Whilst on my paediatric placement I was treating a child with CF who was admitted quite frequently for tune ups, I had been told before I'd seen him that he was a bit of a difficult child and there were some social issues due to family problems.
On treating the patient I found that he had some behavioural problems but after developing a good rapport with him I found it quite easy to get the desired result from treatment.
This went on for several days and treatment session were going well, this was until an afternoon treatment session were I took the patient to the physio gym for some exercise. The exercise involved playing various games something which the patient usually enjoyed and was compliant with. On taking the patient to the gym I noticed that he wasn't his usual self he was a bit quitter than usual and just didn't seem as happy. Starting the gym session the patient was very difficult not wanting to play any of the games he had enjoyed previously. The session was completed and the desired outcome of the session had not been achieved, on reflecting about what had happened with my supervisor it had come to light that the patients mother hadn't visited or phoned the patient that morning, and that this may have been the cause for the misbehaviour during the treatment session.
FOLLOWING THIS INCIDENT IT MADE ME LEARN THAT I HAD TO LOOK AT THE PATIENTS MORE HOLISTICALLY PROBABLY MORE IMPORTANTLY IN A PAEDIATRIC SETTING AS THE ROLE AND INTERACTION OF FAMILIES WAS A LARGE PART IN HOW A CHILD WOULD BEHAVE.
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2 comments:
Children are very sensitive to little changes and usually do not express themselves to adults. It is important not to punish the child straight away if they are not compliant as it may be as simple as fixing their socks up.
thats a good point. Certain things can drastically change a patients mood, especially a child, and therefore affect the outcome of the treatment session
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