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health history

interview health history pediatrics

general guidelines about setting the tone for the interview know child’s physical, social & cognitive development; be aware of parent’s concerns & interaction with child; be attentive to what the parent is telling you; review the chart to familiarize yourself; be at the child's eye level
components of medical interview process questions & information dependent on child’s age & development B. address the following: reason for visit, caregiver concerns, HPI, ROS, PMH, ADL, Screening, Physical exam, assessment, plan
PMH immunization, allergies, accidents/injuries, hospitalizations, illnesses (chronic), prenatal hx, L & D history, family history, soical history
ADL nutrition, sleep, elimination, development
screenings height & weight (routine visits), head circumference (until 2 yr), yearly (vision, hearing, lead [until age 6], hematocrit, tuberculosis [PPD])
principles of development Orderly, sequential & predictable because coordinated by brain; Pace is specific for child;
principles of development 2 Cephalocaudal & proximodistal; primitive reflexes iminish 4-6 months; postural reflexes emerge at 3-8 months; Abilities are integrated, organized and differentiated as they age
milestones/issues for infants perceptual motor development, weight double 6 months & triple 1 yr, height increase 50%, trust
milestones/issues for toddlers growth, locomotive skills, fantasy, language development, self control, activity
milestones/issues for preschoolers slimmer as body lengthens, gain 4.5 lb per year & 3 inches, brain 90% adult weight, recognize letters & learn to read
milestones/issues for school agers coordination improves, concrete operational thought & self efficacy
milestones/issues for adolescents dramatic physical, cognitive, social & emotional changes; early, middle, late periods
Created by: deleted user