University of Hawaii
Integrated Pediatric Residency Program

Case 1

14 year old boy with asthma presents to your clinic complaining of a chronic cough. His PMH is significant for recurrent ER visits for asthma exacerbations with multiple hospitalizations.  He has been non-compliant with his preventive asthma medications.  His parents are immigrants from the Marshall Islands, and have been giving him “herbal tea” instead of Flovent.  No parents are at work, and not currently present.   

Questions to think about/discuss:

1. What are the problems in this case?
2. What is the Medical Home? What are the AAP recommendations for practicing community-based pediatrics using Medical Home principles?
3. What are the seven principles of the Medical Home?
4. How would you apply medical home principles to this case?

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