Question

Sally is a 24 month old. She has a 1 month old brother. Her mother has brought her to the pediatrician's office for a routine check-up. Mother relates concerns with her refusal to toilet train. She has been demonstrating more frequent tantrums and is waking again during the night. She tells you she did not have any trouble with her birth, she weighed 7 #, and was 19 inches long. She tells you that Sally breastfed until 9 months and then with the advice of her family weaned her to the cup. And she believes this is why she has no allergies. Right now she is a picky eater, but does like fruits and vegetables when she will sit at the table and eat. She loves her milk, and does drink some juice. The family has no medical history, and yes, her immunizations are up to date. She plays often by herself, and on play dates loves to run, and her talking is improving. She took her to the dentist once and though it is a battle, tries to brush her teeth daily.

Vital signs: T - tympanic - 99.0, Pulse (apical) - 90, RR -

1. What are the tools and team members that may be beneficial to this child's care?

1. How will a head to toe assessment using specific techniques be done for this age of child?

Answer 1

Answer

There are tools that use to identify the child sally, two year child problems which includes social, emotional and behavioural screening

• BITSEA- Brief Infant toddler Social and Emotional Assessment
• ECSA- Early Childhood Screening Assessment
• PPSC- Pre school Pediatric Symptom Checklist
• CBCL- Child Behaviour Checklist Portico

All these assessments are done by primary child health care team

Answer

All children of ageto has to undergone certain head to toe assessments.

1. General appearence
2. checking hight and weght
3. head circumferance