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Pediatric Parents Chapter 5

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Chapter 5: Communicating with Children, Adolescents, and Caregivers Communication with pediatric patients is unique from communicating with adult patients in that the developmental state of the child must be considered. Proper education of both the parent and child can help to increase medication safety, adherence, outcomes, and overall satisfaction with the healthcare that they receive. Some studies have indicated that pharmacists only educate children on their medications 20-30% of the time. This may partially be due to lack of knowledge on how to properly counsel pediatric patients and involve them in conversations about their own healthcare. Likewise, it is also important to consider the health literacy of the parent. Improper education on measuring, confusing instructions, and incorrect measuring devices are common causes of incorrect dosing for patients at home. Children as young as 3 years can generally begin having some level of involvement in their healthcare, though the level of involvement must be individualized to the cognitive level of the child. Piaget’s classification of cognitive development is a useful framework for assessing ability in children without learning disabilities or cognitive …show more content…

At younger ages especially, following up with yes/no or close ended questions can be helpful to gain further understanding. All conversations must be focused as this will help to improve educational value. Studies indicate that children care most about the following topics: medication taste, when to take it, if it will help them get better, how long it will take for the medication to work, adverse effects of the medication, and overall why they are taking it. It is also important to emphasize medication safety and for the child to report any improper use of the

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Before considering any pediatric pharmacy practice, there are quite a few tips that pharmacy students and new practitioners should be aware of. First of all, a child is not a small adult. Not to forget that children exhibit variations in dose response, pharmacokinetics, and pharmacodynamics those make pediatrics its own specialty. In addition, pediatrics ending at age 18 is a common misconception. There is no fixed age at which a patient may receive pediatric doses.

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Healthcare professionals must talk to their patients about possible side-effects of drugs they are taking and make sure they understand what can happen. In doing so, patients may start to understand why something is happening to them and it is a normal side-effect, which can not only lead to trust from the patients to providers, but can lead to the passing of knowledge from one to another which may prevent future

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The doctor must use things such as the child’s voice, facial expressions, and body movements to decipher how the child feels or how serious a situation might be…”(53). A child depends on a doctor because they can 't help themselves. Due to the fact that many are too young to understand what is happening or the fear of being in a serious situation or environment leads them to not open up about their pain. A physician who can thin slice a young patient and tell what is wrong just by observation will be far more successful. A doctor who does not have the advanced skills of thin slicing a young patient may make a wrong assumption or

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When using the pediatric form, have the child’s parent(s) or guardian(s) fill out the questions. If the child is old enough to understand their situation, encourage the child to fill out the appropriate forms with their parent(s) or guardian(s). Filling out the form ahead of time will ensure that patient is not rushed or feeling pressured to fill out the form, and they can do it at their leisure. The patient should be instructed to fill out what they can, and if there are any questions or uncertainties, they can be reviewed during the first session.

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