child health screening Flashcards
what are the main components of health screening
health promotion
developmental screening incl hearing
immunisation
what does the child health programme involve
new born exam and blood spot screening
new born hearing screening - by day 28
health visitor first visit
6-8wk review (max 12w) in 1y care/HV
27-30 mth review (max 32m) by HV
orthopotist vision screening (4-5y)
what does the 6-8wk review involve
identification data - name, address, GP
feeding - breast, bottle, both
parental concerns - appearance, hearing, eyes, sleeping, movement, illness, crying, weight
development - gross motor, hearing, and communication, vision and social awareness
measurements - weight, OFC, length
examination - heart, hips, testes, genitalia, femoral pulses and eyes (red reflex)
sleeping position - supine, prone, side
what does the 27-30m review involve
identification date - name, address, GP
development
- social, behavioural, attention and emotional
- communication, speech and language
- gross and fine motor
- vision, hearing
physical measurements - height and weight
diagnoses/other issues
what does the healthy child programme involve
antenatal events
birth events - 1w - feeding, hearing, examination, vit K, immunisations, blood spot
2w - feeding, maternal mental health, jaundice, SIDS
6-8w - exam, imms, measure, mat mental health
1y - growth, health promotion, Qs
2-2.5y - development, concerns, language
5y - imms, dental, support, hearing, vision, dev
health promotion
health promotion in the HCP
smoking
alcohol/drugs
nutrition
hazards and safety
dental health
support services
mental health
additional input during immunisations and as issues are identified
why do we have immunisations
highly effective public health measure
reduction and eradication of diseases
which children get immunisations
aim is to immunise all children
additional vaccinations for at risk children
when do children get vaccinations
at their chronological age
don’t correct for prematurity
what CI are there for certain vaccines
no live vaccines (e.g. MMI) if child is immunocompromised (except HIV)
egg allergy ISN’T a CI to MMR
postponed if child is unwell - fever, systemic symptoms
immunisation hx
what immunisations have they had
- check with schedule (remember it gets frequently updated - older children may not have been immunised against current list)
- different schedules in different countries
check w/ parents and red book
common side effects - discomfort, swelling, mild temp
anaphylaxis is rare
NO LINK W/ AUTISM
what conditions are immunised agasint
diphtheria tetanus pertussis polio haemophilus influenzae type B hepatitis B
pneumococcal disease
meningococcal group B
rotavirus
measles
mumps
rubella
influenza
HPV 16 and 18 (cervical cancer)
meningococcal groups A, C, W, Y
at what ages do children receieve vaccinations
2mths
3mths
4mths
12mths
3yrs and 4mths
12-13yrs
14yrs
