Question

anticipatory guidance at each well chid visit?

I know at around 3 months you should tell the parent the infant will start to roll over and to be mindful of that. Anything else? Please give as much guidance as possible please.

Answer 1

ANTICIPATORY GUIDANCE involves counseling parents about expected developmental changes in their child.

Well child visits are scheduled at regular intervals to provide guidance.

GUIDANCE AT PRENATAL STAGE

✓ educate parents about breastfeeding practices and their importance.

✓increased physiological needs in mother's body. Educate the mother about her nutritional needs.

GUIDANCE FOR 6 - 12 MONTHS AGE

✓primary teeth develop at this stage. Check for the pattern of dental eruption.

✓ explain oral hygiene measures to the parents.

✓ nutrition of child

•4-6 months - pureed food should be given to child.

•6 -9 months - child can eat food with small lumps.

•9-12 months - can eat foods like rest of us.

✓ dental caries would be a risk factor.

✓ risks of injury are also high.

GUIDANCE FOR 12-24 months AGE

✓ Oral hygiene - assess home oral care practices and guide them .

✓nutrition -

• review child's diet and assess if his nutritional requirements are met.

✓ explain the role of sugars in causing dental issues.

✓ injury prevention is important - use car seats , avoid sharp objects at home,etc.

GUIDANCE FOR 2-6 years of age

✓ check pattern of eruption and periodontal tissue status.

✓ assess oral care practices.

✓review intake of food outside home.

✓injury prevention - oral trauma management , use of helmets,etc.

GUIDANCE FOR 6 TO 12 YEARS

✓ first permanent molars develop.

✓check for dental caries.

✓ educate about permanent teeth.

GUIDANCE FOR ADOLESCENT -

✓ At this stage , children deny listening to their parents .

✓ suggest measures to handle adolescents.

✓ review their habits inside and outside the home.