At the home visit, Lan’s parents shared their concerns, describing what Lan had been able to do until recently and demonstrated what he was now unable to do. They demonstrated their distress and worry to the health visitor that there might be something wrong with their baby. The HV was honest and said she shared their concerns about Lan, based on their report and her observations.
At this home visit, the health visitor carried out a developmental review and documented the findings from this, which did suggest that Lan was not meeting all developmental milestones for a baby of nine months, and that this was a change from previous presentations.
The HV explained to Lan’s parents that there was a need for them to refer Lan to local paediatric specialists for further care and review. The parents agreed and consented to this process and to involving the GP in sharing information about this referral.
The health visitor took the opportunity to ask the parents for a bit more information about their families and if they were aware of any other family members who had a similar experience to Lan. The health visitor explained that this information would be helpful for the paediatrician and any other specialists looking after them. They were a little surprised by this request initially but agreed to discuss this further with Lan’s grandparents who they reside with, as well as Lan’s mother’s parents who live abroad.
The health visitor explained that the paediatrician might refer Lan to other professional colleagues too, and outlined how their confidential information would be protected. Finally, she reassured them that, as their health visitor, she would continue to support the family.