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Pediatric Development and Safety. Sarah Lewis MHS PA-C. Development. http:// www.aap.org/topics.html Development Link to lecture from peds http:// gradprograms.lhup.edu/pa/DesktopDefault.aspx?tabid=27&pid=25&cMod=22&lecID=5810. Development Areas. Motor Gross Fine
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Pediatric Development and Safety Sarah Lewis MHS PA-C
Development • http://www.aap.org/topics.html Development • Link to lecture from pedshttp://gradprograms.lhup.edu/pa/DesktopDefault.aspx?tabid=27&pid=25&cMod=22&lecID=5810
Development Areas • Motor • Gross • Fine • Communication and Language • Cognition • Social
Peds Development Note • HPI: This 27 month old male ……… • Per parent, he is able to • Social: wash his hands and dress himself, • Fine motor: stack >8 cubes, draw a circle, • Language: speech is understandable, names >4 colors, and • Gross motor: balance on each foot >2 seconds…… • PE: can document all of the above in the office, of each developmental area • A: Development advanced for age • P: encouraged reading with child, coloring, singing; playing with balls; inclusion with mealtime conversation
Safety • http://www.cdc.gov/injury/index.html • Accidents in Kids by Craig at http://gradprograms.lhup.edu/pa/DesktopDefault.aspx?tabid=27&pid=25&cMod=22&lecID=5787
Stats of Death and Injury in Peds • Causes of Death: http://www.cdc.gov/injury/wisqars/pdf/Death_by_Age_2007-a.pdf • Non fatal Injuries seen in ERs: http://www.cdc.gov/injury/wisqars/pdf/Nonfatal_2008-a.pdf
Top Ten Home Child Accidental Fatalities • falls • drowning • head injuries • fire • burns: pots, grease irons • poisoning • electrocution • shooting • broken bones • suffocation
What can we do? • ASK! • Open ended safety question • What’s dangerous in your house? Around your home? Where else is the child? • What sorts of safety modifications have you made? • Educate • Reassure • 25% of children seen each year for injuries
Putting Development together with Safety • Example: 20 month old being seen, who climbs up the exam room walls • Consider safety of windows, tub, crib, gates, door knobs
Convenience in Practice • Refer to or give book • Pamphlets or packets of age specific info • Skipping Safety is not an option
Perfection in Your Documentation • Pair up with someone who has had a peds or family practice rotation, and has a peds note • Improve upon the 4 point development history, PE, assessment and a plan that includes predicted milestones, and safety guidance • Email to the student’s advisor to show your increased competency, and upload to portal