Guest guest Posted August 17, 2007 Report Share Posted August 17, 2007 Dear Group, As a new practitioner, I am looking for your collective wisdom and opinions on how to approach treating young adults regarding privacy and parental presence. I am being requested to treat kids in the early to mid-teens for various reasons - abdominal pain, headache, acne, etc. Many of these have a stress-related component that may or may not include home life, or other stressful teenage issues. While I " treat what I see " , I want the patient to know they can trust me and speak freely of their fears, worries, etc. as they do play an important role in my treatment plan. At the same time, I want to protect myself from ANY claim of perceived inappropriateness on my part My question is this: do you require the parent/guardian to be in the treatment room at all times? during the treatment but not the history? Any insight is greatly appreciated. Best, Jean Dombroski, L.Ac. upstate NY Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 17, 2007 Report Share Posted August 17, 2007 Hi Jean, This is how I conduct a business. I do not see why their parents can not be present with them all the time during the history taken or the treatment. For our safety someone must always be there with a child besides us. Nam Nguyen Chinese Medicine , " Jean " <greypal wrote: > > Dear Group, > As a new practitioner, I am looking for your collective > wisdom and opinions on how to approach treating young adults > regarding privacy and parental presence. > > I am being requested to treat kids in the early to mid-teens > for various reasons - abdominal pain, headache, acne, etc. > > Many of these have a stress-related component that may or > may not include home life, or other stressful teenage issues. > > While I " treat what I see " , I want the patient to know > they can trust me and speak freely of their fears, worries, etc. > as they do play an important role in my treatment plan. > > At the same time, I want to protect myself from ANY > claim of perceived inappropriateness on my part > > My question is this: > do you require the parent/guardian to be in the treatment room at > all times? > during the treatment but not the history? > > Any insight is greatly appreciated. > > Best, > Jean Dombroski, L.Ac. > upstate NY > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 17, 2007 Report Share Posted August 17, 2007 Hi Jean, I live in the UK and anyone under 16 needs " parental consent " for a treatment. I ask the parent/guardian to sign a consent form on the first visit. Then I play it by ear. Having the parent being present for the first treatment is sensible. Once you feel the parents trust you then working with them not being present may be best. I'd watch out what I write in my treatment notes since the parents would be allowed to look at them. On occasions I feel like saying " your child is OK, it's you who needs the treatments! " ... but that would not be very professional! Artemis Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 17, 2007 Report Share Posted August 17, 2007 I disagree, how can a child/teenage be honest with us about drug use, dietary habits, stressors and such with a parent in the room, I would be more likely to ask the parent into the room during the treatment. Parents DO need to consent to treatment for the child. Personally I ask teenagers if they would like the parent in the room. So do some don't. I have worked with kids much of my adult life in other areas, although you do need to be careful not to put yourself in a situation where your patient feels uncomfortable, this is not unique to kids. Bob www.acuherbals.com dr_namnguyen58 <dr_namnguyen58 wrote: Hi Jean, This is how I conduct a business. I do not see why their parents can not be present with them all the time during the history taken or the treatment. For our safety someone must always be there with a child besides us. Nam Nguyen Chinese Medicine , " Jean " <greypal wrote: > > Dear Group, > As a new practitioner, I am looking for your collective > wisdom and opinions on how to approach treating young adults > regarding privacy and parental presence. > > I am being requested to treat kids in the early to mid-teens > for various reasons - abdominal pain, headache, acne, etc. > > Many of these have a stress-related component that may or > may not include home life, or other stressful teenage issues. > > While I " treat what I see " , I want the patient to know > they can trust me and speak freely of their fears, worries, etc. > as they do play an important role in my treatment plan. > > At the same time, I want to protect myself from ANY > claim of perceived inappropriateness on my part > > My question is this: > do you require the parent/guardian to be in the treatment room at > all times? > during the treatment but not the history? > > Any insight is greatly appreciated. > > Best, > Jean Dombroski, L.Ac. > upstate NY > Choose the right car based on your needs. Check out Autos new Car Finder tool. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 17, 2007 Report Share Posted August 17, 2007 Bob, YOu are absolutely right! Thanks for correcting me. After a history is taken with the present of a child's parents, We may ask the parents to wait in the waiting room if we need to ask some uneasy questions -with their permissions " Give everyone respect " . Everyone is important. We do not only treat a child in this way, but everyone is entitled to be treated the same way. When someone needs to have his privacy and requests no spouse nor relatives at his side when history is taken or when a treatment is rendering, this should be given to him. WHAT I AM THINKING HERE IS THAT WE SHOULD ALWAYS WEAR OUR OWN SEATBELT. SPECIAL CASES SHOULD BE TREATED SPECIALLY. Thanks for your view, Bob. Chinese Medicine , " Bob Linde, AP, Herbalist " <boblindeherbalist wrote: > > I disagree, how can a child/teenage be honest with us about drug use, dietary habits, stressors and such with a parent in the room, I would be more likely to ask the parent into the room during the treatment. Parents DO need to consent to treatment for the child. Personally I ask teenagers if they would like the parent in the room. So do some don't. I have worked with kids much of my adult life in other areas, although you do need to be careful not to put yourself in a situation where your patient feels uncomfortable, this is not unique to kids. > Bob > www.acuherbals.com > > dr_namnguyen58 <dr_namnguyen58 wrote: > Hi Jean, > This is how I conduct a business. I do not see why their parents > can not be present with them all the time during the history taken or > the treatment. > For our safety someone must always be there with a child besides us. > > Nam Nguyen > > Chinese Medicine , " Jean " > <greypal@> wrote: > > > > Dear Group, > > As a new practitioner, I am looking for your collective > > wisdom and opinions on how to approach treating young adults > > regarding privacy and parental presence. > > > > I am being requested to treat kids in the early to mid-teens > > for various reasons - abdominal pain, headache, acne, etc. > > > > Many of these have a stress-related component that may or > > may not include home life, or other stressful teenage issues. > > > > While I " treat what I see " , I want the patient to know > > they can trust me and speak freely of their fears, worries, etc. > > as they do play an important role in my treatment plan. > > > > At the same time, I want to protect myself from ANY > > claim of perceived inappropriateness on my part > > > > My question is this: > > do you require the parent/guardian to be in the treatment room at > > all times? > > during the treatment but not the history? > > > > Any insight is greatly appreciated. > > > > Best, > > Jean Dombroski, L.Ac. > > upstate NY > > > > Choose the right car based on your needs. Check out Autos new Car Finder tool. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 17, 2007 Report Share Posted August 17, 2007 One thing I've said to parents who need the treatment is I've recommended they get a treatment themselves due to the stress of having a sick child. That usually works. It's just a polite was of saying, " you need the treatment more than your kid. " Usually I have the parent in the room while I'm treating. But if there's a drug problem or something like that, the parent is usually already aware of it. If the parent is too hovering and answers questions for their child I'll listen to them but let them know that I want to hear from the child. JW - Artemis Papert Chinese Medicine Friday, August 17, 2007 8:37 AM Re: Treating adolecents/minors Hi Jean, I live in the UK and anyone under 16 needs " parental consent " for a treatment. I ask the parent/guardian to sign a consent form on the first visit. Then I play it by ear. Having the parent being present for the first treatment is sensible. Once you feel the parents trust you then working with them not being present may be best. I'd watch out what I write in my treatment notes since the parents would be allowed to look at them. On occasions I feel like saying " your child is OK, it's you who needs the treatments! " ... but that would not be very professional! Artemis Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 18, 2007 Report Share Posted August 18, 2007 HI JW, Good point! I like your style. I must keep this in mind. I learn new thing today. Why didn't I ever include the parents in the treatments if needed ? Thanks body! Nam Nguyen Chinese Medicine , " Whartenby! " <jwhartenby wrote: > > One thing I've said to parents who need the treatment is I've recommended they get a treatment themselves due to the stress of having a sick child. That usually works. It's just a polite was of saying, " you need the treatment more than your kid. " > > Usually I have the parent in the room while I'm treating. But if there's a drug problem or something like that, the parent is usually already aware of it. If the parent is too hovering and answers questions for their child I'll listen to them but let them know that I want to hear from the child. > > JW > > - > Artemis Papert > Chinese Medicine > Friday, August 17, 2007 8:37 AM > Re: Treating adolecents/minors > > > Hi Jean, > > I live in the UK and anyone under 16 needs " parental consent " for a treatment. I ask the parent/guardian to sign a consent form on the first visit. Then I play it by ear. Having the parent being present for the first treatment is sensible. Once you feel the parents trust you then working with them not being present may be best. I'd watch out what I write in my treatment notes since the parents would be allowed to look at them. On occasions I feel like saying " your child is OK, it's you who needs the treatments! " ... but that would not be very professional! > > Artemis > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 19, 2007 Report Share Posted August 19, 2007 Thank you all for your insight and suggestions. I *always* have the parent sign the consent form as well as the minor. I also like the idea about treating the parent, even if only with Yintang and ear Shenmen if they are in the treatment room. Thank you again. Namaste, Jean Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 21, 2007 Report Share Posted August 21, 2007 i don't treat a lot of pediatrics, but i agree with what's been said here. in the beginning, have the parent in the room to oversee their child's treatment. once rapport and trust is established, they may want to run errands or have a quite moment in the waiting room to read, which gives the practitioner a chance for some one--on-one time with the ped/patient. i find this is particularly imp. with teens. they are beginning to assert themselves as individuals and like to have some privacy from their parents. seeing the parent/child dynamic in the treatment room is interesting, as is getting the opportunity to speak privately and candidly to the ped/patient. my 2 cents, hope it's helpful. kb On 8/17/07, Jean <greypal wrote: > > Dear Group, > As a new practitioner, I am looking for your collective > wisdom and opinions on how to approach treating young adults > regarding privacy and parental presence. > > I am being requested to treat kids in the early to mid-teens > for various reasons - abdominal pain, headache, acne, etc. > > Many of these have a stress-related component that may or > may not include home life, or other stressful teenage issues. > > While I " treat what I see " , I want the patient to know > they can trust me and speak freely of their fears, worries, etc. > as they do play an important role in my treatment plan. > > At the same time, I want to protect myself from ANY > claim of perceived inappropriateness on my part > > My question is this: > do you require the parent/guardian to be in the treatment room at > all times? > during the treatment but not the history? > > Any insight is greatly appreciated. > > Best, > Jean Dombroski, L.Ac. > upstate NY > > > -- Kath Bartlett, LAc, MS, BA UCLA Oriental Medicine Experienced, Dedicated, Effective Asheville Center For 70 Woodfin Place, Suite West Wing Two Asheville, NC 28801 828.258.2777 kbartlett www.AcupunctureAsheville.com Quote Link to comment Share on other sites More sharing options...
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