Lab andor Diagnostic Tests include results or pending CBC CMP Fasting lipids

Lab andor diagnostic tests include results or pending

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interacts with other children at school. Lab and/or Diagnostic Tests: (include results or pending) CBC, CMP, Fasting lipids, Lead level and TB skin test – all pending Revised 5/9/18; 8/9/18; 10/29/18
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DIAGNOSIS Instructions: 1. Normal well child visit (Z00.129) – are designed for surveillance and screening for children. The American Academy of Pediatrics (AAP) set guidelines for each visit. Surveillance is a procedure for recognizing children at risk for a developmental disorder and involves asking parents if they have concerns about their child’s development. Screening involves use of a standardized tool to clarify identified risk (Hay, Levin, Deterding, & Abzug, 2016). 2. Speech and language delay (F80.4) - limited spoken language and phonetic and word structure repertoires are the selection of appropriate measures for comparison (Davis & Hodge,2017). 3. Final/Primary Diagnosis (es): Normal well child visit (Z00.129) PLAN: Social language and Self-help Enters bathroom and has BM by self Brushes teeth Dresses and undresses without much help Engages in well-developed imaginative play Verbal Language Uses 4-word sentences Uses words that are 100% intelligible to strangers Gross Motor Climb stairs, alternating feet without support Skips on 1 foot Fine Motor Draws a person with at least 3 body parts Draws simple cross Unbuttons and buttons medium-sized buttons Grasps pencil with thumb and fingers instead of fist . Social Determinants of Health Community agencies can help with concerns about your living situation Programs like WIC and SNAP to help with concerns about food Don’t use tobacco/e-cigarettes/alcohol/drugs Ask for help if you are concerned about or have experienced violence from your partner Teach child rules for how to be safe with adults: do not keep secrets, adults should not touch private parts, do not assist the adult with their private parts Maintain or expand participation in community activities School readiness
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Give child time to finish sentences, encourage speaking skills by reading/talking together Read together daily; ask child questions about story Children are very sensitive, either easily encouraged or hurt; model respectful behavior and apologize if wrong Provide opportunities for your child to play with other children Visit your child’s preschool/child care program; become actively involved; talk with your child about what they are learning Developing healthy nutrition and personal habits Always have cool water available Provide 16 to 24 oz low-fat/fat-free milk daily Juice is not a necessary drink Offer variety of healthy foods/snacks, especially vegetables, fruits, lean protein Create calm bedtime ritual Media Use Limits on use, promoting physical activity and safe play Limit TV and video to no more than 1 hour a day, no TV in the bedroom, supervise internet use Make opportunities for daily play; be physically active as a family Safety
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