5210 Pediatric Obesity Clinical Decision Support Chart

2014 ◽  
Author(s):  

This convenient flip chart provides child health care professionals practical support and guidance to help improve care and outcomes for overweight youth. Bring your practice the latest ready-to-use tools including *Step-by-step prevention, assessment, and treatment interventions for the overweight and obese child developed by the CDC *15-minute obesity prevention protocol *Hypertension evaluation and management guidelines *Growth charts spanning birth to 20 years of age, including body mass index-for-age percentiles *Blood pressure levels for boys and girls *Coding information for obesity-related health services

2008 ◽  

This convenient flip chart provides child health care professionals practical support and guidance to help improve care and outcomes for overweight youth. "This flip chart is an easy to use general reference for treatment of childhood obesity. The 5210 guidelines are easy to recall for parents and children. The quick access to body-mass index (BMI) and blood pressure charts are useful tools to have in the office." Amanda Jackson, MD, Ochsner Clinic Foundation, Doody's Review. Bring your practice the latest ready-to-use tools including step-by-step prevention, assessment, and treatment interventions for the overweight and obese child developed by the CDC; 15-minute obesity prevention protocol; hypertension evaluation and management guidelines; growth charts spanning birth to age 20 years--including body mass index-for-age percentiles; blood pressure levels for boys and girls; and coding information for obesity-related health services. Adapted from the keep ME healthy flip chart developed by the Maine Center for Public Health and the Maine Chapter of the AAP.


2018 ◽  

This convenient flip chart provides pediatric health care professionals with point-of-care guidance on the assessment, prevention, and treatment of childhood infectious diseases. https://shop.aap.org/red-book-pediatric-infectious-diseases-clinical-decision-support-chart/


2017 ◽  
Author(s):  
Alexandra-Raluca Gatej ◽  
Audri Lamers ◽  
Robert Vermeiren ◽  
Lieke van Domburgh

Severe behaviour problems (SBPs) in early childhood include oppositional and aggressive behaviours and predict negative mental health outcomes later in life. Although effective treatments for this group are available and numerous clinical practice guidelines have been developed to facilitate the incorporation of evidence-based treatments in clinical decision-making (NICE, 2013), many children with SBPs remain unresponsive to treatment (Lahey & Waldman, 2012). At present, it is unknown how many countries in Europe possess official clinical guidelines for SBPs diagnosis and treatment and what is their perceived utility. The aim was to create an inventory of clinical guidelines (and associated critical needs) for the diagnostics and treatment of SBPs in youth mental health across Europe according to academic experts and mental health clinicians’ opinions. To investigate the aim, two separate online semi-structured questionnaires were used, one directed at academics (N=28 academic experts; 23 countries), and the other at clinicians (N=124 clinicians; 24 countries). Three key results were highlighted. First, guidelines for SBPs are perceived as beneficial by both experts and clinicians. However, their implementation needs to be reinforced and content better adapted to daily practice. Improvements may include taking a multifactorial approach to assessment and treatment, involving the systems around the child, and multidisciplinary collaboration. Second, academic experts and clinicians support the need for further developing national / European guidelines. Finally, future guidelines should address current challenges identified by clinicians to be more applicable to daily practice.


2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Erica Jane Cook ◽  
Faye Powell ◽  
Nasreen Ali ◽  
Catrin Penn-Jones ◽  
Bertha Ochieng ◽  
...  

Abstract Background The United Kingdom has one of the lowest breastfeeding rates in Europe, with the initiation and continuation of breastfeeding shown to be closely related to the mothers’ age, ethnicity and social class. Whilst the barriers that influence a woman’s decision to breastfeed are well documented, less is known how these barriers vary by the UK’s diverse population. As such, this study aimed to explore mothers’ experiences of breastfeeding and accessing breastfeeding services offered locally amongst a deprived and culturally diverse community. Methods A qualitative interpretive study comprising of 63 mothers (white British n = 8, Pakistani n = 13, Bangladeshi n = 10, black African n = 15 and Polish n = 17) who took part in single-sex focus groups, conducted in local community centres across the most deprived and ethnically diverse wards in Luton, UK. The focus groups were audio-recorded, transcribed and analysed thematically using Framework Analysis. Results The most common barriers to breastfeeding irrespective of ethnicity were perceptions surrounding pain and lack of milk. Confidence and motivation were found to be crucial facilitators of breastfeeding; whereby mothers felt that interventions should seek to reassure and support mothers not only during the early stages but throughout the breastfeeding journey. Mothers particularly valued the practical support provided by health care professions particularly surrounding positioning and attachment techniques. However, many mothers felt that the support from health care professionals was not always followed through. Conclusions The findings presented inform important recommendations for the design and implementation of future programs and interventions targeted at reducing breastfeeding inequalities. Interventions should focus on providing mothers practical support and reassurance not only during the early stages but throughout their breastfeeding journey. The findings also highlight the need for tailoring services to support diverse communities which acknowledge different traditional and familial practices.


2017 ◽  
Vol 21 (4) ◽  
pp. 476-487 ◽  
Author(s):  
Eva Sjögren ◽  
Lina Schollin Ask ◽  
Åke Örtqvist ◽  
Margareta Asp

In 2014, Stockholm became the first Swedish county to introduce the rotavirus vaccine, which is given from as early as six weeks of age. The aim of this study was to describe parental conceptions of rotavirus infection and vaccination during its implementation as part of the child immunization program, as their support is vital for any new vaccine. The study followed a descriptive, qualitative design with a phenomenographic approach. Ten in-depth interviews with parents were conducted in Stockholm County, transcribed and analyzed to describe qualitatively different conceptions of rotavirus infection and vaccination. Four main categories were identified: to vaccinate without doubt, hesitant to vaccinate, risky to vaccinate, and unnecessary to vaccinate. All the parents had in common the desire to protect their children from suffering, either by vaccinating their child in order to avoid rotavirus infection or by not vaccinating their child because of concerns about the side effects. It is important that child health-care professionals understand the variations of conceptions that influence the parents’ decisions and that these conceptions may differ considerably. Individualized parental information about rotavirus infection and vaccination would help to achieve a successful implementation of the vaccination program.


PEDIATRICS ◽  
1976 ◽  
Vol 57 (6) ◽  
pp. 828-828
Author(s):  
Richard W. Olmsted

A Task Force on Pediatric Education has been formed by the combined efforts of the major pediatric organizations. The mandate of this interorganizational Task Force is to examine in detail all issues pertaining to pediatric education from the undergraduate through the postgraduate and continuing education years. The Task Force will solicit and assess all available information concerning the future needs for pediatricians, the distribution of pediatricians and child patients, the range in the roles of pediatricians, and the most appropriate education for those roles. Most significantly the Task Force will consider the health needs of American children and how the educational process may better equip pediatricians and other child health care professionals to meet those needs.


2016 ◽  
Vol 170 (2) ◽  
pp. 138 ◽  
Author(s):  
Justine B. Daly ◽  
Lisa J. Mackenzie ◽  
Megan Freund ◽  
Luke Wolfenden ◽  
Robert Roseby ◽  
...  

2020 ◽  
Vol 18 (4) ◽  
pp. 2033
Author(s):  
Roxana De las Salas ◽  
Javier Eslava-Schmalbach ◽  
Claudia Vaca-González ◽  
Dolores Rodríguez ◽  
Albert Figueras

Objective: The aim of this study was to develop and validate a stepwise tool to aid primary health care professionals in the process of deprescribing potentially inappropriate medication in older persons. Methods: We carried out a systematic review to identify previously published tools. A composite proposal of algorithm was made by following the steps from clinical experience to deprescribe medications. A 2-round electronic Delphi method was conducted to establish consensus. Eighteen experts from different countries (Colombia, Spain and Argentina) accepted to be part of the panel representing geriatricians, internists, endocrinologist, general practitioners, pharmacologists, clinical pharmacists, family physicians and nurses. Panel members were asked to mark a Likert Scale from 1 to 9 points (1= strongly disagree, 9= strongly agree). The content validity‏ ratio, item-level content validity, and Fleiss’ Kappa statistics was measured to establish reliability. The same voting method was used for round 2. Results: A 7-question algorithm was proposed. Each question was part of a domain and conduct into a decision. In round 1, a consensus was not reached but statements were grouped and organized. In round 2, the tool met consensus. The inter-rater reliability was between substantial and almost perfect for questions with Kappa=0.77 (95% CI 0.60-0.93), for domains with Kappa= 0.73 (95%CI 0.60-0.86) and for decisions with Kappa= 0.97 (95%CI 0.90-1.00). Conclusions: This is a novel tool that captures and supports healthcare professionals in clinical decision-making for deprescribing potentially inappropriate medication. This includes patient’s and caregiver’s preferences about medication. This tool will help to standardize care and provide guidance on the prescribing/deprescribing process of older persons’ medications. Also, it provides a holistic way to reduce polypharmacy and inappropriate medications in clinical practice.


2019 ◽  
Vol 40 (03) ◽  
pp. 170-187 ◽  
Author(s):  
Martin B. Brodsky ◽  
Emily B. Mayfield ◽  
Roxann Diez Gross

AbstractClinicians often perceive the intensive care unit as among the most intimidating environments in patient care. With the proper training, acquisition of skill, and approach to clinical care, feelings of intimidation may be overcome with the great rewards this level of care has to offer. This review—spanning the ages of birth to senescence and covering oral/nasal endotracheal intubation and tracheostomy—presents a clinically relevant, directly applicable review of screening, assessment, and treatment of dysphagia in the patients who are critically ill for clinical speech–language pathologists and identifies gaps in the clinical peer-reviewed literature for researchers.


2009 ◽  
Vol 20 (3) ◽  
pp. 332-338 ◽  
Author(s):  
Mariska Klein Velderman ◽  
Matty R. Crone ◽  
Carin H. Wiefferink ◽  
Sijmen A. Reijneveld

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