Pediatric Interviewing

    Peds visits:

    - at 3-7 days

    - 2 more times before 2 weeks.

    - 1mo, 2mo, 4mo, 6mo, 9mo, 12mo, 15mo, 18mo, 2yrs, then annually

     

    See 2-3 days later until birth wt regained
    - 1mo, 2mo, 4mo, 6mo, 9mo, 12mo, 15, 18, 24

     

    First Neonatal Visit

     

    See Neonatal History/Physical

    Safety

    • Do not drink hot liquids around baby
    • Keep plastic bags away
    • Do not smoke around baby (ensure smoke alarms)
    • vitamin D 400IU (unless in formula - most formulas have this)
    • sleep on back -
    • Tummy time supervised- work up so that muscles strengthen.
    • Car seat - only safe way is back seat facing rear.  (Not front until 13yo)

    "All purpose nipple ointment"
    - Bactiban (muprocin), myconosole(antifungal), B-methasone
    - Jaundice neonatal guidelines - see graph

     

    2 Month Visit

    • Ask feeding 7-8x/day is normal
      • Vitamin D drops: 400IU/drop
    • Bowel movements:
      • Frequency: extremely variable  (some 5x/day others once every few days)
      • Consistency: green-yellow, liquid or solid
    • Safety:
      • Reduce SIDS: sleep on back, padding,
      • Smoking, smoke detectors
      • Temperature: do not overdress

     

    6 Month Visit

    childproof the home

    • outlet covers,
    • cabinet locks
    • stair barriers
    • making sure cleaning supplies and medicines are safely stored

     

     

     1-2 Year Visit

    • Seat belts, helmets, biking safety etc.

     

    Adolescent Interviewing

    • HEEADSSS
      • Home (how is life at home? fun? stressful? In your mind is it same as most teenagers?)
      • Education/Employment  (Do you do well in school? Do you do ridiculously well?  what are your grades?  suspentions? favourite classes? etc..)
      • Eating Disorders (Are there parts of your body you don't like?  Eating patterns? Excercise?)
      • Activities/Affiliations/Aspirations (what do you like to do for fun?  Do you have friends? have fun?)
      • Drugs (Do you know people in your class that drink alcohol? Do you drink alcohol?  (Same w drugs))
      • Sexuality (Have you had intimate experiences with others?  Will you want to one day?  Are you interested in boys or girls?  Have you talked to parents about sex? do you have crush on someone/ or others on you? have you had sex? used contraception?) (25% of 14yods are sexually active)
      • Suicidal Behaviour (Life not worth living? depression screen..)
      • Safety (Some kids had unfortunate experiences where they have been bullied or sexually abused.  Has this ever happened to you?  Abuse, fights, weapons, seat belts)
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