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Paeds Casespreventive-and-community-paediatrics

Paeds Cases · preventive-and-community-paediatrics

Safe sleep counselling — communication OSCE

OSCE on non-judgemental safe-sleep history, hazard counselling and teach-back.

osce communication and preventive counselling1 min readVerification in progress

Target exams

MRCPCH ClinicalRACP DCE
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Study tools

Target exams

MRCPCH ClinicalRACP DCE
Prompt
4-week-old infant; parents use pillows in the cot and sometimes bed-share after night feeds.

Objectives

  1. Elicit actual (not ideal) sleep practices without shame. [1]
  2. Correct soft bedding and hazardous shared-sleep plans. [1] [12]
  3. Teach core safe-sleep rules with teach-back. [1] [2]
  4. Safety-net for sofa sleep and future rolling/swaddle transition. [10] [11]
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References5ShowHide
  1. [1]Moon RY Sleep-Related Infant Deaths: Updated 2022 Recommendations for Reducing Infant Deaths in the Sleep Environment Pediatrics, 2022.PMID 35726558
  2. [2]Moon RY Evidence Base for 2022 Updated Recommendations for a Safe Infant Sleeping Environment to Reduce the Risk of Sleep-Related Infant Deaths Pediatrics, 2022.PMID 35921639
  3. [10]Blair PS Hazardous cosleeping environments and risk factors amenable to change: case-control study of SIDS in south west England BMJ (Clinical research ed.), 2009.PMID 19826174
  4. [11]Pease AS Swaddling and the Risk of Sudden Infant Death Syndrome: A Meta-analysis Pediatrics, 2016.PMID 27244847
  5. [12]Shapiro-Mendoza CK Trends in infant bedding use: National Infant Sleep Position study, 1993-2010 Pediatrics, 2015.PMID 25452654
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