Saying no, safer sex, HIV and STDs

Community and peer interactions

Community and peer interactions

Assessing child care

Peers, significant others

Community resources and services

Positive activities, financial, culture

The American Academy of Pediatrics (AAP) publishes guidelines for health supervision visits and key age-appropriate components of these visits (p. 637). Remember that children and adolescents who have a chronic illness or are from high-risk family or environmental circumstances will probably require more frequent visits and more intensive health promotion.

Integrate explanations of your physical findings with health promotion. For example, provide advice about expected maturational changes or how health behaviors can impact physical findings (e.g., exercise may reduce blood pressure and obesity). It is particularly powerful to demonstrate the relationship between healthy lifestyles and physical health.

Childhood immunizations are a mainstay for health promotion and have been recognized as the most significant medical achievement of public health worldwide. The childhood immunization schedule changes yearly and updates are widely disseminated.

Screening procedures are performed at certain ages. For all children, these include growth parameters and developmental screening at all ages, blood pressure after infancy, and vision and hearing screening at certain key ages. Screening procedures that are particularly recommended for high-risk patients include tests for lead poisoning, tuberculosis exposure, anemia, cholesterol, urinary tract infections, and sexually transmitted diseases. There is variation worldwide in recommendations for screening tests; the AAP recommendations are provided on the next page.

Anticipatory guidance is a major component of the pediatric visit. Key areas are shown in the Recommendations for Preventive Pediatric Health Care and cover a broad range of topics, from purely "medical" to social and emotional health. The examples of anticipatory guidance (p. 635) for a 1-year-old and a 16-year-old highlight key components for two different age groups. The health of children is affected by all of these factors. If we are to achieve a healthier world, we must emphasize comprehensive and broadly defined health promotion during childhood. Our children's future depends on it!

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Blood Pressure Health

Blood Pressure Health

Your heart pumps blood throughout your body using a network of tubing called arteries and capillaries which return the blood back to your heart via your veins. Blood pressure is the force of the blood pushing against the walls of your arteries as your heart beats.Learn more...

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