The role of the primary care providerAs primary care providers, we must screen our pediatric patient population for developmental delays and disease. If abnormalities aren’t recognized this can cause long-term effects that may never be corrected. Screening tools such as ages and stages questionnaire (ASQ) helps identify deficits during well-child visits. The ASQ can be used to screen children for developmental delay in the waiting room of pediatric practices (Antonio, Fenick, Shabanova, Leventhal, & Weitzman, 2014). This way the results can be reviewed with parents and questions answered quickly. It is also essential to educate the parents on the benefits of immunizations and verify they are up to date with each visit. It helps to keep our patientsand the community safe and healthy.Normal findingsNormal findings in Brian’s development include his ability to climb stairs. At this age children should be able to climb stairs using alternate feet. His mother also reports he can run. It would be important to ask his mother if he has frequent falls. Also, with his fine motor skills, the provider should inquire whether ornot he can copy a vertical line. Further questioning can include how he holds a crayon and if he uses his thumb and finger or grasps it with a fist.Areas of ConcernOne of the first red flags I see with Brian is his vocabulary. At this age, his speech should include short phrases of 3 to 4 words. The mother states he is only using one word at a time. The U.S. Preventive Services Task Force (USPSTF) reviewed the evidence on screening for speech and language delay and
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- Summer '17