social sciences Flashcards
(10 cards)
child bursts into tears, parents considering divorce, father is alcoholic
next step in management?
ask about emotional physical or sexual abuse
high suspicion in children with sudden changes in mood, behaviour, academic work as well as stressful family environments or active drug and alcohol abuse
in a non emergency situation eg patient with ALL
what do you do if parents refuse treatment?
obtain a court order
a newborn has signs of meningitis. mum doesnt want tubes down throat. what to do?
proceed anyway!!!
it is an emergency, you dont need to contact father for consent
automated alarms/phone reminders that itergrate into patients day can improve medication adherence
if a patient thinks they caused their babies condition. respond saying it is not your fault. dont even ask why they think they might be at fault.
physician in icu caring for critically ill patients experiencing burnout and depression. how to prevent this in residents?
holding rounds every 2 weeks dedicated to discussing psychosocial aspects of caring for critically ill patients
recurrent siezures in child
but doctor suspects mother is giving child amitryptilline and wants to test urine
how do you tell mother this?
findings more concerning for medication toxicity and because of childs wellbeing we must test her urine!!! = be DIRECT
dont say siezures happen for many reasons and we want to make sure we arent missing anything
kid with viral illness
on examination, multiple linear echymosis on back (coining)
brought in with mother
next step in management
no additional intervention needed!!
to provide culturally sensitive care, physicians should not discourage ethnic or religious groups from their practice
adolescent medical records should be transferred directly to new medical provider if switching providers instead of giving mother print out copy. because often sensitive information eg sexual and mental health
Child with well controlled HIV. Mothers is uncontrolled. What is the most appropriate topic to discuss at this visit?
Care of child in case of mothers death
