Paeds Cases · preventive-and-community-paediatrics
Food and housing needs counselling — communication OSCE
OSCE on non-stigmatising screening, Hunger Vital Sign, housing safety and closed-loop referral.
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Target exams
MRCPCH ClinicalRACP DCE
Prompt
Caregiver of a 2-year-old; positive Hunger Vital Sign; rent arrears; fears judgement.
Objectives
- Ask about food and housing needs without shame or blame. [16]
- Explain a positive Hunger Vital Sign and why action is needed even if the child is not thin. [1] [5]
- Check tonight’s safe sleep/housing plan and medical sequelae. [4]
- Offer a closed-loop referral with a named next step and follow-up. [1]
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- [1]COUNCIL ON COMMUNITY PEDIATRICS, COMMITTEE ON NUTRITION Promoting Food Security for All Children. Pediatrics, 2015.PMID 26498462
- [4]Council on Community Pediatrics Providing care for children and adolescents facing homelessness and housing insecurity. Pediatrics, 2013.PMID 23713108
- [5]Hager ER Development and validity of a 2-item screen to identify families at risk for food insecurity. Pediatrics, 2010.PMID 20595453
- [16]Palakshappa D Suburban Families' Experience With Food Insecurity Screening in Primary Care Practices. Pediatrics, 2017.PMID 28634248