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  • #5272 Reply
    Administrator
    Keymaster

     What do you think of when you hear the term “medical advocacy”? Who would you plan to talk to on your case? What questions would you ask regarding this section of your court report?

    #5668 Reply
    Judith McGuinness
    Guest

    Medical Advocacy includes all aspects of the child’s health including: well visits, immunizations, assessments, dental, if the child has a chronic medical issue, such as a mental illness, developmental delay, asthma, diabetes, and vision assessments.

    I would speak to bio parents, resource parents and any medical professionals the child has had contact with, including possibly the school nurse. I would ask any questions necessary to provide a full picture of the child’s health to the court, including trying to fill in gaps where there is no medical history.

    #5673 Reply
    Suzanne Doll
    Guest

    Medical Advocacy refers to being able to advocate for all of the child’s medical needs and overall health. This would include well baby/physicals, immunizations, medical issues/diagnosis, treatment/medications, emergency medical situations and dental/vision/hearing screenings. Regarding medical care, I would speak to the child’s pediatrician and any other specialists they may see for a medical issue. I would also talk to the school nurse and the Resource parent regarding any medical concerns or medications and also the Bio parent(s) if there is a relevant medical history for the child or family. I would want to ask questions for my report regarding any past/current chronic medical conditions/medications. I would also want to find out if any recent emergency medical care was needed or any recent illness (of child/family). I would also want to find out if there is a family history of a medical condition or if there are any updates/changes regarding the health of the bio parent. I would also include any recent medical/vision/dental appointments and need for any follow up or concerns (i.e. child needs braces/glasses).

    #5676 Reply
    Amy Aynedjian
    Guest

    Medical Advocacy seems to me to be the gathering of the child’s medical records while the child is in the resource home .
    As a CASA, I would gather information for the child’s well-care
    Visits and immunization records provided by their pediatrician.
    If there are gaps I would ask the bio parents where they took the child for visits for example a medical clinic or an urgent care. The child’s school would have some of the records and I would request to see them for the school nurse.
    The important factors would be does the child have specific healthcare needs that need to be monitored and addressed. Thinking of Maria Amarillo she has diabetes and asthma which need to be monitored and medication provided for regularly.
    I would ask the resource parents if they are aware of the child’s specific medical needs and if they need any specific training to better assist their child with immediate concerns.
    Medical care includes vision, dental auditory and mental health so I would also ask If the child has had regular eye, dental exams and hearing tests.
    As far as mental health I would ask if the child has had a psychological exam as part of their general intake into foster care.
    My Court report would include the list of medications the child is taking and the diagnoses from their doctors visits. I believe my job as a CASA isn’t to diagnose but to gather the information and present it clearly and coherently.

    #5681 Reply
    mindy felixbrod
    Guest

    Medical advocacy is to ensure that any health care issues are continually treated and not lost in the shuffle. That the past medical care includes immunizations and other healthcare appropriate to the childs age. I would consult with family, care givers, doctors and school officials on immunizations and past history and see if they noticed anything that should be addressed.

    #5682 Reply
    Alondra Palacios
    Guest

    When I think of medical advocacy I think of ensuring the best medical treatment and help for a patient. I would talk to whoever the child is staying with and the medical professionals that are handling the child’s case. It is also important to speak to the teachers, they spend a good portion of time with the child and may see things other people miss. I would ask the teachers if they have noticed anything in particular about how the child interacts and how the child does in class. I would ask whoever the child is staying with if they are aware of the medical history of a child. When it comes to the medical professionals, I would ask if the treatment the child is on is the best fit for the child.

    #5683 Reply
    Peter Manuel
    Guest

    Medical advocacy involves gathering appropriate medical information on the child, from the various relevant sources, sharing appropriate information with relevant people, and trying to ensure that no aspect of necessary medical care gets neglected. Reading the manual chapter, the task seems very daunting, especially in all the forms, parites, medications, vaccinations etc that may be involved. Obviously the starting point is basic consultation with resource and bio parents, and physicians, and school personnel, with a checklist of all these possible issues.

    #5685 Reply
    Anastasia Warden
    Guest

    The first thing I think is, “whoa! There is going to be a lot of information to go through and keep straight!” Once, I have a handle on the needs of the specific child, it will be important to keep a calendar just for that child’s medical appointments (both physical and if necessary mental health appointments) and continue to speak with Division and the primary care physician to keep on top of the child’s medical needs. Depending on the medical issues, I would plan to speak with all medical doctors and therapists that work with the child. I would also speak with teachers and the resource parent to get a sense of on how well the child seems able to cope with school activities and general wellness at home (sleeping, eating, socializing patterns).

    #5719 Reply
    Shama Thakkar
    Guest

    My perspective of medical advocacy is the right treatment (emotional and physical) for a child, and if they are not receiving it, to find out from their caretakers, teachers, therapists, etc. what would be in the child’s best interest for medical/psychological/psychiatric care.

    #5724 Reply
    Cathy Skinner
    Guest

    Medical advocacy, to me, means ensuring the child’s medical and health needs are taken care of. Much like i did as i was raising my kids – if they had a chronic condition, making sure all appointments were followed up on, symptoms were under control, etc. Making sure they had all of their wellness visits and immunizations, etc. For the court report I would speak to the pediatrician, the caregivers at the time (resource parents) and the biological parents to see if there is any history i was not seeing in the medial records.

    #5748 Reply
    Fran Waller Robertson
    Guest

    I would need to do a lot of research on medical questions.
    The first medical person to talk to would be the child’s doctor. Hopefully he/her has been seeing the child regularly and would have the current health file on the child. This would be the best scenario. It may not be the case.

    If not, I need to speak to the parent/parents as to what immunizations etc the child has had and by whom and when.
    Does the child have any development questions?
    The age of the child is taken into account. Parents. Foster parents. School. Any doctors the child is currently seeing? Then to the child him/herself Physical capabilities. Cognation levels?

    On any medications? Any allergies?

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