Conflicting family advice

Setting: Paediatric dietetics clinic

Six-year-old Nia attends with her mother, Sarah, two weeks after the allergy clinic issued a cow’s milk protein exclusion plan. The immediate concern is a family birthday meal, not a current reaction.

Task

Explore family pressure to try cow’s milk.
Explain the specialist-prescribed cow’s milk protein exclusion.
Discuss label checking and inclusive meal alternatives.
Refer tolerance-testing questions to the specialist and do not authorise a home challenge.

Conflicting family advice consultation plan

The allergy specialist has diagnosed cow’s milk allergy and prescribed avoidance of cow’s milk protein; the family has the written exclusion plan.
No reintroduction or challenge is authorised in this consultation.
The dietitian can explain label checking using the written plan and identify suitable alternatives.
Questions about tolerance testing must be referred to the specialist team.
Six-year-old Nia attends with her mother, Sarah, two weeks after the allergy clinic issued a cow’s milk protein exclusion plan. The immediate concern is a family birthday meal, not a current reaction.

Fictional scenario information supplied for this examination exercise; not medical guidance for real patients.