Paeds Cases · preventive-and-community-paediatrics
Smoke-free home and youth vaping counselling — communication OSCE
OSCE on non-judgemental SHS history, smoke-free home and car counselling, and adolescent vaping dual-use screening.
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Target exams
MRCPCH ClinicalRACP DCE
Prompt
6-year-old with poorly controlled asthma; parent smokes; teen sibling may be vaping.
Objectives
- Take a non-judgemental history of tobacco and nicotine exposure at home and in the car. [1] [11]
- Explain why second-hand smoke worsens childhood asthma control without shaming the caregiver. [4]
- Negotiate a concrete smoke-free and vape-free home and car plan with teach-back. [1]
- Screen for adolescent sibling or self vaping and dual use when appropriate. [6]
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References4Show ledgerHide ledger
- [1]Jenssen BP Protecting Children and Adolescents From Tobacco and Nicotine. Pediatrics, 2023.PMID 37066668
- [4]Wang Z Effects of secondhand smoke exposure on asthma morbidity and health care utilization in children: a systematic review and meta-analysis. Annals of allergy, asthma & immunology, 2015.PMID 26411971
- [6]Neczypor EW E-Cigarettes and Cardiopulmonary Health: Review for Clinicians. Circulation, 2022.PMID 35041473
- [11]Drehmer JE Parental Smoking and E-cigarette Use in Homes and Cars. Pediatrics, 2019.PMID 30858346