Family-centred developmental care and goal setting — branching viva · Paeds Vivas

Prompt

Community developmental clinic: multi-service child; family exhausted; goals unclear.

Stem

You review a school-age child with developmental disability and a thick folder of therapy letters. [1]

Examiner: What is patient- and family-centred care? [1]

Strong answer: Partnership care built on respect, information sharing, participation and collaboration — families help set and own the plan. [1]

Examiner: List the F-words. [11]

Strong answer: Function, Family, Fitness, Fun, Friends, Future. [11]

Examiner: Why mention ICF-CY? [8]

Strong answer: It structures body function, activity, participation and environment so goals are not impairment-only. [8]

Examiner: When would you use GAS or COPM? [5]

Strong answer: To individualise and measure meaningful goals — COPM for priority occupational performance issues; GAS for graded attainment of a personal target. [5]

Examiner: The family is called non-compliant. Your first move? [1]

Strong answer: Explore barriers and goal relevance; fix system load; do not lead with blame. Safeguard if the child is unsafe. [1]

References

[1]COMMITTEE ON HOSPITAL CARE and INSTITUTE FOR PATIENT- AND FAMILY-CENTERED CARE Patient- and family-centered care and the pediatrician's role. Pediatrics, 2012.PMID 22291118
[5]Carman S Lower limb orthopedic surgery in children and adolescents with cerebral palsy is well captured using individualized Goal Attainment Scale (GAS) and Canadian Occupational Performance Measure (COPM) goals. Disability and rehabilitation, 2025.PMID 40257191
[8]Abbas R An international classification of functioning, disability and health-children and youth (ICF-CY) based assessment tool for evaluating impairments, function and participation of children and adolescents with cerebral palsy in special education schools. Pakistan journal of medical sciences, 2026.PMID 42369915
[11]Canlas K Families' perspectives and experiences in using the F-words for Child Development in daily life and services. Disability and rehabilitation, 2026.PMID 42400954

Stem

You review a school-age child with developmental disability and a thick folder of therapy letters. [1]

Examiner: What is patient- and family-centred care? [1]

Strong answer: Partnership care built on respect, information sharing, participation and collaboration — families help set and own the plan. [1]

Examiner: List the F-words. [11]

Strong answer: Function, Family, Fitness, Fun, Friends, Future. [11]

Examiner: Why mention ICF-CY? [8]

Strong answer: It structures body function, activity, participation and environment so goals are not impairment-only. [8]

Examiner: When would you use GAS or COPM? [5]

Strong answer: To individualise and measure meaningful goals — COPM for priority occupational performance issues; GAS for graded attainment of a personal target. [5]

Examiner: The family is called non-compliant. Your first move? [1]

Strong answer: Explore barriers and goal relevance; fix system load; do not lead with blame. Safeguard if the child is unsafe. [1]

References

[1]COMMITTEE ON HOSPITAL CARE and INSTITUTE FOR PATIENT- AND FAMILY-CENTERED CARE Patient- and family-centered care and the pediatrician's role. Pediatrics, 2012.PMID 22291118
[5]Carman S Lower limb orthopedic surgery in children and adolescents with cerebral palsy is well captured using individualized Goal Attainment Scale (GAS) and Canadian Occupational Performance Measure (COPM) goals. Disability and rehabilitation, 2025.PMID 40257191
[8]Abbas R An international classification of functioning, disability and health-children and youth (ICF-CY) based assessment tool for evaluating impairments, function and participation of children and adolescents with cerebral palsy in special education schools. Pakistan journal of medical sciences, 2026.PMID 42369915
[11]Canlas K Families' perspectives and experiences in using the F-words for Child Development in daily life and services. Disability and rehabilitation, 2026.PMID 42400954