Today, we bring you an incredibly useful alternative to the Wong-Baker FACES pain scale (Wong-Baker Faces, 2016), the 'highly unofficial LEGO Pain Assessment Chart' by Life of Dad (Moles, 2014).
This post is a fast fact on some of the health experiences your patients may have had by the time they are 5. A 'nice to know' that may be useful to bear in mind during history taking.
Depending on where an object settles, the patient might have symptoms instantly or days after foreign body inhalation. A croupy cough might not be croup. An infection might not be a simple chest infection. Consider adding these questions to your history taking.
Sometimes, children might present with pyrexia and symptoms that don't suggest they have a chest infection. Don't rule out pneumonia in a poorly child who isn't complaining of chesty symptoms - they may have it.
According to Shaw et al's study (2017), patients whose conditions were deemed more serious in hospital had arrived with higher NEWS scores. The score for each patient was created from prehospital observations & so could be used to predict patient risk.
Remember that the quiet child is often the child who is unwell.
According to Bruga et al (2013), the red flags to look out for range from those which directly concern a child's vital signs to states such as 'seizures', rashes and 'haemorrhage' (Bruga et al, 2013: 12). For the full list, please see the image below.
Be cautious during your medical examination of a young patient about how well children tend to compensate in illness
The various parts of the law applicable to mental health sectioning are Section 2, 3, 4, 5, 135 and 136 but Community Treatment Orders also enable sectioning. These allow for durations of 6 hours, 72 hours, 28 days or 6 months, depending on the type of section. Read more to find out which types provide those durations...