1. What is important with communi- - Invite into clinical space/experience
cating with children and -Avoid assumptions
families? -Family and caregiver may mean someone
ditterent across patients
-Developmentally appropriate care
-Developing and Maintaining Trust
-Remember to Listen
-Family Medical History
2. What is included in a
-School Arrangement (Hospital)
Family Health History?
-Family Genogram (3 generations) and Structure
-Family Coping
-Family Strengths
-Living Arrangements
-Family Challenges
-Caregiving arrangmement
3. What is included in a complete pe- - Identifying Information
diatric health history?
-Present Concern (Chief complaint) & History of
Present Concern
-Past Medical History
-Illness
-Surgical/Hospitalizations
-Prenatal History
-Birth History
-Developmental History
Current Status:
-Nutrition
-Elimination
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-Sleep
-Allergies
-Immunizations
-Cognitive/ Behavioral Factors
Social-emotional Status:
-Spiritual factors
-Cultural factors
-School/Daycare
-Sexual/Substance Abuse History
-Child response to health care/ hospitalization
Health Maintenance:
-Immunizations
-Safety measures
-Exposures in living spaces
-Risk factors in parents
4. What is included in a Pediatric Re- - Neurological (as indicated)
view of oLOC
Systems? oReflexes
oCranial Nerves
-HEENT
oHead
oEyes
oEars
oNose
oMouth
oThroat/Neck
-Chest/Respiratory
-Cardiovascular/Peripheral vascular
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-Abdomen/Gastrointestinal
-Genitourinary
-Reproducti
ve oTanner
stage
-Musculoskeletal
-Integumentary
5. What is the physical
assessment approach for -Systemically
pediatrics?
-Head to toe (ideally)
-Quiet to Active
-Inspection, Auscultation, Percussion, Palpitation
-Save painful or invasive for the end
-Flexibility is necessary
-Be kind and gentle, but firm. Be upfront and honest,
otter multiple choices
6. How to be successful
-Create a non-threatening space (toys, art)
during a physical
assessment?
-Always otter caregiver involvement if safe for the
child
-Engage the child (make your tools magical or fun)
-Praise
7. What is included in the
initial physical exam? -Brief 10 second exam
-ABCs / Pediatric Assessment Triangle
-Appearance/ Work of Breathing / Circulation
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-General Appearance
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