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Disease Prevention and Health Promotion/Screening Guidelines. Janet Cady, MN, ARNP Neighborcare Health University of Washington 2013. Prevention Works!. Child Safety Seats. Fluoridation. Immunizations. Bike Helmets. Home Safety. Back to Sleep. Utilization of Preventive Services.
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Disease Prevention and Health Promotion/Screening Guidelines Janet Cady, MN, ARNP Neighborcare Health University of Washington 2013
Prevention Works! Child Safety Seats Fluoridation Immunizations Bike Helmets Home Safety Back to Sleep
Utilization of Preventive Services • Least likely to use health services • 20-34% received no health care in previous year • Parent level of education & insurance status impact utilization • Poverty= less preventive health care • Minority = less preventive health care • And annual routine preventive services are recommended for all adolescents
We know what works… • Risk & Protective Factors • Individual • Peer • Family • School • Community • + Protective Factors= + Health Outcomes • + Risk Factors= - Health Outcomes Catalano & Hawkins- UW~ SDRG
Bright Futures Steering & Advisory Committees- 2008 • American Academy of Pediatrics • American Academy of Family Physicians • Ambulatory Pediatric Association • Family Voices • National Association of Pediatric Nurse Practitioners • American Dietetic Association • HRSA, Maternal & Child Health Bureau • American School Health Association • American Academy of Child & Adolescent Psychiatry • American College of Preventive Medicine • Mental Health America • American Academy of Pediatric Dentistry • Centers for Disease Control & Prevention • Indian Health Service • National Initiative for Children’s Healthcare Quality • American Medical Association • and more…
Bright Futures Core Concepts • Effective Partnerships • Communication • Promoting Health & Preventing Illness • Managing Time • Educating Families • Advocating PATIENT & FAMILY-CENTERED CARE
Six Key Components • Use of a preventive services prompting sheet • Use of structured tools to assess the child and family’s developmental and behavioral needs • Evaluation of parental strengths and needs, including assessment of protective factors • Use of recall and reminder systems • Linkage of the child and family to appropriate community resources • Use of assessment strategies at well-child visits to identify children with special health care needs
Surveillance, Screening, Assessment, Guidelines, & Anticipatory Guidance • Surveillance • Screening • Assessment • Guidelines • Anticipatory Guidance
Bright Futures Visit • Solicits concerns from parent & child • Surveillance and screening • Assessment of strengths • Discussion of certain priorities for improved child & adolescent health & family function over time.
Adolescent Health Care Bright Futures- 2008 • Health History & Physical Examination • Vision, Hearing, Dental, & Risk-based Screening • Anticipatory Guidance Priorities • Physical Growth & Development • Social & Academic Competence • Emotional Well-being • Risk Reduction • Violence & Injury Prevention
Internet Resources • Bright Futures at AAP • www.brightfutures.aap.org • Bright Futures at Georgetown • www.brightfutures.org