Discussion Question 1
Has specialized medicine made an overall positive or negativeimpact on the quality of patient-centered health care delivery?Give examples as you explain your opinion. Does your opinion changewhen discussing patients as a group versus individual patients? Whyor why not?
Discussion question 2
Select either Case A or Case B:
o Case A: Kevin, a 3-year-old boy, standsscreaming in a hospital crib as he watches staff walk past hisroom. His mother has just left to go to the cafeteria for lunch.She rarely leaves his side, even though she is a single mom withthree older children. Neighbors have offered to help watch theolder children any time she needs to leave the house, especiallyfor doctor visits. Kevin is dehydrated due to gastroenteritis, andhas an IV in his right hand, which is swaddled in gauze to preventhim from pulling the IV out. He is right-handed, and cannot play aswell with his left hand. He cannot eat or drink anything yet, eventhough he is beginning to feel hungry.
o Case B: Sarah is a 9-year-old girl with cysticfibrosis. She has developed pneumonia again, and the doctors wantto try a new medication along with a new type of breathing therapyto help deliver oxygen to her lungs. The new therapy must be donein a large, new medical center Sarah has never been to. Her motherwill be unable to come in the treatment room with her, but she willbe allowed to accompany Sarah up until the department waitingroom.
• Visit the WebMD®Web site if you choose to learn more about the child’s illness incase study you selected.
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Post your response to the following:Indicate which case study you selected in the subject line of yourpost. What developmentally appropriate methods can be used to helpthe child cope with and prepare for various aspects of theirhospital visit? How would you address the child’s emotional needs?What adjustments must the child make?





