[indian]

I just did Kaplan CS course and there the instructors told us that we should not give theraputic advice to SPs during CS exam.
What do you think about this, I respect your opinion

 

[Sabio]

Therapeutic Advice to SP

It's generally advised to minimize theraputic advice as much as possible during the SP encounter.
However, that does not mean that you cannot give some simple recommendations.
Examples of therapeutic advice that you give:

• Advice to quit smoking, alcohol, change of lifestyle and diet.
• Advice to use condoms and promote safe sexual practices.
• Advice women to take annual Pap smears and how important is that in detecting early cancer.
• Advice mothers to give ORS for their children during diarrhea yet you must ask her to bring the child for full physical exam.
• Advice mothers about adequate nutrition for their children and how to promote healthy eating.
• Advice about vaccination.
• You can say that I will give you a medication for the pain once we finish the diagnostic procedures.

 

[khanar]

Emergency Telephone Case!

What if the case is an emergency case on the telephone such as a mother on the phone giving a scenario of possible foreign body aspiration by her child! Can we instruct her to do life saving measures at home!

 

[Sabio]

What if the case is an emergency case on the telephone such as a mother on the phone giving a scenario of possible foreign body aspiration by her child! Can we instruct her to do life saving measures at home!

Oh yes in that case you may advise her to do life saving measure if she's telling you that her child is now gasping and cannot breath and has turned blue.

Even if the child is not so immediately in danger you should to advise her to contact 911 immediately if she noticed any abnormal breathing or cyanosis.

Otherwise, specific therapy for non emergency telephone cases is better avoided. Like you may not tell her to expose her jaundiced baby to the sun in an effort to minimize the effects of hyperbilirubinemia. In such a case the most important advise is that you insist on bringing her child to the hospital for complete assessment.