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Pediatric Development and Safety

This lecture explores critical aspects of pediatric development and safety, focusing on key milestones in motor skills, communication, cognition, and social development in children. Attendees will learn to document developmental progress in 27-month-old children, understand essential safety measures to prevent accidents at home, and effectively engage parents in their child's growth journey. Emphasizing the importance of integrating development with safety, this session aims to equip healthcare providers with the necessary tools to enhance patient care and educate families on best practices for child safety.

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Pediatric Development and Safety

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  1. Pediatric Development and Safety Sarah Lewis MHS PA-C

  2. Development • http://www.aap.org/topics.html Development • Link to lecture from pedshttp://gradprograms.lhup.edu/pa/DesktopDefault.aspx?tabid=27&pid=25&cMod=22&lecID=5810

  3. Development Areas • Motor • Gross • Fine • Communication and Language • Cognition • Social

  4. Peds Development Note • HPI: This 27 month old male ……… • Per parent, he is able to • Social: wash his hands and dress himself, • Fine motor: stack >8 cubes, draw a circle, • Language: speech is understandable, names >4 colors, and • Gross motor: balance on each foot >2 seconds…… • PE: can document all of the above in the office, of each developmental area • A: Development advanced for age • P: encouraged reading with child, coloring, singing; playing with balls; inclusion with mealtime conversation

  5. Safety • http://www.cdc.gov/injury/index.html • Accidents in Kids by Craig at http://gradprograms.lhup.edu/pa/DesktopDefault.aspx?tabid=27&pid=25&cMod=22&lecID=5787

  6. Stats of Death and Injury in Peds • Causes of Death: http://www.cdc.gov/injury/wisqars/pdf/Death_by_Age_2007-a.pdf • Non fatal Injuries seen in ERs: http://www.cdc.gov/injury/wisqars/pdf/Nonfatal_2008-a.pdf

  7. Top Ten Home Child Accidental Fatalities • falls • drowning • head injuries • fire • burns: pots, grease irons • poisoning • electrocution • shooting • broken bones • suffocation

  8. What can we do? • ASK! • Open ended safety question • What’s dangerous in your house? Around your home? Where else is the child? • What sorts of safety modifications have you made? • Educate • Reassure • 25% of children seen each year for injuries

  9. Putting Development together with Safety • Example: 20 month old being seen, who climbs up the exam room walls • Consider safety of windows, tub, crib, gates, door knobs

  10. Safety - Room by Room

  11. Convenience in Practice • Refer to or give book • Pamphlets or packets of age specific info • Skipping Safety is not an option

  12. Perfection in Your Documentation • Pair up with someone who has had a peds or family practice rotation, and has a peds note • Improve upon the 4 point development history, PE, assessment and a plan that includes predicted milestones, and safety guidance • Email to the student’s advisor to show your increased competency, and upload to portal

  13. When you have kids, it’ll make more sense 

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