AETCOM
Communication
Attending
Listening
Influencing
Respond with empathy
Case scenario 1
A nine month old female neonate immunised till 3.5
months is brought to the OPD by her parents for
vaccination. The baby has mild fever but no clinical
findings on examination. The parents have doubts about
immunization as there is past history of death of their
child at the age of 9 months, who also had fever at the
time of vaccination? The parents also want to delay the
vaccination.
How will you educate and counsel the parents ?
Vaccination
What are vaccines?
How do vaccines work?
Are vaccines safe?
Why should I vaccinate my child if he does not have any disease?
Can my baby handle all these vaccines?
Can a vaccine cause any problem in my baby?
What disease do vaccines prevent?
Can I delay my child’s vaccine?
Safe Vaccine Practice
Patient Education and Counselling
AEFI
Safe Injection Practices
Documentation and medicolegal implications
Counselling
Establish report
Introduce yourself
Explain the vaccines - benefits and AEFI
Explain the risks of not giving vaccines
Ask if parents have any doubts and questions
Communicate sensitively,ethicaly , effectively and respectfully
with patient in his/her own language
Case Scenario 2
Mrs A who has delivered 5 days back comes to you in
OPD with complaints of excessive crying of her 5 day old
female neonate. The baby was born via EmLSCS for fetal
bradycardia . Postnatal period was uneventful.Mother
complains her baby is always hungry due to which she
keeps on breast feeding. This has made her stressed out.
She want to know about newborn care and method of
feeding her baby. In addition she wants to know bottle
feeding shoud be given or not?
Counsel the mother.
Newborn Care
Educate and counsel on providing warmth
Feeding
Prevention of infections
Immunization
Explain the danger signs
Case Scenario 3
Mrs A comes to you with her 2 year old male child with
history of developmental delay. He is being investigated
for the cause of developmental delay . Mother blames
herself for this . She is worried about the treatment of
her child. How will you counsel and educate the mother?
Development
Communicate the developmental status of the child
Counsel the parents
Counselling
Establish rapport
Introduce yourself
Explain that on the basis of history, examination and investigations
the child has developmental delay
Explain the diagnosis or the cause if evident
Be sensitive,empathetic and tell them parents should not be blamed
or made guilty
Expain the outcome, complications and need for follow up
Counselling
Explain the need for multidisciplinary approach
Explain danger signs
Maintain confidentiality
Use simple words while communicating
Pay attention to both verbal and non verbal
communication
“A smile on a parent’s face is
hallmark of our achievement ”
THANK YOU