Any screening performed should be documented in the medical record, including the screening tool used, results, discussion points, and a follow-up and referral plan as needed. Physicians also should consider screening the mother's partner, in person or via mail, at the six-month visit using the Edinburgh Postpartum Depression Scale. Repeated screening aids in overcoming initial reticence in disclosing depressive symptoms. At this visit, we will cover many important topics to support your child’s growth, development, wellness, and safety, and we’ll give your child any needed vaccines. Your care team at Kaiser Permanente looks forward to seeing your child for their well visit. Therefore, the AAP recommends routinely screening mothers of patients for postpartum depression with a validated screening tool (i.e., Edinburgh Postpartum Depression Scale or Patient Health Questionnaire) at the one-, two-, four-, and six-month well-child visits. Your child is 6 to 9 years old It’s time for their check-up. This patient was seen and presented to attending physician, _ who agrees with this plan.Because they provide frequent interaction with parents, well-child visits are existing opportunities to recognize postpartum depression. Patient will call clinic or go to ED if child becomes sick or if she has concerns.įollow up in 3 months for 9 month well child check. Anthony North FM Issues Identified Lack of provider knowledge of up-to-date screening recommendations Frustration. Counseling provided on nutrition and food introduction done. Has been uptodate with immunizations. Mom is not depressed and has adequate support at home to care for the baby.Īnticipatory guidance discussed. No prenatal, perinatal or postnatal complications. Genital area:Both testicles palpated in scrotum, no diaper rash present.īack – No excessive hairs or abnormality in the sacral areaħ mo old healthy male, the product of term SVD with adequate prenatal and postnatal care.
Throat & Mouth – Sucking and rooting reflex present, palate normal.Ībd – Normal BS, no tenderness, umbilicus healed. In an in-person clerkship, virtual simulated visits can provide opportunity for teaching comprehensive well child history takingand practice answering a wider variety of parent questions. Nose – Normal mucous membranes, no rhinorhea Online Residency Curriculum: Weaving Attachment, Autonomy, and Executive Function into Well-Child Visits, Birth to Age 5. (Note infants may not be able to accomodate) Head – NC/AT Posterior fontanel closed, AF is flatĮyes – PERRL, red reflex present. Head Circumference = _% Wt = _ % Ht = _ %. Grand parents live at home and help with care. A complete history during the well-child. Is taken care of at home and doesn’t go to day care. The well-child visit allows for comprehensive assessment of a child and the opportunity for further evaluation if abnormalities are detected. No incidences of diaper rashes.Sleep: Sleeps all nightĭevelopmentally, patient says dada & baba sits up without support, grabs things, picks objects, is beginning to crawl, recognizes mom, seems happy.īehaviorally, Patient is consolable when he cries. 6 Mo pt, the product of a SVD term comes in for WCC.
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