Question | Answer |
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 |