Health Promotion Across the Developmental Stages Flashcards
Subjective Data from parent during WCC
nutrition
elimination
sleep
developmental, physical, emotional, social, and cognitive development
parental/caregiver concerns
safety, risk taking/impulsive behaviors
interval history: health since last visit, emergencies, illness, medications
dental
childcare/preschool/school
physical activity
Important questions to ask regarding infants nutrition
breastfeeding: frequency, length, challenges
formula: type, frequency, amount
baby food, transition to table food
Important questions to ask regarding toddler/child/adolescent nutrition
fruits, vegetables, milk/dairy, sugary beverages, fast food
Important questions to ask regarding elimination
frequency
problems
straining
pain with bowel movements
important questions to ask regarding sleep
problems falling asleep
staying asleep
number of hours sleeping a night
bedtime routine
where child sleeps
how child sleeps
number/length of naps
interval history includes…
health since last visit
emergencies
illness
medications
When should a child start getting BP measured
3 years
When should a child start getting vision screened
3 years
How long can the Ages and Stages Questionnaire be used
up to 6 years of age
What is the depression screening used for youth and starting at what age?
PHQ-9
12 years and up
When do pediatricians start screening for lead?
6 months to 6 years
Management plan for WCC
immunizations
illness management with medications
health promotion strategies with anticipatory guidance focusing on age, developmental stages
Important aspects of the WCC interview
establish trust
ascertain who will be present
ensure privacy
inform parents ahead of time if recording
keep child clothed until necessary to remove clothing
questions need to be open ended and phrased purposefully
convey interest/listening
employ cultural sensitivity
ensure accurate perception of parents’ concerns
use a non-judgemental approach
talk at eye level
play to enhance comfort
use projective techniques
use non-threatening words
allow adequate time for response
be flexible
least invasive to most invasive
adolescent: time alone with provider/confidential screening
What type of confidential screening should be done with adolescent
abuse/violence, sexuality/sexual activity, substance use, mental health
how should pediatric exam progress
least invasive to most invasive
What are important aspects of crib safety
no extra blankets or pillows, bumpers, stuffed animals
Back to sleep
Car seat guidelines
rear facing until 1
booster seat at 4 or 40 lbs
8 years booster
seat belt fits when bottom belt goes over upper thigh and upper belt goes over shoulder and chest NOT neck and face.
Injury prevention regarding poisons
all poisons and medications out of reach
1-800-222-1222
injury prevention regarding house
electrical exposure protection
gates
smoke and carbon monoxide detectors
water injury prevention
pools
hot water
other injury prevention measures
helmet
sexual abuse
firearms
substance abuse
passive secondary smoke
sun safety
domestic violence
