Case Study 1:

Nicole Neason brings her daughter, Haley, for a camp physical. Haley has completed the fourth grade and is going to summer camp for two weeks with her best friend, Tess. Tess wears glasses, and Haley thinks they are cool, often wishing she could wear glasses too. During a visual acuity test, Haley misses letters on the 20/70, 20/50, 20/40, and 20/20 lines and is unable to read any letters on the 20/15 line. After the exam, Haley asks if she missed enough letters to get glasses.

- What Would You Do?
- What Would You Not Do?

Case Study 2:

Peter Mitchell visits with his 5-year-old son, Clive, who is diagnosed with conjunctivitis (pinkeye). The physician prescribes Polytrim ophthalmic suspension. Mr. Mitchell mentions Clive does not cooperate with eye drops and seeks advice to make it easier. He also has 7-year-old twin daughters at home and asks how to prevent them from getting pinkeye, wondering if it's acceptable to use the drops as a preventive measure.

- What Would You Do?
- What Would You Not Do?

Case Study 3:

Willow Basil brings in her 6-year-old daughter, Jade, who has had a fever and persistent pain and hearing loss in her left ear for the past three days. Mrs. Basil practices alternative medicine and has been using herbal therapy and aromatherapy without success. Jade is diagnosed with acute otitis media, and the physician prescribes a 10-day course of amoxicillin. Mrs. Basil asks if she must give Jade the full course of antibiotics and if the ear infection could cause permanent hearing issues.

- What Would You Do?
- What Would You Not Do?

I would explain to Haley that her visual acuity is below 20/20, which means that she needs glasses to see clearly. I would also explain that glasses are not just for looking cool,

they are also important for her healthcare Good vision is essential for learning, playing sports, and participating in other activities.

What would I not do? I would not tell Haley that she needs to get glasses just because her best friend wears them. I would also not make her feel bad about her vision. It is important to be supportive and encouraging, and to help her understand that wearing glasses is a positive thing.

Case Study 2

What would I do? I would recommend that Mr. Mitchell try to distract Clive while putting in the eye drops. He could try singing to him, reading him a story, or playing a game. I would also recommend that Mr. Mitchell try to make the experience as quick and painless as possible.

What would I not do? I would not force Clive to have the eye drops put in if he is really refusing. I would also not try to instill the drops in the twins' eyes as a preventive measure. This is not necessary, and it could actually spread the infection.

Case Study 3

What would I do? I would explain to Mrs. Basil that it is important to complete the entire course of antibiotics, even if Jade starts feeling better before 10 days are up.

Stopping the antibiotics early could lead to the infection coming back. I would also reassure her that acute otitis media is usually a mild infection that does not cause permanent hearing damage.

What would I not do? I would not discourage Mrs. Basil from using alternative medicine in addition to the antibiotics. However, I would make sure that she understands that the antibiotics are the most important part of treating the infection.

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