Paeds Cases · growth-development-and-behaviour
Disability-aware acute care — communication OSCE
OSCE on caregiver partnership, reasonable adjustments, pain assessment and anti-overshadowing in ED.
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Study tools
Target exams
MRCPCH ClinicalRACP DCE
Prompt
Parent of a non-verbal school-age child with developmental disability; child agitated after long wait; staff labelled presentation as behavioural.
Objectives
- Partner with the caregiver as the baseline expert. [4]
- Name and avoid diagnostic overshadowing. [6]
- Implement reasonable adjustments in real time. [3]
- Describe pain assessment with an observational tool. [1] [9]
- Communicate a clear medical hunt and safety-net plan. [6]
References5ShowHide
- [1]Malviya S The revised FLACC observational pain tool: improved reliability and validity for pain assessment in children with cognitive impairment Paediatric anaesthesia, 2006.PMID 16490089
- [3]Richards B Caring for children with autism spectrum condition in paediatric emergency departments Emergency nurse, 2017.PMID 28703063
- [4]Garrick A An Australian Cross-Sectional Survey of Parents' Experiences of Emergency Department Visits Among Children with Autism Spectrum Disorder Journal of autism and developmental disorders, 2022.PMID 34061310
- [6]Lee ACK Health inequalities for people with learning disabilities: why it matters and what emergency physicians need to know British journal of hospital medicine, 2024.PMID 38416523
- [9]Shaban R Pain assessment in non-verbal children with neurocognitive impairment: a review on current tools, challenges, and clinical perspectives Frontiers in pain research, 2026.PMID 41987884