Download presentation
Presentation is loading. Please wait.
Published byElla Wiggins Modified over 9 years ago
1
Pediatric Development and Safety Sarah Lewis MHS PA-C
2
http://www.aap.org/topics.html Development http://www.aap.org/topics.html Link to lecture from peds http://gradprograms.lhup.edu/pa/DesktopDefault.a spx?tabid=27&pid=25&cMod=22&lecID=5810 http://gradprograms.lhup.edu/pa/DesktopDefault.a spx?tabid=27&pid=25&cMod=22&lecID=5810
3
Motor Gross Fine Communication and Language Cognition Social
4
HPI: This 27 month old male ……… Per parent, he is able to Social: wash his hands and dress himself, Fine motor: stack >8 cubes, draw a circle, Language: speech is understandable, names >4 colors, and Gross motor: balance on each foot >2 seconds…… PE: can document all of the above in the office, of each developmental area A: Development advanced for age P: encouraged reading with child, coloring, singing; playing with balls; inclusion with mealtime conversation
5
http://www.cdc.gov/injury/index.html http://www.cdc.gov/injury/index.html Accidents in Kids by Craig at http://gradprograms.lhup.edu/pa/DesktopDefault.a spx?tabid=27&pid=25&cMod=22&lecID=5787 http://gradprograms.lhup.edu/pa/DesktopDefault.a spx?tabid=27&pid=25&cMod=22&lecID=5787
6
Causes of Death: http://www.cdc.gov/injury/wisqars/pdf/Death_by_A ge_2007-a.pdf http://www.cdc.gov/injury/wisqars/pdf/Death_by_A ge_2007-a.pdf Non fatal Injuries seen in ERs: http://www.cdc.gov/injury/wisqars/pdf/Nonfatal_20 08-a.pdf http://www.cdc.gov/injury/wisqars/pdf/Nonfatal_20 08-a.pdf
7
Top Ten Home Child Accidental Fatalities n falls n drowning n head injuries n fire n burns: pots, grease irons n poisoning n electrocution n shooting n broken bones n suffocation
8
ASK! Open ended safety question What’s dangerous in your house? Around your home? Where else is the child? What sorts of safety modifications have you made? Educate Reassure 25% of children seen each year for injuries
9
Age\ConcernCar SeatsDrowningFallsSuffocationBurnsPoisonSleepGeneral 1 month Rear facing, neck support; not in front with airbags; Police/Fire can check towel/ mesh beneath reduces slips Changing table; don’t leave, use strap Baby powders respiratory distress; plastic bags; cords, necklaces, also from blinds Smoke and carbon monoxide detectors; flame resistant clothing; Reduce house water temp to <120 degrees; Get rid of non- essentials from active areas of home; poison control number is? Back to sleep; nothing around child; bumper or not; clothes instead of blankets Home prep- lead, radon, slip hazards 1-3 months Bed or couch, Chair/ seats should not be off the floor; high chair strap Small items are gone; crib mobiles Don’t hold child while smoking, drinking hot liquid or cooking by stove; no microwaving bottles! 4-7 months Sitting, crawling Check seat limits for height and weight; 5 point is best at risk of tipping in tub; falls into toilet Stairs! Pulling stuff down on self Teething on everything Outlet and plug covers; GFCIs (ground fault circuit interruptor) Bumper out Pool, ponds, etc?; yard safety 8-12 months Crawling running! Rear facing at least till >1 year AND >20 lbs Gates, esp stairs; coffee tables; windows open from top; furniture straps Teething, mouthing objects Heaters? Chemicals Medications: bath, kitchen, garage, laundry Lowest crib level; away from drapes and outlets; mobile gone Gun safety; door locks/knob covers 1-2 years Do not leave alone in a car without you never alone; early Swim lessons Still no plug in toys Crib fall risk? Stackable items? 2-3 yearsBooster seats; 5 point harness best Never alone!Bike helmets; stairs/windows ; playgrounds Candles, matches, etc Out of crib to floor Lock dangerous areas (hide keys); driveway
10
Example: 20 month old being seen, who climbs up the exam room walls Consider safety of windows, tub, crib, gates, door knobs
11
Safety - Room by Room
12
Refer to or give book Pamphlets or packets of age specific info Skipping Safety is not an option
13
Pair up with someone who has had a peds or family practice rotation, and has a peds note Improve upon the 4 point development history, PE, assessment and a plan that includes predicted milestones, and safety guidance Email to the student’s advisor to show your increased competency, and upload to portal
14
When you have kids, it’ll make more sense
Similar presentations
© 2025 SlidePlayer.com. Inc.
All rights reserved.