Genetic counseling: Bardet-Biedl Syndrome-1

Bardet-Biedl Syndrome

Introduction

 * How have thing been going since we saw you last?

Contracting

 * Are there some major issues that you want to make sure are addressed today?
 * We will gather medical information, any changes in the family, physical exam

Interim History

 * Hospitalizations?
 * Surgeries?
 * Illnesses?
 * Any doctor visits?
 * Ophthalmology visit?
 * How's the eating schedule been going?
 * Regular meal times?
 * Modified meals?
 * Scheduled snack times?
 * Restricted to one helping at meals?
 * Is involved in any school-type programs?
 * EI preschool referral
 * Behavior issues
 * Developmental issues
 * speech difficulties?
 * Motor issues (walking, running)
 * Know colors/body parts
 * Potty trained

Establish Plan

 * Reiterate plan that was agreed upon in case (i.e. hospitalization in two weeks time? Vs. continue with strenuous weight loss plan)
 * Reassess parents' state of mind and emotional level
 * Make sure parents understand importance and necessity of 1) eye appointment & 2) weight loss