Documente Academic
Documente Profesional
Documente Cultură
1. Introduction
- Introduce yourself
- Ask the parent’s name, how should I address you?
- Assess knowledge.
- Ex : Good afternoon, my name is Dr. Ali, I am the one who seeing your child. So are you
Kevin’s father/ mother? How should I address you? Are you the one who brought him to the
hospital?
2. Explain purpose of the conversation and the child’s condition (may need to ask some
questions?)
Purpose
- So I have examined your child, and i would like to talk to you about his current condition.
3. Explain the child condition.
bacteria or parasite. Usually, it’s just due to a virus (Rotavirus) and will slowly resolve on it’s
own.
# Ask whether the parent understand what you just explained
4. Explain the management was done
* Since the infection is normally due to a virus, we do not immediately start on antibiotics as that
will not benefit your son, Kevin. We shall take some tests to confirm the cause and then proceed
with further management. As for now, it is crucial to keep him hydrated.
- there is no need to explain to the mother on how to calculate the amount of fluid the child has
to take in a day. It is good to explain what is ORS, why it is given and a simple way to prepare it,
however, there is no need to go in depth on how much ORS is needed to give to the child.
4. Feedback
- Do you understand what I am saying?
- Do you have any questions? So what do you concern about?
5. Reassure
- Do not worry so much. Your child will get well soon after we replace the fluid loss. What can
you do right now is being by his side and comfort him. You can offer him orally if he can
tolerate it. Offer him some plain water, fruits juice or soft food like porridge.
6. Others
- Questions can be asked by parents?
a) Do my child need antibiotics/ antiemetic/ or antidiarrhoeal?
No need antibiotics because like I said the most common pathogen causing acute
gastroenteritis would be virus. Unless :
a) dysentery + high fever + concurrent symptoms of septicaemia.
Counseling on AGE & Mx : IV fluids + ORS
We won’t give antiemetic because it can have bad side effect especially to the brain. The
child can have drowsiness. (antiemetic – can caused CNS effect, abnormal movements: oculo
gyric crisis).
Eg : ordansetron (chemo pt), maxolon or metochlopromide, prochlorperazine or stemetil.
Antidiarrhoeal also no need because we want him to pass out stool so all the pathogen can be
wash out/ come out too.
b) Is ORS is medication?
No. It is a form of treatment, but not a drug/ rather than medication I would say ORS is
replacement of fluids, ions or electrolyte loss due to vomiting and diarrhoea.
g) No medical jargons.
Ex: IV/ intravenous
Counseling on AGE & Mx : IV fluids + ORS
i) Body language
- eye contact
- facial expression
- tone of voice