Primary care paeds

Question 1

Appreciate the idea of generalism

Answer 1

• Seeing the person as a whole and in the context of his or her family and wider social environment
• Using this perspective as part of one’s clinical method and therapeutic approach to all clinical encounters
• Being able to deal with undifferentiated illness and the widest range of patients and conditions
• In the context of general practice, taking continuity of responsibility for people’s care across many disease episodes and over time
• Also in general practice, coordinating his or her care as needed across organisations within and between health and social care.

Question 2

What are some of the factors that early on in a child’s life can have a crucial impact upon adult health and life chances?

Answer 2

• Deprivation - (ASSIGN)
• Not been told they were loved
• Role modeling
• Abuse

Question 3

What is carried out during the 6-8 weeks screening done by GP’s and also health visitors ?

Answer 3

• Feeding of baby (breast, bottle or both)
• Parental concerns (feeding, appearance; behaviour; hearing; eyes; sleeping; movement; illness; crying; weight gain and other)
• Development (gross motor, hearing & communication, vision & social awareness)
• Physical (length, weight, heart, hips, testes, genitalia, femoral pulses and eyes)
• Diagnoses/concerns (Read coded)
• Sleeping position (prone, supine and side)
• Identification data such as name, address, GP etc. are also checked and updated.

Question 4

When may GP’s often see the new born for the first time ?

Answer 4

Due to health visitors also doing some of the 6-8weeks screenings soem GP’s see the new born for the first time when they start coming for their immunisations

Question 5

What is a very important part of appointments with GP’s seeing kids but can be vey difficult to bring up ?

Answer 5

Child protection issues