Tips how to care pediatrik guide

							                          CHILDHOOD PREVENTIVE HEALTH CARE GUIDELINES

AGES BIRTH to 15 MONTHS
SCREENING                       Height and weight
                                Head circumference
                                Vision/hearing subjective
                                Additional screening is needed for certain high risk groups

ANTICIPATORY GUIDANCE/PARENT    Diet: Breastfeeding, nutrition, especially iron intake
COUNSELING                      Injury prevention: Child safety seats, smoke detector, sleep positioning, sun safety, hot water heater
                                temperature, stairway gates, window guards, pool fence, storage of drugs and chemicals, toy safety
                                Sleep positioning: Age newborn to 6 months
                                Poison control: Poison Control number and ipecac syrup
                                Dental health: Baby bottle tooth decay
                                Violence prevention: Anger Management, management of depression
                                Other areas: Effects of passive smoking

RECOMMENDED WELL CHILD VISITS   At least 8 visits per year: Birth, 2-4 days, by 1 month, 2 months, 4 months, 6 months, 9 months and 12 months.
AGES 15 MONTHS to 4 YEARS
SCREENING                       Height and weight
                                Blood pressure (beginning at 3 years)
                                Eye exam (age 4)
                                Additional screening is needed for certain high risk groups

ANTICIPATORY GUIDANCE/PARENT    Diet and exercise: Sweets and between meal snacks, foods with iron, and low sodium, balancing calories,
COUNSELING                      exercise
                                Injury prevention: Safety belts, smoke detector, hot water heater temperature, window guards, pool fence, bike
                                helmets, storage of drugs and chemicals, matches, and firearms
                                Poison control: Poison Control number and ipecac syrup
                                Dental health: Tooth brushing and dental visits
                                Violence prevention: Anger management, management of depression
                                Other areas: Effects of passive smoking
                                Remain alert for: Vision problems, dental decay, early loss of teeth, mouth breathing

RECOMMENDED WELL CHILD VISITS   At least 5 visits: 15, 18 and 24 months; 3 and 4 years
AGES 5 to 10 YEARS
SCREENING                       Height and weight
                                Blood pressure
                                Hearing screen (ages 5-6)
                                Vision screen
                                Eye exam for certain conditions (ages 5-6)
                                Additional screening is needed for certain high risk groups

ANTICIPATORY GUIDANCE/PARENT    Diet and exercise: Fat, cholesterol, sweets and in between meal snacks, low sodium, balancing calories, exercise
COUNSELING                      and calcium
                                Injury prevention: Safety belts, smoke detector, storage of firearms, drugs and chemicals, matches, bike
                                helmets
                                Violence prevention: Anger management, management of depression
                                Substance abuse: Tobacco and alcohol and other drugs
                                Dental health: Regular tooth brushing and dental visits
                                Remain alert for: Vision disorders, hearing problems, dental decay, and mouth breathing

RECOMMENDED WELL CHILD VISITS   At least 4 visits
AGES 11 to 18 YEARS
SCREENING                       Height and weight
                                Blood pressure
                                Hearing screen
                                Vision screen
                                Urine test
                                Additional screening is needed for certain high risk groups

ANTICIPATORY GUIDANCE/PARENT    Diet and exercise: Fat, especially saturated fat, cholesterol, sodium and balancing calories
COUNSELING                      Substance abuse: Stopping or preventing the use of tobacco, alcohol and other drugs, and driving while under
                                the influence of alcohol or other drugs
                                Sexual practices: Sexual development and behavior, preventing sexually transmitted diseases, using condoms,
                                preventing unintended pregnancies and contraceptive options
                                Injury prevention: Safety belts, safety helmets, violent behavior, firearms use and smoke detector
                                Violence prevention: Anger management and depression management
                                Dental health: Regular tooth brushing, flossing, and dental visits
                                Other area: Skin protection from ultraviolet light
                                Remain alert for: Tooth decay, gum disease

RECOMMENDED WELL CHILD VISITS   One visit each year, with additional visits as needed for recommended immunizations
                                                   Childhood Immunization Schedule
                                        Earliest Minimum Age to Receive Specific Immunization

    Immunize        Birth     1       2         4         6         12          15      4-6        11-12   13-14     15      16-18
     Against                 Mo      Mos.      Mos.      Mos.      Mos.        Mos.     Yrs.        Yrs.    Yrs.    Yrs.      Yrs.

Hepatitis B           ♥       ♥                            ♥

Diphtheria,                            ♥         ♥         ♥                    ♥         ♥
Tetanus &
Pertussis (DTaP)
Tetanus,                                                                                             ♥
Diphtheria &
Pertussis
(TDaP)
Influenza (Flu)                                            ♥
(6 months through
four years of age
on an annual
basis)
Hemophilus                             ♥         ♥         ♥          ♥
Influenza B (Hib)
Polio                                  ♥         ♥         ♥                              ♥

Measles, Mumps,                                                       ♥                   ♥
Rubella
Chicken Pox                                                           ♥                   ♥

Hepatitis A                                                           ♥
                                                                   (2 doses)
Pneumococcal                           ♥         ♥         ♥          ♥
Pneumonia
Rotavirus                              ♥         ♥         ♥

Human                                                                                                        ♥                  ♥
Papillomavirus
Meningococcal                                                                                                ♥


Important Notes:

■    Check with you doctor about any “catch up” shots that may be needed if your child did not previously receive the recommended vaccines.

■    Check with your doctor about any shots that may be needed for children in high risk groups.