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Birth -5 years of age |
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Birth to 5 Year Old Health Supervision Visit Preparation Things to consider BEFORE you arrive! If you would like to visit about any concerns without your child present, let me know, either by phone, before the visit, or at the time of the visit. Frequent Concerns by Parents Physical Concerns: Growth (overweight, underweight, BMI, too short, etc.) Developmental issues Use of all body parts Pain (headache, stomachache, muscle pains) Bowel or Bladder Problems Emotional/Behavioral Concerns: Signs of depression, anger problems, sadness? Social Concerns: Interactions with others – is the behavior normal for age? Not doing well in pre-school? Family Stresses: Changes, such as separation, divorce, death? Possible violence, verbal, emotional, physical? Frequent Concerns by Your Child: This can be ANYTHING! We just need to read the cues! Frequent Concerns by Dr. Greta (in other words, I probably will ask about some of these!) All the areas listed for Frequent Concerns by Parents and Your Child New Medical Conditions: ER visits? Hospitalizations? New Medications? New Changes in the family? New Emotional Concerns: Signs of depression, anger problems, sadness? New Behavior Concerns? School Concerns? Possible Topics Nutrition Know your child’s BMI and have a plan for ideal weight management Daily Content for age: Breast milk/formula, or 5 fruits/vegetables, 3 dairy, 2 proteins Dental Health See Dentist at least yearly, after age 3, and before if needed Brush and Floss teeth at least twice a day Have at least 2 hours between eating or drinking anything but water Discourage sucking habits after age 3 Sleep – Closer to 10 hours a night, and is there restlessness, snoring? Exercise – At least 30-60 minutes of moderate to strenuous activity 5 times a week Stress Management – What techniques have you taught your child? Sexual Issues – Answer questions as they arise
Time Use Media – No TV under age 2 years, then only 1-2 hours daily Plan with your child activities to develop skills and thinking abilities Social – Do you know your child’s friends and their activities? Social Relations Family Relations Spend time together, for example, at meals, or in the evening, and do things together, like projects or reading, or going for walks, or planning/doing activities Discipline (teaching) of family values Peer Relations – Know what’s going on in pre-school, and child care!!!! Community Relations – be a part of some community activity Injury Prevention Vehicle Safety: Seat Belt Use… every time? Use of booster seat, and sitting in the back seat? Smoke –free environment Smoke and Carbon Monoxide Alarms in the House Water Safety: Faucet temperature should be no more than 120F Drowning hazards, like the stool, buckets, swimming pools, spas Sun Safety: Avoid direct sunlight under 6 months of age Avoid Burns by: use of sunscreen and protective clothing Drink Plenty of Water (NOT pop) Gun Safety: At your house, relatives’ houses or friends’ houses: Are guns easily available and/or loaded? Is anyone he/she is around depressed or suicidal? Stranger Safety: Does your child know address, phone number, how to call for help, and not to go with strangers? Bike/Skating Safety: Wearing protective gear…every time? Safe location for riding? General Discussion topics vary with each age, a handout will be given for each.
Checklist
Immunizations Check cholesterol, hemoglobin for anemia, urinalysis, and lead, if needed Eye and Dental Visits at least yearly after age 3 Reassess the home environment for possible violence Information is available on many topics; Just ask!!! See you soon, and Give that Kid a Hug! Dr. Greta |
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