Question

Case Study: Yasmin is a 12 month old female who was brought to the Emergency Department...

Case Study:
Yasmin is a 12 month old female who was brought to the Emergency Department by her aunt. Yasmin’s aunt anxiously reports that the child has been having diarrhea for the past two days and “is not her usual self”. She adds that the child is fussy, lethargic, not feeding well and when she attempted to give Yasmin acetaminophen
she spit it out. Yasmin’s aunt reports that her parents are out of town, but that she does have the phone number of the hotel in which they are staying.
Assessment:
Weight: 11 kg Vital Signs Heart Rate: 115
Blood pressure: 85/50
Respiratory rate: 30 deep and rapid breathing Oxygen saturations: 95% on room air Temperature: 39.0 Degrees Celsius
General Appearance: Appears stated age. Height and weight proportional
Cardiovascular: Sinus tachycardia Respiratory: Clear breath sounds GI: Hypoactive bowel sounds
Gastrointestinal and Urinary: Has not voided in 8 hours, and is refusing fluids
Integumentary: Warm and dry to touch. Dry lips. Eyes appear sunken. No tears. Poor skin turgor
Neurological: Awake, but lethargic and irritable. Pupils equal, round and reactive to light, weak movements present in all four limbs
1. Identify three communication techniques that could be utilized to support and help build a therapeutic relationship with Yasmin and her aunt. (3 marks)

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Answer #1

Some of the ways to establish a therapeutic relationship with the child and her aunt are

  • Initiate active listening so that the aunt develops a trust and confidence that her needs will be met and the child will be in safer zone
  • Use stress relieving techniques to make both the patient and relative actively take part in the treatment without fear and thus enhance cooperation
  • To establish communication with the child try to build up friendly relationships .Play ,smile and observation can be a good way to establish a communication and therapeutic relationship with the patient.
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