Hi Guys,
Hope everyone passed their clinic ok!
During my third week on my paeds prac I went on a home visit on my own, to the house of a client I had treated the week before on my own and the week before that with my supervisor. I got on quite well with the mother and the child, however before we had gone to see them the first week my supervisor had told me to be aware that the mother could be quite “stressy” and if she started asking me heaps of questions not to worry. The first time that I was there by myself was fine, she didn’t do anything inappropriate or ask many questions, she just seemed like she wanted to chat to me, but the second time (the next day) she seemed a bit stressed and made several strange comments about the availability of funding to parents and how it was allocated. She seemed to think that extra funding was being kept secret from parents so that it didn’t all get used up. I didn’t think that much of it at the time.
The next week I went there with my supervisor, who told me that she needed to speak to the mother about something and that I should treat the child whilst she was doing so. I did this and nothing seemed out of the ordinary and the mother seemed fine. However when I went back there on my own the next day she seemed very agitated and stressed, and was on the phone when I arrived, she seemed to be talking about the availability of funding for bathroom equipment. After this she chatted to me for about 10 mins before she received another phone call. After this she came back to talk to me, it was at the end of my session and I was just about to get the child out of her Trixie walker when she suddenly went into very strong massed extension (she has athetoid CP) and nearly tipped the walker backwards (on tiled floor). I grabbed the walker and stopped it from tipping, and the child was fine. As soon as this happened the mother started complaining that her child was “in between sizes” for the walker and was too big, and was supposed to be getting a new wheelchair but that my supervisor had told her yesterday that funding was not available and they would not be getting one. What she said next was very alarming, as she said that in that case she was just going to leave the child in the walker (she is unable to walk independently in it and really just stands in it) all day and if she fell over or tipped it that she would tell my supervisor that it was her fault! It did not seem to me like she was just making idle threats or bluffing, she was quite serious, and since the child has a lot of strong chorea movements that could very easily cause her to fall onto the tiled floor I was quite concerned.
When I got back to the centre I spoke to my supervisor about what had happened and what the mother had said as I thought that it was very important that she know exactly what the mother had said. She told me that I had done the right thing and that she would talk to the mother about it and sort the situation out, luckily I didn’t have to go and see them again.
When I looked back on the situation I know I did the right thing telling my supervisor about it, I felt really bad about “dobbing in” the mother and almost betraying her confidence, but in the end it was a matter of safety and even if the mother had just been bluffing it would have been wrong not to report it. If I was in the same situation again I would do the same thing, a child’s safety is more important than a mother getting mad at me!
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1 comment:
That's an interesting one actually, because I haven't really come across many situations yet where the issue of funding has been significant. I think as a student I have a very limited understanding and insight into various funding issues, and yet it is often one of the most important issues from a patient's perspective. I'm sure once we are working in a stable job we will be able to learn more about those types of issues but for now I guess we just have to pull out the old "I'm not sure, I will get my supervisor to discuss it with you" card!
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