Competencies Required

18-month-old child with adenoids

Mother and father presenting with a child breathing through the mouth for the last three months with disturbed sleep and continuous runny nose

What is your management approach?

Ÿ Definition of the problem

Ÿ Assessment of the child’s general wellbeing based on history and examination

Ÿ Assessment of child’s risk factors

Ÿ Consideration of different management approaches based on assessment

Ÿ Sharing decision options with parents

Ÿ Consideration of parents’ worries and anxieties