Developmental Guidance in Pediatrics

Developmental 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:

1. An 18-month-old with an acute upper respiratory infection
2. A 4-year-old with stool withholding and constipation
3. A 9-year-old with chronic headaches
4. A 15-year-old with dysmenorrhea.

APA

Here are strategies a pediatric primary care provider might use to incorporate developmental anticipatory guidance into these specific sick visits:

1. 18-Month-Old with Acute Upper Respiratory Infection

Developmental Focus: Toddlerhood, language development, safety, and autonomy.

• Discuss Developmental Milestones:
  • Ask about vocabulary development and if the child is using at least 10–20 words.
  • Offer tips on encouraging language through reading, singing, and naming objects during play.
• Address Safety:
  • Remind parents about choking hazards during illness due to congestion.
  • Discuss childproofing as mobility increases (e.g., stair gates, furniture safety).
• Promote Positive Parenting:
  • Suggest ways to comfort a sick toddler while encouraging independence (e.g., offering choices, comforting routines).
• Screening Opportunities:
  • Briefly assess social-emotional milestones like the ability to point or show affection, and encourage responsive interactions…

Here are strategies a pediatric primary care provider might use to incorporate developmental anticipatory guidance into these specific sick visits:

1. 18-Month-Old with Acute Upper Respiratory Infection

Developmental Focus: Toddlerhood, language development, safety, and autonomy. Developmental Guidance in Pediatrics

• Discuss Developmental Milestones:
  • Ask about vocabulary development and if the child is using at least 10–20 words.
  • Offer tips on encouraging language through reading, singing, and naming objects during play.
• Address Safety:
  • Remind parents about choking hazards during illness due to congestion.
  • Discuss childproofing as mobility increases (e.g., stair gates, furniture safety).
• Promote Positive Parenting:
  • Suggest ways to comfort a sick toddler while encouraging independence (e.g., offering choices, comforting routines).
• Screening Opportunities:
  • Briefly assess social-emotional milestones like the ability to point or show affection, and encourage responsive interactions…

Here are strategies a pediatric primary care provider might use to incorporate developmental anticipatory guidance into these specific sick visits:

1. 18-Month-Old with Acute Upper Respiratory Infection

Developmental Focus: Toddlerhood, language development, safety, and autonomy.

• Discuss Developmental Milestones:
  • Ask about vocabulary development and if the child is using at least 10–20 words.
  • Offer tips on encouraging language through reading, singing, and naming objects during play.
• Address Safety:
  • Remind parents about choking hazards during illness due to congestion.
  • Discuss childproofing as mobility increases (e.g., stair gates, furniture safety).