Developmental Evaluation and Screening
A well-child visit is a constant visit scheduled by a child primary care provider for routine check-ups. As a primary care provider for the pediatric patients, it is my responsibility to check children’s overall physical, cognitive and psychosocial development. The onset of sequential developmental milestones is able to prepare the child for the phase of well-child visit. Therefore, the preparation for every well-child visit, a provider has a mandate to check on immunization, look at the child’s growth chart, making the parent fill a developmental survey and also check any past notes for the child. Moreover, I will ask questions like if the child has had any problem during breastfeeding and also whether the child has shown any strange behavior such as too many cries. I will also look at the 12-month-old well-child for the virtual patient, Asia.
The developmental tool that was used for Asia assessment was parents’ evaluation of developmental status (PEDS). The assessment depends on the parent-filled questionnaires to collect information on how a child is developing. It is applied in gathering information on specific areas of the child development and to see if other evaluation processes might be required. The development screeners were established for English speaking families but the forms are present in 14 different languages, it is a useful tool because the ability to complete the questionnaire is not set a high standard of reading (Kroger, Duchin & Vázquez, 2017).
The PEDS tools get similar results constantly under the same conditions and also with the same children. Therefore, this means that the tools have interrater reliability; various raters agree when they are screening the same children, consistent reliability realized when the scores met the criteria for consistency and also test-retest reliability realized when the developmental screener was given times two. The PEDS was compared with other 14 developmental assessments and screening machines (U.S.Department of Health and Human Services, 2014). The experts were able to agree that PEDS does a good job of reflecting what is to be measured, showing that PEDS has a strong validity. Therefore, after Asia’s mother has completed the PEDS form, it was vivid that she didn’t have any concerns with Asia. In the assessment, there were no delays noted hence Asia appears to be developmentally appropriate in regards to her age.
The immunizations Asia will be given at this visit will be based on various factors such as Asia’s immunization record and also centers for disease control and prevention. Therefore, Asia will be given the following vaccines at this visit is Varicella #1, Hib #4, PCV13 #4 IPV # 3 MMR #1 #1 Hep A #1 (Kroger, Duchin & Vázquez, 2017).
Patient education and follow-up
As providers, we give parents with bright futures hand-outs and 12-month visit which motivates parents to create programs for sleep time at night and for naps. It is important to prevent your child from watching television until the age of two years old. It also important to have a close supervision of the child at all times by leaving her with mature and responsible adults.
The follow up: This will be done at 15 months well-child visit. During this visit we will discuss a child’s speech, getting a good night sleep, discipline and also feelings. Moreover, we will give information on taking care of their child’s teeth, nutritional requirement, healthy foods and also be motivating Asia to play.
Kroger, A. T., Duchin, J., & Vázquez, M. (2017). General best practice guidelines for immunization. Best practices guidance of the Advisory Committee on Immunization Practices (ACIP).
U.S.Department of Health and Human Services. (2014, Mar).Birth to 5: Watch me thrive! A compendium of screening measures for young children. Retrieved from https://www.acf.hhs.gov/sites/default/files/ecd/sc…