A 17-year-old man with cystic fibrosis has attended the same paediatric respiratory clinic since infancy and w…

Question

A 17-year-old man with cystic fibrosis has attended the same paediatric respiratory clinic since infancy and will move to the adult service next year. His mother collects his medicines, books his appointments and answers most questions during consultations. Over the past year he has missed two clinic appointments and his forced expiratory volume in one second has fallen. When his mother steps out to take a phone call he tells you he does not know the names of any of his medicines. Which one of t…

Accepted Answer

Begin seeing him alone at each visit

Answer

Ask his mother to continue managing his medicines

Answer

Delay his transfer until he turns twenty

Answer

Refer him to the adult clinic immediately

Answer

Write to his general practitioner requesting supervision

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