Ali Case Study
Recommendations 1-5
1. Play Therapist
2. Perspective
3. Procedure steps
4. Familiarise
5. Speak to Cyrus
Perspectives
Ali- Scared, anxious, upset, determined to be independent, seeking control, frustrated at being treated like a child
Cyrus- worried, desperate for help, upset, feeling alone/ like a failure, protective, hesitant.
Nursing team- half empathetic for Ali, half annoyed, think we should get it over with.
Ethics
Barriers/ solutions
How my role will change
Student- It is likely that I would not be in the room for Ali's procedure, as I am not familiar to him and would not be involved in the procedure, as I am not qualified to take blood in paediatrics, and introducing me despite this could overwhelm Ali. This is why it is my recommendation to keep involved personel to a minimum.
Newly Qualified- In this scenario, since I was involved with the case, it would be more likely that I would step into the role of speaking to Ali and Cyrus, as well as performing the procedure, to provide one recognisable and trustworthy point of contact and ensure a safe and familiar environment and provide Ali with the sense of control and awareness.
Strengths of this Plan
Supporting families in challenging situations: Studies
1: The efficacy of non-pharmalogical pain management for 2-19 year olds with needle related pocedural pain. Systematic review.
2: Parental experiences in managing a childs procedural pain. Systematic review.
Transitioning through conflict: Studies
1. Systematic review into adherence in adolescent cancer
2. Study into understanding strategies for infants, children, adolescents and adults to reduce procedural anxiety