A(K)
Children : Growth and development
Limitation of interaction with
environment
Limitation of communication
Clinicians : difficulty in
communicating information
at the appropriate
developmental level
Dual Patient
Clinician
Patient s
Multi Patient
Clinicians
Parents
Grand mother/father
Babysiter, etc Children
TALKING WITH
PARENTS
Listening
Facilitating the dialogue
Using common courtesy
Talking with the child
Dealing with acute illnesses
Redirecting the interview
Counseling and reassurance
Closure
Active listening
Letting the parent know that
To porpuse :
Building of good relations
Indirect to help make diagnostic
During a acute illness, the interview
must be focused
High fever, seizure
Ask : How did you handle that?
After the episode is over and the
parents less likely to anxieties
more complete and forceful
information can be given
Availability ?
Summarize the relevant points
Education
Invite questions
Jointly setting the agenda visits
Talking with
children
Goals
The primary goal of open
communication is the
establishment of therapeutic
alliance with children and parent.
1.Inhospitalized children : Reduce
surgical morbidity and improve
physiologic and behavioral
outcomes
2.Health educations programs
3.Improved coping with disease,
fewer days of school missed, and
better functional health status
Clinician should be concern
of growth and development
Support diagnose
Children go to Hospital
stress
defence mechanism
Coping
2. Internal strategies
Exp: The childs belief that he is not
very sick
1. Under age 5 years
Use direct behavioral coping
(running away)
Growing independence
and ability to make
decisions
Trust :