Child Health in General Practice - PowerPoint PPT Presentation

Loading...

PPT – Child Health in General Practice PowerPoint presentation | free to download - id: 100b69-NzYwY



Loading


The Adobe Flash plugin is needed to view this content

Get the plugin now

View by Category
About This Presentation
Title:

Child Health in General Practice

Description:

Department of General Practice Queen's University, Belfast ... Bed wetting - enuresis. Behavioural problems / school refusal. Cough. Diarrhoea and vomiting ... – PowerPoint PPT presentation

Number of Views:80
Avg rating:3.0/5.0
Slides: 26
Provided by: meshpreffe
Learn more at: http://www.qub.ac.uk
Category:

less

Write a Comment
User Comments (0)
Transcript and Presenter's Notes

Title: Child Health in General Practice


1
Child Health in General Practice
  • Dr. Kieran McGlade

2
Child Health Issues
  • Preventative Medicine
  • Developmental Surveillance
  • Family Health
  • Common diseases of Childhood
  • Common problems in children

3
Preventative Medicine in Child Care
  • Ante-natal care
  • ante-natal screening
  • folate supplements and nutrition
  • Neonatal care
  • environment
  • feeding
  • Immunisations

4
The Old Childhood Immunisation Schedule
  • Primary immunisations at 8, 12 and 16 weeks
  • Diphtheria, Tetanus, Pertussis HIB and Polio(5
    in one injection)
  • Meningitis C (single component injection)
  • Measles mumps and rubella vaccine (MMR) in
    second year of life (1 injection) usually about
    15 months.
  • Pre-school boosters
  • Diphtheria, Tetanus, Pertussis and Polio(4 in
    one injection)
  • MMR
  • http//www.immunisation.nhs.uk/

5
Changes to the Schedule
  • Addition of a pneumococcal conjugate vaccine
    (PCV) at 2,4 and 15 mths of age
  • One dose of Men C vaccine at 3 4 Mths
  • Booster dose of combined Hib MenC 1t 12 Mths of
    age

6
Immunisation Schedule 2006
7
Immunisation Schedule 2006
8
Effect of the changes to the old schedule
  • Infants will be offered different combinations of
    vaccines at the 2,3 and 4 mth visits
  • Three injections will be offered to infants at 4
    mths of age
  • A new 12 Mth vaccine will be introduced.
  • http//www.immunisation.nhs.uk/

9
(No Transcript)
10
(No Transcript)
11
(No Transcript)
12
Things not to miss
  • Phenylketonuria
  • Hypothyroidism
  • Congenital dislocation of the hip
  • Retinoblastoma
  • Downs Syndrome

13
Developmental Surveillance
  • Periodic assessment of a childs developmental
    progress with the aim of detecting
    pre-symptomatic disability
  • Screening procedures should be brief, simple,
    cheap and reliable
  • May be combined with immunisation visits - if so,
    screening should be done first

14
What do we look for in developmental screening?
  • Normal growth pattern
  • Height, weight, head circumference
  • Achievement of developmental milestones(indicatin
    g neurological development)
  • Gross motor function
  • Fine motor function and vision
  • Hearing and speech
  • Social behaviour and play

15
How do we carry out developmental screening
  • Often in a clinic
  • GP and Health visitor
  • Direct observation
  • Listening to parents / carers
  • History is important - we want to find out what
    the child can and cannot do
  • Specific tests

16
Developmental Screening Tests 6 weeks
  • Head Control
  • usually achieved by 6 weeks
  • Moro response
  • present at 6 weeks, gone by 6 months
  • Gaze fixes in mothers face, follows a brightly
    coloured object past the midline
  • Rattle or bell, 15cm at ear level - quietens or
    turns to sound.

17
Family HealthFamily Life Cycle Stages
  • The new couple
  • Birth of first child
  • School age family
  • Adolescent family
  • Launching family
  • Empty nest
  • Ageing family

18
Group Tasks
  • List the commonest diseases in childhood.
  • List the commonest presenting symptoms in
    childhood.

19
Common diseases in Childhood
  • Nappy rash
  • Upper Respiratory Tract Infection
  • Infectious Diseases
  • Urinary tract infection
  • Asthma
  • Eczema and other rashes
  • Trauma

20
Infectious diseases and common infections
  • Measles
  • Mumps
  • Rubella
  • Pertussis
  • Chickenpox
  • URTI
  • Otitis media
  • Tonsillitis
  • UTI
  • Gastro-enteritis
  • Herpes stomatitis
  • Meningitis

21
Common Problems
  • Sore tummy
  • Headaches
  • Rashes and fevers
  • Bed wetting - enuresis
  • Behavioural problems / school refusal
  • Cough
  • Diarrhoea and vomiting

22
Group tasks (2)
  • Discuss how you might manage the following
    scenarios
  • A six month old baby presenting with a fever
  • A five year old presenting with a cough
  • A nine year old with an itchy rash on her trunk.
  • A ten year old child with recurrent headaches

23
On observing a consultation with a child -
questions to ask yourself
  • Who is the patient?
  • What is the reason for the consultation?
  • What opportunities does this consultation
    present?
  • Is the consultation structured any differently
    from an adult consultation?

24
Summary
  • Child health is an integral part of GP.
  • It embraces prevention, diagnosis and treatment.
  • A knowledge of the family is an important key to
    the understanding of child health problems.
  • Flexibility of approach, attention to detail,
    observation and listening to children and parents
    are of crucial importance.

25
(No Transcript)
About PowerShow.com