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In a provider’s office, not all providers have their own patient load and therefore often see the acute visits for illness, medication follow-ups, ED follow-ups, minor procedures, and sports physicals as well as other things that come up at the last minute. This type of care offers a provider an opportunity to see patients of all ages and for all reasons which gives the provider a wide knowledge base. Sports physicals seem to be more prevalent prior to school starting up and are important to ensure the patient can participate in the desired activity safely. This type of exam includes an evaluation of general health including vitals, neurological screen, orthopedic screen, nutritional, and a mental health screen (McKeag, 2021). These screenings and well visits are important as many illnesses or diseases can happen during a growth spirt, and having an additional eye on our patients especially our vulnerable population will help us identify potential concerns and then lead to an adjustment in their current plan of care.
In addition to chronic conditions that may limit the patients participation in acute illness or the threat thereof may also. Recommendations from CDC as well as other organizations state that all persons participating in sports should receive the COVID vaccine (Davis, 2021). This recommendation has been an issue for many persons who feel strongly against the COVID vaccine. Parents may not feel this necessary just as providers have seen with other immunizations not everyone is on board with staying up to date with immunizations. Education is important to promote compliance for immunizations with the goal to optimize the health of the individual as well s the community.
A concussion is another concern with children although not only a concern in sports but in everyday activities such as riding a bike or jumping on a trampoline. Because of this as providers, it is important to discuss the cause, as well as the effect of a concussion, and a sports physical is another time to do just that. The most common and consistent concerns do not always involve those who have lost consciousness but rather those who have immediate confusion or disorientation, balance impairment, a slow reaction time within two days of injury, or impairment to memory or learning ability within two days of the injury (Domino et al., 2021). Maximizing our encounters in a wellness visit, acute visit, or a sports physical is our opportunity to educate and promote an understanding of health, and wellness, and to promote an optional individualized plan of care.

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