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DST ill child poster 050816
- 1. How to give oral medicine to a child in the middle of the night. START: Child: generalised medical excuse for not going to sleep Parent: Have a glass of water and go to bed. Success: what are the chances of that? Social services arrive in morning to discuss negligent care of ill child not being given medicine: well at least in the parent’s nightmares. Escalates to TABLET Child spits out due to bad taste masking Sticky half eaten tablet found down back of sofa in 6 months time Child nearly chokes on tablet- finally spits out after much slapping on back Escalates to SYRUP Because parent cannot read label in dark without glasses, formulation chosen by child on basis of flavour it likes. Parent goes to bed Learning by parent: only buy medicines children can swallow Because parent cannot read label, child reads and decides on dose based on how much they like the flavour Learning by parent: only buy in premetered medicines Get approximate dose on spoon Get approximate dose in oral syringe Trip over dog in dark Trip over dog in dark Spill syrup over child and dog Spill syrup over child Voice from child’s bedroom: Dad: what was the honey for? Put both in washing machine Put in washing machine Child spits out remainder of medicine that actually got swallowed as taste masking deteriorated. Learning by parent: only buy medicines with proper taste masking Failure: Parent (Escalates): Here is a spoon of honey. Now go back to bed. Learning by child: think faster and do not let yourself be fobbed off the next time. Failure: Parent (Escalates): Finally goes to medicine cabinet Learning by parent: only buy medicines with proper taste masking Parent goes to bed Learning by parent: only buy medicines in forms that cannot be spilt Learning by parent: only buy medicines with a clear proof of compliance Escalates to SPRINKLES Gives to child Pours half of it down front Parent reads instructions Receives child’s exotic and specific requirements for food. Learning by parent: only buy medicines the child can take themselves intuitively Escalates to X STRAW Gives to child Drinks Gives parent a hug Child and parent go to bed. Learning by parent: giving medicines to children is simple A S Holmes 080816