Presentation is loading. Please wait.

Presentation is loading. Please wait.

Department of General Practice Queen’s University, Belfast Child Health in General Practice Dr. Kieran McGlade.

Similar presentations


Presentation on theme: "Department of General Practice Queen’s University, Belfast Child Health in General Practice Dr. Kieran McGlade."— Presentation transcript:

1 Department of General Practice Queen’s University, Belfast Child Health in General Practice Dr. Kieran McGlade

2 Department of General Practice Queen’s University, Belfast Child Health Issues u Preventative Medicine u Developmental Surveillance u Family Health u Common diseases of Childhood u Common problems in children

3 Department of General Practice Queen’s University, Belfast Preventative Medicine in Child Care u Ante-natal care l ante-natal screening l folate supplements and nutrition u Neonatal care l environment l feeding u Immunisations

4 Department of General Practice Queen’s University, Belfast The Old Childhood Immunisation Schedule u Primary immunisations at 8, 12 and 16 weeks l Diphtheria, Tetanus, Pertussis HIB and Polio (5 in one injection) l Meningitis C (single component injection) u Measles mumps and rubella vaccine (MMR) in second year of life (1 injection) – usually about 15 months. u Pre-school boosters l Diphtheria, Tetanus, Pertussis and Polio (4 in one injection) l MMR

5 Department of General Practice Queen’s University, Belfast Changes to the Schedule u Addition of a pneumococcal conjugate vaccine (PCV) at 2,4 and 15 mths of age u One dose of Men C vaccine at 3 & 4 Mths u Booster dose of combined Hib & MenC 1t 12 Mths of age

6 Department of General Practice Queen’s University, Belfast Immunisation Schedule 2006 AGEImmunisations to be GivenHow 2 mths Diphtheria, Tetanus, Pertusis, Polio and Haemophilus influenzae type b Pneumococcal (PCV) 1 injection 3 mths Diphtheria, Tetanus, Pertusis, Polio and Haemophilus influenzae type b Meningitis C (Men C) 1 injection 4 mths Diphtheria, Tetanus, Pertusis, Polio and Haemophilus influenzae type b Pneumococcal (PCV) Meningitis C (Men C) 1 injection

7 Department of General Practice Queen’s University, Belfast Immunisation Schedule 2006 AGEImmunisations to be GivenHow 12 mths Haemophilus influenzae type b and Meningitis C (Men C) 1 injection 15 mths Measles Mumps and Rubella (MMR) Pneumococcal (PCV) 1 injection mths Diphtheria, Tetanus, Pertusis and Polio Measles Mumps and Rubella (MMR) 1 injection 14 – 18 yrs Tetanus. Diphteria and polio1 injection

8 Department of General Practice Queen’s University, Belfast Effect of the changes to the old schedule u Infants will be offered different combinations of vaccines at the 2,3 and 4 mth visits u Three injections will be offered to infants at 4 mths of age u A new 12 Mth vaccine will be introduced.

9 Department of General Practice Queen’s University, Belfast

10

11

12 Things not to miss u Phenylketonuria u Hypothyroidism u Congenital dislocation of the hip u Retinoblastoma u Down’s Syndrome

13 Department of General Practice Queen’s University, Belfast Developmental Surveillance u Periodic assessment of a child’s developmental progress with the aim of detecting pre-symptomatic disability u Screening procedures should be brief, simple, cheap and reliable u May be combined with immunisation visits - if so, screening should be done first

14 Department of General Practice Queen’s University, Belfast What do we look for in developmental screening? u Normal growth pattern l Height, weight, head circumference u Achievement of developmental milestones (indicating neurological development) l Gross motor function l Fine motor function and vision l Hearing and speech u Social behaviour and play

15 Department of General Practice Queen’s University, Belfast How do we carry out developmental screening u Often in a clinic u GP and Health visitor u Direct observation u Listening to parents / carers l History is important - we want to find out what the child can and cannot do u Specific tests

16 Department of General Practice Queen’s University, Belfast Developmental Screening Tests 6 weeks u Head Control l usually achieved by 6 weeks u Moro response l present at 6 weeks, gone by 6 months u Gaze fixes in mother’s face, follows a brightly coloured object past the midline u Rattle or bell, 15cm at ear level - quietens or turns to sound.

17 Department of General Practice Queen’s University, Belfast Family Health Family Life Cycle Stages u The new couple u Birth of first child u School age family u Adolescent family u Launching family u Empty nest u Ageing family

18 Department of General Practice Queen’s University, Belfast Group Tasks u List the commonest diseases in childhood. u List the commonest presenting symptoms in childhood.

19 Department of General Practice Queen’s University, Belfast Common diseases in Childhood u Nappy rash u Upper Respiratory Tract Infection u Infectious Diseases u Urinary tract infection u Asthma u Eczema and other rashes u Trauma

20 Department of General Practice Queen’s University, Belfast Infectious diseases and common infections u Measles u Mumps u Rubella u Pertussis u Chickenpox u URTI u Otitis media u Tonsillitis u UTI u Gastro-enteritis u Herpes stomatitis u Meningitis

21 Department of General Practice Queen’s University, Belfast Common Problems u Sore tummy u Headaches u Rashes and fevers u Bed wetting - enuresis u Behavioural problems / school refusal u Cough u Diarrhoea and vomiting

22 Department of General Practice Queen’s University, Belfast Group tasks (2) u Discuss how you might manage the following scenarios: l A six month old baby presenting with a fever l A five year old presenting with a cough l A nine year old with an itchy rash on her trunk. l A ten year old child with recurrent headaches

23 Department of General Practice Queen’s University, Belfast On observing a consultation with a child - questions to ask yourself u Who is the patient? u What is the reason for the consultation? u What opportunities does this consultation present? u Is the consultation structured any differently from an adult consultation?

24 Department of General Practice Queen’s University, Belfast Summary u Child health is an integral part of GP. u It embraces prevention, diagnosis and treatment. u A knowledge of the family is an important key to the understanding of child health problems. u Flexibility of approach, attention to detail, observation and listening to children and parents are of crucial importance.

25 Department of General Practice Queen’s University, Belfast


Download ppt "Department of General Practice Queen’s University, Belfast Child Health in General Practice Dr. Kieran McGlade."

Similar presentations


Ads by Google