A student post this as a discussion, please add 1 up to da


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Health supervision or routine well-child visits are ways that healthcare providers, children, and parents can connect to make sure that health and wellness are remaining the forefront of development of the child’s life (Maaks et al., 2020). Each well-visits focuses on developmental milestones, age-related risk factors, growth patterns, and individual parent and family needs to ensure there is adequate anticipatory guidance to promoting health and disease prevention and detection is met (Maaks et al., 2020). This varies greatly in comparison to sick visits where the focus is on disease treatment and management of acute or chronic processes and to establish the “nature, cause, and extent” of a single-focused visit (Maaks et al., 2020). With the risk of developmental delay occurring in every one out of four children, there has been no additional implements to suggest veering from the standard tools of universal screening during early childhood which currently occur at 9-, 18-, 24-, and 30-months, or anytime a clinician or family member has a concern (Albano & Noritz, 2016; Lipkin et al., 2020). Although there have not been any changes to the standardized tools, there has been increase in referrals to early interventions by nearly 18% from 2002 to 2016 by pediatricians for developmental problems (Lipkin et al., 2020).
In my clinical setting, I have found that more parents are starting the conversation on developmental delays and lack of milestone achievements to promote additional screening. Recently I had a patient that wasn’t talking beyond simple words and rarely was pointing at things by the age of 2. As some the questions can be interpreted different from their intentions, it is important as a provider to address any areas of concern and re-address the questions for further conversation. After discussing that the questions, we asked the child to name animals in the room and would ask the child to point at animals when spoken (ex. point at the lion). Our own assessment indicated similar concerns that the parents had expressed, and a referral was placed to an early childhood development specialist. By performing this screening as providers, we are able to help children on their development of health and wellness and provide anticipatory guidelines to families based on way they are now.

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