Developmental surveillance of infants and young children in pediatric primary care
Child; Humans; Practice Guidelines as Topic; Preschool; infant; Developmental Disabilities/diagnosis; Child Health Services/standards; Internet/utilization
PURPOSE OF REVIEW: This article reviews the importance of appropriate developmental surveillance in early childhood, what is known about its effectiveness in current pediatric practice, and ways in which its delivery can be improved to optimize child outcomes. RECENT FINDINGS: Many infants and young children with developmental delays or risk factors for poor developmental outcomes are not identified by pediatric practitioners in a timely manner. When they are identified, they are often not referred to appropriate early intervention services or early childhood development programs. They are therefore denied the opportunity to benefit from programs documented to have long-lasting benefits for children. Structuring developmental screening around the use of validated parent questionnaires improves the rates at which children with developmental needs are appropriately identified. At the same time, lowering thresholds for referral improves the rates at which children with identified needs receive appropriate services. SUMMARY: Pediatric practitioners are uniquely positioned to improve children's developmental outcomes through early identification and referral of children with developmental delays or risk factors for poor developmental outcomes. Unfortunately, inappropriate screening practices, high thresholds for referral, misplaced concerns about causing parental anxiety, and unfamiliarity with local resources all diminish the effectiveness with which many practitioners conduct developmental surveillance. Recent studies show that small changes in screening and referral practices have the potential to greatly improve the effectiveness of developmental surveillance. This, in turn, has the potential to improve lifelong outcomes for children.
2003
King TM; Glascoe FP
Current Opinion In Pediatrics
2003
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Journal Article
<a href="http://doi.org/10.1097/00008480-200312000-00014" target="_blank" rel="noreferrer">10.1097/00008480-200312000-00014</a>
Transition of care: health care professionals' view
Child; Humans; Adult; Attitude of Health Personnel; Questionnaires; Focus Groups; Needs Assessment; Hospitals; Nursing Methodology Research; Teaching; adolescent; Adolescent Transitions; Continuity of Patient Care/standards; Patient Transfer/standards; Chronic Disease/psychology/therapy; Adolescent Health Services/standards; London; Personnel; Pediatrics/standards; Hospital/psychology; Child Health Services/standards; Adolescent Medicine/standards
There is much anxiety regarding the transfer of adolescents with chronic illness to adult services. Transfer of patients can be haphazard if the transition has not been planned. Problems and obstacles to transition have been identified and discussed by various authors. The purpose of this small study was to explore the views and needs of health care professionals from one National Health Service trust regarding the transition of care for adolescents with a chronic condition from children's to adult services and to identify possible ways to improve the current services for this particular group of young adults. The sample comprised 40 health care professionals, nurses from the children's department and adult ward, doctors, psychologists, physiotherapists and pharmacists currently working in the same hospital trust. A postal survey was conducted. The data were analysed using descriptive statistics and content analysis. The main findings suggest that there is a need for a planned transition programme, supported by a clinical protocols and a specialist unit for adolescents. Health care professionals' views of patients and family/carers' needs and how such needs may be met were identified.
2004
Por J; Golberg B; Lennox V; Burr P; Barrow J; Dennard L
Journal Of Nursing Management
2004
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Journal Article
<a href="http://doi.org/10.1111/j.1365-2834.2004.00428.x" target="_blank" rel="noreferrer">10.1111/j.1365-2834.2004.00428.x</a>
In search of a good death: Can children with life threatening illness and their families experience a good death?
Child; Humans; Critical Illness; Quality of Health Care; Palliative Care/standards; Child Health Services/standards
2003
Beaune L; Newman C
Bmj (clinical Research Ed.)
2003
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Journal Article
<a href="http://doi.org/10.1136/bmj.327.7408.222-b" target="_blank" rel="noreferrer">10.1136/bmj.327.7408.222-b</a>