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Discussion 2

Some strategies that might be used by a pediatric primary care provider to incorporate developmental anticipatory guidance for an 18-month-old with an acute upper respiratory infection would be teaching the parents about strategies for recognizing signs of toilet training readiness, being consistent with discipline, and enforcing limits.  Another strategy that might be used by a pediatric primary care provider to incorporate developmental anticipatory guidance for an 18-month old with an acute upper respiratory infection would be to have parents read books about potty training, praising attempts to sit on the potty, and encouraging language development.  Encouraging language development can be done by reading books and singing and talking to the 18-month-old.  Another strategy would be teaching the parents about offering a variety of healthy foods and snacks such as vegetables and fruits.  This is important for their growth and development. The pediatric primary care provider can also use brochures and flyers as a strategy to help incorporate developmental anticipatory guidance.   

Strategies that might be used by a pediatric primary care provider to incorporate developmental anticipatory guidance into the sick visit of a 4-year-old with stool withholding and constipation would be asking the parents about the child’s school readiness.  This includes asking about the child’s language understanding, and fluency, opportunities to socialize with other children, and readiness for a structured learning environment.  Other strategies include having the parents develop healthy nutrition and personal habits such as trusting the child to decide how much to eat, creating a calm bedtime ritual, ensuring that the child brushes his or her teeth morning and night.  Teaching them about sexuality is important at this age.  Preschool-age children become interested in their bodily functions, including toileting and sexuality (UCSfbenioffchildrens, 2021).   At this age, they are beginning to understand that there are differences between people, sex, race, height, and weight.  Pediatric providers can teach parents about setting limits to a child’s sexual exploration as a strategy to incorporate as anticipatory guidance for this age group.   

Strategies that might be used by a pediatric primary care provider to incorporate developmental anticipatory guidance in a 9-year-old with chronic headaches would be asking the parents about any nonviolent conflict-resolution techniques that they might have for their child, discussing bullying, and asking for help from teachers or the principal if there are any concerns at school.  Another strategy is asking the parents about any concerns about food assistance.  The provider can provide the parents with contact community resources like SNAP for food assistance if needed.  Another strategy that might be used by a pediatric primary care provider to incorporate developmental anticipatory guidance for this visit would be asking the child about what questions they have about the way their body is developing. 

Strategies that might be used by a pediatric primary care provider to incorporate developmental anticipatory guidance into the sick visit of a 15-year-old with dysmenorrhea would be providing the child with information about sexually transmitted diseases, tobacco and alcohol risks also prescription or street drugs.  Providers can also ask questions about what is the child’s thoughts about smoking/vaping, drinking, and using drugs, and if offered how will you handle it?  If not offered how would you handle it (BrightFutures.AAP, 2021)?  Another strategy would be having the 15-year-old fill out a questioner about emotional well-being, questions such as if they have been feeling bored, sad, or irritable should be in the questioner.  This can help the provider better understand the adolescence and to better diagnose and treat.           

       References

Adolescence tools. (n.d.). Bright Futures. https://brightfutures.aap.org/materials-and-tools/tool-and-resource-kit/Pages/adolescence-tools.aspx (Links to an external site.)

Your 3- to 4-Year-Old. (n.d.). ucsfbenioffchildrens.org. https://www.ucsfbenioffchildrens.org/education/your-3-to-4-year-old (Links to an external site.)