy Case Studies

 

pediatric case study

May 29,  · Case Based Pediatrics For Medical Students and Residents. Department of Pediatrics, University of Hawaii John A. Burns School of Medicine Pediatric Neuropsychology Case Studies: From the Exceptional to the Commonplace. OhioLINK e-book. requiread-w.ga Pictures in Pediatrics. MedNet HELLAS. Radiology Cases In requiread-w.ga: Heather McEwen, Mlis. Online Companion: Pediatric Nursing, Caring for Children and Their Families, 2e Case Studies. Case Study 1: Newborn ; Case Study 2: Infant; Case Study 3: Toddler; Case Study 4: Preschooler; Case Study 5: School-Age Child; Case Study 6: Adolescent. Learn pediatrics case studies with free interactive flashcards. Choose from different sets of pediatrics case studies flashcards on Quizlet.



A yr-old male patient presents to your clinic complaining of sore throat and cough. He has been feeling ill for about 1 week, pediatric case study, and has had no fever, nasal congestion, or runny nose. He says he feels tired and his mom states that he hasn't been getting out of bed to go to school for the past few days.

He is a previously healthy young man without any significant medical history. Physical examination is remarkable only for a mildly pediatric case study throat without petechiae. A rapid strep screen is negative and you diagnose him with a viral syndrome and recommend symptomatic relief. The patient and his mother return the next week as he is still complaining of a sore throat.

Mom seems most concerned that he is much less active than he usually is and that he has been truant from school. You question him about how he is feeling, and he tells you that his "mom just won't get off [my] back.

At that point, you ask the patient if he would like to talk to you without his mom present with her permission, of course. When you are able to talk alone, he confides that he has been smoking pot at least once every day for the past month or so.

He doesn't think that this is a "big deal" and states that "everyone he knows does it too. The physician will need this information to determine how best to approach the patient. If it is clear that there is significant clinical impairment in the patient's biopsychosocial functioning as a result of his marijuana use. The patient should be referred to a substance abuse treatment provider for further evaluation and treatment.

This provides the physician with the opportunity to coordinate with other services provides to deliver comprehensive services for the patient. It also provides the physician the opportunity to take an active role in the patient's substance abuse problems, pediatric case study. Utah Addiction Center Case Studies.

Pediatric Case Studies Marijuana-Smoking Adolescent Scenario A yr-old male patient presents to your clinic complaining of sore throat and cough. Lungs are clear, and the rest of his exam is normal. Vital signs are also within normal limits. How would you approach the patient either cooperative or resistant?

What data do you need to collect or what initial pediatric case study should be done? What do you do now? How does the physician make a referral? When and how should the physician follow up with the patient? The goal is to develop a positive, non-judgemental rapport with the patient. Use your rapport. You can best help a patient if they see you as ally rather than a threat. Try not to be accusatory or derogatory in your discussion. Use a neutral, matter of fact, tone of voice Acknowledge it may be difficult for the patient to share this information.

Don't be judgmental in your attitude toward the patient or the parent. The more of a nonjudgmental stance you portray, the more likely the patient is to reveal information. Display compassion and concern. Phrase your questions appropriately. For example, ask, pediatric case study, "Tell me about your alcohol use," instead of "Do you drink?

Don't be afraid to explore the issue. Ask what his knowledge about marijuana and other substances is. Ask if he knows about the risks and side effects of these substances. Phrasing the questions without judgment is very important. It may be helpful to say, "Would you like to know about the side effects that these substances have on your body? Help him develop a strategy to tell her himself.

If patient is resistant, acknowledge that it is difficult and uncomfortable and explain that you believe this is a health issue and is part of your over all approach to patients. Continue to gently ask questions.

Allow any resistance, pre-contemplation, and minimization to be okay. Avoid any power struggles. At this time it is unnecessary for the patient to admit that he has a problem, pediatric case study.

Be redundant. If your questions are not being completely pediatric case study ask again. Be Patient. This patient is engaging in high-risk behavior, and it is having negative consequences in his life. It is also likely affecting his health. According to the DSM IV, an addiction is defined by the biopsychosocial consequences of use, not just frequency and amount. How often? How much? Have you tried to cut back before?

What happened? Does it take you more pot to feel intoxicated than it used to? Have you ever had periods where you don't recall what you did while you were smoking? Have you ever had to smoke first thing in the morning in order to calm your nerves? Has anybody ever told you that they think you smoke too much? Have you ever been in treatment for alcohol or drug abuse? Have you ever had any alcohol or drug-related arrests? Have you ever missed work, school, or family responsibilities because you were too high or hung over?

Do you find that you are depressed after an episode of smoking? Do you have arguments with people in your life regarding your behavior while you are high? Would you consider cutting down your marijuana intake? Who else in the patient's life uses alcohol or other substances?

Help your patient understand that his mom needs to be told about his substance use so that you may begin to work through this together. Explain that you would prefer that he tell her himself, but if he refuses, you must tell her.

Once the parent is informed, assess their level of knowledge about substance use and also try to ascertain what their attitude is toward pediatric case study use. Again, explore the issue with the parent as you did with the patient. It may be helpful to talk to them individually as well as together, pediatric case study.

If either the patient or parent becomes resistant or uncooperative try to reassure them that you are gathering this information to provide the best care for his health. If they remain resistant then ask them what they would like to do, ask them if you could ask about this issue again pediatric case study time, pediatric case study, and schedule a follow-up appointment. Ask specifically about "pills. Ask about alcohol consumption, including what type of alcohol, amount consumed, pediatric case study, and frequency.

Review history of other illegal drug use. If currently using other illegal drugs, ask questions as noted in section B. Reminder: Do not use the term "illegal drug". Instead ask "tell me about your drug use. Physician may be drinking as much without significant clinical impairment. Time constraints Physician's family history causes countertransference misperceptions based on personal experiences, pediatric case study.

Discuss evidence for concern school failure, relationship problems with parent, physical symptoms from smoking Display compassion Remember that addiction is a life threatening disease thus show the same sensitivity as you would for identifying any other life-threatening illness, such as cancer.

Provide reassurance that it is treatable Ask the patient and parent how they feel about your concerns Address the stigma associated with having an addiction by reassuring the patient and parent that this is a medical illness and not a question of moral character Assuming that the patient is not in need of treatment, physician can initiate discussion of a plan for reduction or elimination of smoking marijuana.

This might include exercise, finding new friends who are not users, pediatric case study, dealing directly with stress producing problems, as well as a specific strategy for reducing or eliminating smoking, pediatric case study. H ow does the physician make a referral? If the patient is receptive: If the patient does not have insurance that covers substance abuse pediatric case study, or does not have the ability to pay for pediatric case study, or if the physician has no knowledge pediatric case study substance abuse treatment agencies, refer to SL County Division of Substance Abuse at or refer directly to Interim Group Services.

Ideally physicians should begin to develop relationships with substance abuse treating agencies and can refer to a specific agency for treatment. Pediatric case study, the physician should encourage the patient to call his insurance company to determine what services are covered. Regardless of the specific referral, the physician should list the name of the agency and the phone number on a prescription blank and give to the patient.

Ask the patient and parent if you can ask about this issue again next time, and schedule a follow-up appointment. It is likely that fear and stigma is contributing to the patient being in pre-contemplation stage of change.

If there was a referral: Physician should provide referral information to the treating agency regarding concerns and respond to any requests for information from the treating agency, pediatric case study. Reinforce and encourage continued participation in treatment. In case of severe addiction, pediatric case study, physician should coordinate directly with treating agency. If there was no referral: Discuss patient's progress toward pediatric case study or eliminating marijuana usage.

Ask specifically about activities or strategies that the patient used to accomplish that goal. Congratulate successes.

 

 

pediatric case study

 

May 29,  · Case Based Pediatrics For Medical Students and Residents. Department of Pediatrics, University of Hawaii John A. Burns School of Medicine Pediatric Neuropsychology Case Studies: From the Exceptional to the Commonplace. OhioLINK e-book. requiread-w.ga Pictures in Pediatrics. MedNet HELLAS. Radiology Cases In requiread-w.ga: Heather McEwen, Mlis. Online Companion: Pediatric Nursing, Caring for Children and Their Families, 2e Case Studies. Case Study 1: Newborn ; Case Study 2: Infant; Case Study 3: Toddler; Case Study 4: Preschooler; Case Study 5: School-Age Child; Case Study 6: Adolescent. Learn pediatrics case studies with free interactive flashcards. Choose from different sets of pediatrics case studies flashcards on Quizlet.