The main issue in this case seems to be a lack of communication between Lanesha, her grandma, and the doctor. Each one has a different perspective about why the situation is so strenuous. If they could each understand the other’s perspective, Lanesha would have an easier time accessing medication and following through with treatment.
Looking over the perspectives of Lanesha, her grandmother and the doctor, what do you think the goals are for each of them? Where do these goals overlap? Where do they conflict?
Lanesha just wants to get her medicine and be on her way, Marietta is incredibly stressed with numerous responsibilities, and Dr Rizzo is having difficulty understanding what …show more content…
Lanesha seems unwilling to talk about her medication and health with her grandmother. She says just wishes she “could run away”. To make matters worse, Marietta doesn’t believe that talking to her granddaughter is going to change the situation.
What impacts do you think Lanesha’s family and school situations have on her health? What is your role as a physician when it comes to addressing these?
Not only is the lack of medication exacerbating her asthma, she has been missing school and failing classes because she is constantly dealing with it. It also must be hard on Lanesha psychologically. She wants to be “a normal kid in a normal family”, which implies that she feels like this situation is very abnormal. As a physician, our role is to get the family to communicate with each other about health, school, etc. If Lanesha feels comfortable asking her grandma to refill her medications, she will be able to use it every day, rather than when she is already to sick to attend school.
Can you identify any common goals for each of the three participants in this case? What might be some strategies you could use as a healthcare provider to help reach those common