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Communication is vital to good pediatric health care

Nobody said parenting was easy and in some cases, even talking with your child's doctor can be hard. Although communicating with your son or daughter's health care professional might not always be easy, it is an essential component of an effective partnership.

Both parents and doctors need to understand and appreciate the value of listening, reaching an agreement and being honest with each other. The professionals at Children's Mercy Hospitals and Clinics, for instance, all strive to open lines of communication with parents as a vital means of providing the best possible pediatric medical care.

Consider the following six strategies -- originally designed as a fever- education program -- for communicating with health care professionals:

  • Set the stage. At routine, or well-child visits, be open about questions and concerns you have regarding fever (and other conditions) and share those concerns with health care professional. This will help shape the parent-professional partnership.

  • Educate Yourself. Read brochures and books on children's health. Also, be sure to learn what to look for and expect in the course of fever. Ask for a list of specific signs and symptoms to watch for, such as neck stiffness, achiness, nausea, vomiting, diarrhea and changes to the skin that can help determine whether you should contact your health care professional about a fever.

  • Also ask your health care professional questions about how to use different types of thermometers to take your child's temperature and what types of fever-reducing medications are available to lower your child's temperature.

  • Develop a Plan of Action. Work with the health care professionals to develop a plan of action. Make sure you have certain items at home such as:

    * A thermometer to check the temperature;

    * Information about the signs and symptoms to watch for to help you assess the situation.

    * Medication to lower the temperature and make the child more comfortable;

    * A pencil to monitor the child's behavior and temperature and record the child's progress.

  • Understanding of Terms. Clarify all fever-related terms and review some guidelines for managing fever with your health care professional. Remember to ask questions about terms you do not understand.

  • Keep Written Records. It is helpful to keep written notes of pertinent information including your child's temperature, behavior and other symptoms, medication given and the progression of the illness. The health professional will want to know this information. By having an accurate record on hand, you can help facilitate diagnosis.

  • Defining Endpoints. Ask for a list of endpoints that will indicate whether you've helped to manage you child's fever and, as a result, made your child more comfortable. Such endpoints include:

    * Child is sleeping comfortably

    * Child is eating

    * Child is able to play for short times

    * Child is acting less sick

    * Child's temperature has come down


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