The school nurse recognizes that Jamey is using correct inhaler technique when Jamey does which? He holds his breath for 10 seconds after inhaling the medication.
How would you approach the patient either cooperative or resistant? The goal is to develop a positive, non-judgemental rapport with the patient.
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, "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. If your questions are not being completely answered ask again.
What data do you need to collect or what initial screening should be done?
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. When did you first start smoking pot?
Have you tried to cut back before? 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?Start studying HESI Case Studies--Pediatrics-Congenital Heart Disease.
Learn vocabulary, terms, and more with flashcards, games, and other study tools. a case study in patient with otitis media and upper respiratory infection by mira utami in Types > School Work > Essays & Theses, pediatric, and otitis media a case study in patient with otitis media and upper respiratory infection.
Pediatric Interactive Clinical Cases Review the physical exam findings, lab results, and ECG in this interactive case of a year-old girl who presented with a day history of subjective fever.
This podcast is an overview of the newly published Canadian Pediatric Society (CPS) statement on the Diagnosis and Management of typical, newly diagnosed .
In this study, we systematically review and meta-analyze the evidence for pediatric hospital discharge interventions that are associated with reduced health care use . Pediatrics is the official peer-reviewed journal of the American Academy of Pediatrics.
Pediatrics publishes original research, clinical observations, and special feature articles in the field of pediatrics, as broadly defined. Contributions pertinent to pediatrics also include related fields such as nutrition, surgery, dentistry, public health, child health services, human genetics, basic.