What should guide assessment at each encounter?
Compare the child’s current symptoms, function, and behavior with their usual baseline, and ask the child and caregiver what has changed.
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What should guide assessment at each encounter?
Compare the child’s current symptoms, function, and behavior with their usual baseline, and ask the child and caregiver what has changed.
Why assess growth trends rather than a single measurement?
Growth trends and the overall clinical picture are more informative than a single measurement. A change in growth or function may mean the care plan needs reassessment.
What should a medication reconciliation include?
Reconcile prescribed and over-the-counter medicines, allergies, doses in the current plan, access, administration technique, and needed supplies. Explore barriers without blame.
What is a pediatric medical home?
A medical home is an ongoing partnership among the child, family, and primary care team that connects primary and specialty care with other services.
What belongs in a shared care plan?
A shared plan should identify the child’s baseline, routine care, medication instructions, warning signs, emergency steps, and whom to contact.
What should a care team confirm after a hospital stay?
Confirm the updated medication list, follow-up appointments, pending results, equipment needs, and who will communicate changes to the family and other care settings.
How can care be prepared for school settings?
With family consent and appropriate privacy, provide current action plans, necessary medicines and supplies, trained staff, and instructions for activities and transportation.
How can clinicians support a family’s role in daily care?
Ask what support the family wants, provide understandable written information and interpretation when needed, and connect them with care coordination or community resources.
How should care teams support growing independence?
Teach the child or adolescent about their condition and medicines gradually while maintaining safe adult support, and plan transitions to adult care.
Which asthma symptoms require emergency help?
Severe breathing difficulty, blue or gray lips or nails, trouble speaking or walking because of breathlessness, or symptoms not improving as directed require emergency help.
What signs may indicate diabetic ketoacidosis in a child with type 1 diabetes?
Vomiting or abdominal pain with high glucose or ketones, deep or difficult breathing, fruity-smelling breath, marked drowsiness, or confusion may indicate DKA, a medical emergency.
When should emergency services be called for a seizure?
Call emergency services for a seizure lasting over 5 minutes, repeated seizures without recovery, breathing or waking difficulty, injury, or a first known seizure.