Child Health 2 COPY Flashcards
Which UK public health intervention may prevent dental carries developing in children
in UK public health policy, fluoride is added to water EG. in Wales not added so more susceptible to dental carried
adverse childhood experiences
- negative effect on later health - negative health behaviours
social determinants and lifestyle behaviours of Archie
- neglect teeth brushing - diet - disrupted sleep = behavioural problems - missed school = affects school readiness (social development and well-being) - late immunisations - child in need plan - previous domestic violence - family setting
Which skate-holders are responsible for child health
parent family child in need health care professional local community school
impact of ACEs and examples in order of risk
2 main ways ACEs impact health
toxic stress and epigenetic changes
What is toxic stress
impact of ACE
Excessive chronic activation of the stress response ⇒
System dysregulation:
Child’s developing brain, immune system, metabolic regulatory systems, and cardiovascular system
How do ACEs play a role in epigenetics
Childhood experience (positive and negative)
affects the ‘epigenome’ and gene expression.
Temporarily or permanently depending on how easily the gene is turned on or off.
Brain is developing most rapidly in early years so epigenetic expression shapes health and behaviour from this early stage.
3 evidenced based ways to reduce impact of ACEs
We can reduce the impact of ACEs and intervention can prevent and counteract lasting harm. Early intervention is preferable.
Reducing stress, building responsive relationships and strengthening life and coping skills prevent the long-term effects of ACEs
things to include in a child lifestyle prescription
- diet = health vouchers and healthy eating promotion charities
- physical activity = group activity (social) - something child enjoys
- counselling
- positive parenting practises
Be aware of financial status of patient
- contact child in need plan (involve social service support)
- signposting
Proccess to create lifestyle medicine prescription
symptom web ⇒ 4 pillars ⇒ how/what/when⇒lifestyle prescription
8 factors in symptom web
- Exercise
- Sunlight
- Environment
- Genetics
- Stress
- Diet
- Infections
- Sleep
think about factors playing a role in symptoms and how it can be reduced
4 pillars to consider when creating lifestyle medicine prescription
eat
sleep
move
relax
- lots to do with environment
- patient centred approach
how, what and when for
What questions do we ask patients/carers when making a lifestyle medicine prescription
Ask how, what and when for each: eat, sleep, move, relax (4 pillars)
- lots to do with environment
- patient centred approach
- practical easy steps for patient
- LEAP Criteria (local, enjoyable and practical)
note this down ⇒ lifestyle medicine prescription
Why is Henry a good example of an early intervention
- early intervention
- for parents and children
- strengthening family relationships
- positive health outcomes immediately and long term
Evidence-based early interventions to achieve a healthy start working with parents, supporting them to provide a healthy start in life for their children.