A 15-year-old boy is under regular follow up in the General Paediatric c linic. Today, he Attends with his grandmother whom he has lived with for t he past 6 months. Grandmother Also looks after his two younger siblings, aged 9 and 6 years. Prior to t his he was cared for By his father. However, his father can no longer cope with his behaviour. He opens his Bowels once every three to four days after straining, and also has problems w ith smearing. He is unable to sit on the toilet and has never done so, instead he crouches and admits that This is very uncomfortable. He has recently broken up with his girlfriend and is feeling Rejected. When you look further through his notes you see that he suffered severe physical And emotional abuse throughout his childhood, and his mother is currently in prison. You Notice scars from self-harm on his wrists. Which of t hese is t he LEAST appropriat e act ion?
A、 Liaise with the school nurse
B、 Prescribe Movicol
C、Refer to CAMHS
D、 Refer to clinica l psychology
E、 .Refer to surgeons
发布时间:2025-08-23 19:27:58