Health Monitoring Of The Healthy Child

Behind Health-child check-healthy are the following intentions: supporting health prevent disease through routine immunization and education Early detection and treatment of diseases parent’s guide to best support the emotional and intellectual development of their children, the American Academy of Pediatrics (AAP) has recommendations to health care for children who have special health problems and develop normally and grow (see table: recommendations for screening during the Säuglingszeita, recommendations for health care in the early and middle Kindheita and prevention recommendations during Adoleszenza) issued. Those children for whom these criteria are not met should perform frequent and more intensive examination appointments. When children are presented late or if any measures have not been carried out, this should be rescheduled as soon as possible. Children who have developmental delays, psychosocial disorders or chronic disease may require frequent doctor visits and treatment that is separated from the checkups. If the pregnancy has a high risk (overview of risk pregnancy) or if the parents are parents for the first time or want a conversation, a consultation of the pediatrician before birth makes sense. In addition to the physical examination, the doctor evaluates the motor, kogniitive and psychosocial development of the child and interaction with parents. The evaluation consists of a detailed medical history with both the child and the parents, from our own direct observations and sometimes from information from outside sources such as teachers or educators. For practice are studies available that facilitate the evaluation of cognitive and psychosocial development (Child Development). Both the physical examination and screening are important components of health care for infants and children. Most parameters such. As the weight are collected in all children, others come only in selected patients or ages for application such. B. Screening the lead-in annual and biennial plants. Proactive monitoring is also important for health care. It includes the procurement of information about the child and the parents (eg through questionnaires, interview or evaluation.) Cooperation with parents to promote health – forming a therapeutic alliance informing the parents about what to in their child’s development is to be expected, and how they can contribute to a healthy lifestyle through the development to promote recommendations for the prevention during Säuglingszeita age Elements Newborn 3-5 days 1 month 2 months 4 months 6 months 9 months (initial or interval) history – X X X X X X X Measurements Length or height and weight X X X X X X X X X X head size X X X X Weight X X X X to the length X X X Blutdruckb RA RA RA RA RA RA RA RA RA RA Sensory testing eyesight RA RA RA RA Ear X RA RA RA RA RA RA assessment of developmental and behavioral disorders Entwicklungsüberwachungc X X X X X X Development Kontrolled X assessment of psychosocial behavior X X X X X X X Physical examination – X X X X X XX Laboruntersuchungene Neonatal metabolic and hemoglobinopathy Screeningf ? X —————– —————— ? hematocrit or hemoglobin RALead Screeningg RA RA RA RA tuberculin Testh Other Immunisierungi (see Table: Recommended vaccination schedule for the age of 0-6 years, and catch-up vaccination schedule for the age of 4 months to 18 years) X X X X X X X Mundgesundheitj RA RA Predictive accompaniment X X X X X X X AThis guidelines are based on an agreement between the American Academy of Pediatrics (AAP) with Bright Futures. bIf infants and children have certain high risk factors, should their blood pressure measured regularly during the first three years of life. c The monitoring of the development is an ongoing process. one of them to see which concerns parents have about their child’s development as well as monitor the child closely to identify risk and protective factors and the entire development process to document (developmental history, medical treatments and findings). dent winding controls take place using a standardized test procedure and are routinely performed with 9, 18 and 30 months. However, controlling the development is necessary even if certain risk factors are identified or if developmental disorders can be observed; In such cases, inspection focused on the area that is the cause for concern. eThe tests can be modified depending on the needs of the child and the time of its first control. fFor screening of hemoglobinopathies metabolism and the regulations of the countries should be followed. Test results should be checked at every visit and repeated as necessary, possibly with a specialist medical transfer. be gSollten children at risk of lead exposure, the doctor, the AAP statement Lead exposure in children: prevention, detection, and management, consult, 2005 (available at pediatrics.aappublications.org/content/116/4/1036.full; reconfirmed in May 2009). Moreover, he should let the children screen depending on the requirements of the country. hFor tuberculosis tests the committee’s recommendations should be followed for infectious diseases in the current edition of the Red Book: published Report of the Committee on Infectious Diseases. Once high-risk children are identified, they should be tested. iÄrzte should follow the schedules of the Committee on Infectious Diseases, held annually in the January issue of Pediatrics. to be published. Each visit should be seen as an opportunity to update the vaccination status of the child and to complete. jKinder should be possibly referred to a dentist. Otherwise, doctors should carry out a risk assessment of oral health on. If the primary water source is deficient in fluoride, taking Fluoridpräparten should be considered. RA = age at which the risk assessment should be carried out, followed by appropriate examinations and tests if the results are positive; X = age, take place in the evaluation should; ? ? X = area where the evaluation can take place, with X as an indication of the preferred age. Adapted from The Bright Futures / Academy of Pediatrics. Recommendations for preventive pediatric health care in 2008. Visible under http://practice.aap.org/content.aspx?aid=1599. Recommendations for health care in the early and middle age Kindheita elements 12 Months 15 Months 18 months 24 months 30 months 3 Jah re 4 years 5 years 6 years 7 years 8 years 9 years 10 years (first-time or interval) History – X X X X X X X X X X X X X measurements the size and weight X X X X X X X X X X X X X X X X X head circumference Weight by length X X X body mass index X X X X X X X X X X Blutdruckb RA RA RA RA RA X X X X X X X X Sensory testing eyesight RA RA RA RA RA RA Xc X X X X X RA RA RA RA hearing RA RA RA RA X X X X X RA assessment of developmental and behavioral disorders Überwachungd development X X X X X X X X X X X X X Development Kontrollee Autismusf X X Assessment of psychosocial behavior X X X X X X X X X X X X X Physical investi chung – X X X X X X X X X X X X X X Laboruntersuchungeng hematocrit or hemoglobin RA RA RA RA RA RA RA RA RA RA study on Bleih X or RA RA RA RA RA RA X or RA Tuberculin Testi RA RA RA RA RA RA RA RA RA RA RA RA RA RA dyslipidemia-Kontrollej RA RA Other Immunisierungk (see Table: Recommended vaccination schedule for the age of 0-6 years, recommended vaccination schedule for the age of 7-18 years, and catch-up vaccination schedule for the age of 4 months to 18 years) X X X X X X X X X X X X X Mundgesundheitl X or X RA or RA or RA X X X X RA or Predictive accompaniment X X X X X X X X X X X X X AThese guidelines are based on an agreement between the American Academy of Pediatrics (AAP) with Bright Futures. bIf infants and children have certain high risk factors, should their blood pressure measured regularly during the first three years of life. cIf children are not cooperative, they can be examined within 6 months. tThe monitor the development is an ongoing process. one of them can be seen, which have concerns parents about their child’s development, to observe the child closely to determine risk and protective factors, as well as the overall development document (developmental history, medical treatments and findings). eThe monitor the development involves the use of standardized testing and is routinely performed at the age of 9, 18 and 30 months. However, a control is carried out even when risk factors are identified, or if developmental disorders are observed; In such cases, inspection focused on the area that is the cause for concern. fKontrollen by an autism-specific test procedure at the age of 18 months is recommended. Checks are repeated at the age of 24 months, because the parents sometimes do not notice certain problems at the age of 18 months. The age at which parents report an average of about autistic regression, is 20 months. See Gupta VB, Hyman SL, Johnson CP, et al. There is the question of whether children with autism should be identified early. Pediatrics 2007; 119: 152-153. Available at http://pediatrics.aappublications.org/cgi/content/full/119/1/152. gTests can be modified according to the needs of the child and the start of monitoring. hWenn Kinder in Gefahr von Blei-Exposition sind, sollte der Arzt die AAP-Anweisung, Lead exposure in children: prevention, detection, and management, 2005 (abrufbar unter aappolicy.aappub

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