Anticipatory Guidance in Pediatrics
List strategies that might be used by a pediatric primary care provider to incorporate developmental anticipatory guidance into the following sick visits:
- An 18-month-old with an acute upper respiratory infection
- A 4-year-old with stool withholding and constipation
- A 9-year-old with chronic headaches
- A 15-year-old with dysmenorrhea.
Strategies for Incorporating Developmental Anticipatory Guidance
- 18-Month-Old with Acute Upper Respiratory Infection
- Language Development: Encourage parents to talk, read, and sing to the child, even while they are unwell, to support language acquisition.
- Sleep and Comfort: Discuss maintaining consistent sleep routines despite illness and providing comfort with appropriate fluids and humidifiers.
- Immunizations and Safety: Reinforce the importance of completing immunizations and babyproofing the home, as this age group is highly mobile and curious.
- 4-Year-Old with Stool Withholding and Constipation
- Toilet Training and Positive Reinforcement: Educate parents on avoiding punishment during toilet training and using positive reinforcement to encourage bowel movements.
- Dietary Habits: Discuss increasing fiber and fluid intake and incorporating fruits, vegetables, and whole grains into the child’s diet.
- Physical Activity: Recommend regular physical activity to promote healthy digestion and overall well-being…
Strategies for Incorporating Developmental Anticipatory Guidance
- 18-Month-Old with Acute Upper Respiratory Infection
- Language Development: Encourage parents to talk, read, and sing to the child, even while they are unwell, to support language acquisition.
- Sleep and Comfort: Discuss maintaining consistent sleep routines despite illness and providing comfort with appropriate fluids and humidifiers.
- Immunizations and Safety: Reinforce the importance of completing immunizations and babyproofing the home, as this age group is highly mobile and curious.
- 4-Year-Old with Stool Withholding and Constipation
- Toilet Training and Positive Reinforcement: Educate parents on avoiding punishment during toilet training and using positive reinforcement to encourage bowel movements.
- Dietary Habits: Discuss increasing fiber and fluid intake and incorporating fruits, vegetables, and whole grains into the child’s diet.
- Physical Activity: Recommend regular physical activity to promote healthy digestion and overall well-being…
