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Discussion: Mr. Smith brings his 4-year-old to your office with chief complaints of right ear pain, sneezing, mild cough, and low-grade fever of 100 degrees for the last 72 hours. Today, the child is alert, cooperative, and well hydrated. You note a mildly erythemic throat with no exudate, both ears mild pink tympanic membrane with good movement, lungs clear. You diagnose an acute upper respiratory infection, probably viral in nature. Mr. Smith is states that the family is planning a trip out of town starting tomorrow and would like an antibiotic just in case.

Create a communication plan for Mr. Smith and/or families for both prescriptive and non-prescriptive drug therapies. Describe what you would tell Mr. Smith and the child. Provide resources that Mr. Smith could access which would provide information concerning your decision.

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Explanation & Answer

Attached.

Negative Treatment Communication Plan - Outline
Thesis Statement: It is crucial that the physician considers using a negative recommendation
treatment plan for the child since in this case, the viral infection may not require prescriptive
medication.
I. Introduction
II. Negative treatment recommendation
III. Communicating the negative treatment
IV. Symptomatic treatment
A. The fever
B. Mild cough
C. Throat erythema
V. Monitoring progress
VI. Conclusion


Running head: NEGATIVE TREATMENT COMMUNICATION PLAN

Negative Treatment Communication Plan
Name
Institution

1

NEGATIVE TREATMENT COMMUNICATION PLAN
Negative Treatment Communication Plan
Antibiotic prescription for children with acute respiratory tract infections (ARTIs) is on
the increase in the U.S. The prescriptions which account for more than 50% of the treatment
plans for children with ARTIs is as a result of out-patient visits to physicians with complaints of
upper tract infections (Vincent et al., 2013). However, developing an effective communication
plan can reduce the need for prescriptions and thus reduce the prescription levels. In the case of
Mr. Smith and his 4-year-old child, the physician develops a communication plan for both
prescriptive and non-prescriptive therapies to enable the parent to administer treatment even
when on the family trip for the full recovery of the child. It is, however, crucial that the physician
considers using a negative recommendation treatment plan for the child since in this case, the
viral infection may not require prescriptive medication.
Negative Treatment Recommendation
The treatment of upper respiratory tract infections requires the approach whereby there is
minimal antibiotic use. The reason for limiting the antibiotic use is due to the numbers presented
by the Centers for Disease Control and Prevention (CDC) regarding antibiotic use. More than
100 million antibiotic prescriptions are written each year (Bosch et al., 2013). According to the
CDC, more than 50% of the prescriptions could have been avoided and alter...


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