Evidence-Based Care of the Child With Deformational Plagiocephaly, Part II: Management  Amanda B. Kack Flannery, MS, RN, CNP, Wendy S. Looman, PhD, RN, CNP, Kristin Kemper, MS, RN, CNP  Journal of Pediatric Health Care  Volume 26, Issue 5, Pages 320-331 (September 2012) DOI: 10.1016/j.pedhc.2011.10.002 Copyright © 2012 National Association of Pediatric Nurse Practitioners Terms and Conditions

Figure Clinical decision-making tool for management of deformational plagiocephaly. Notes: (a) Early intervention is essential; (b) referral/comanagement with craniofacial team, at any age, is appropriate (referral is indicated when diagnosis is unclear, asymmetry is severe at 4 months or older, or when provider desires additional input); (c) begin collaborative management as appropriate; (d) enter algorithm based on current age of infant; (e) exit algorithm (continue routine monitoring of growth and development at well-child visits with primary care provider); (f) consider referral to craniofacial team for consideration of alternative diagnosis and/or management; and (g) helmet therapy is likely to improve cosmetic outcome at this point. This figure appears in color online at www.jpedhc.org. Journal of Pediatric Health Care 2012 26, 320-331DOI: (10.1016/j.pedhc.2011.10.002) Copyright © 2012 National Association of Pediatric Nurse Practitioners Terms and Conditions