ABSTRACT
A14 years old child with the diagnosis of [PAR] was followed for one year in a primary care setting at the periphery of Makah holy city. [PAR] mini-clinic was prepared and the staffs were trained on the use of communication and education skills [CES] on [PAR] patients. The team diagnosed [PAR] depending on the presence of four cardinal symptoms which are [sneezing, nasal itching, rhinorrhea and blocked stuffy nose] plus the chronicity of the problem. The child and his parents [CHP] concerns, misbelieves plus the cost of the drugs and mite covers were the main areas of visits. [PAR] management outcomes were the clinical improvement in the child four cardinal symptoms, the triggers avoidance, the nasal spray compliance and technique and the [CHP] knowledge. These outcomes were followed in each visit which has improved a lot at the end of the year. The aim of this case report is to show the beneficial effects of using [CES] on [PAR] management outcomes. To my knowledge this is the first case report in the literature