interview health history pediatrics
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| 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
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| 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
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| PMH | immunization, allergies, accidents/injuries, hospitalizations, illnesses (chronic), prenatal hx, L & D history, family history, soical history
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| ADL | nutrition, sleep, elimination, development
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| screenings | height & weight (routine visits), head circumference (until 2 yr), yearly (vision, hearing, lead [until age 6], hematocrit, tuberculosis [PPD])
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| principles of development | Orderly, sequential & predictable because coordinated by brain; Pace is specific for child;
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| 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
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| milestones/issues for infants | perceptual motor development, weight double 6 months & triple 1 yr, height increase 50%, trust
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| milestones/issues for toddlers | growth, locomotive skills, fantasy, language development, self control, activity
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| 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
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| milestones/issues for school agers | coordination improves, concrete operational thought & self efficacy
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| milestones/issues for adolescents | dramatic physical, cognitive, social & emotional changes; early, middle, late periods
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