’15moWCCplan

-Healthy 15-month old toddler
-Common immunization SE’s
-CBC and lead level ordered.
– Follow up at 18 months of age, or sooner PRN.
– ER/return precautions discussed.
-Vaccines adminstered today, see below.

Anticipatory Guidance Discussed.
-Safety: Child-proofed home, burn prevention, kitchen safety, water safety, firearms, sunscreen, Poison Control number (800-222-1222)
-Car seat facing backward until 2 year of age or 40 pounds
-Dental care and fluoride; dental visits
– Food: Picky eating, fortified whole milk, limiting juice and junk/fast food.
– Transitioning from bottle to cups; no bottle in bed
– Discipline: Praising wanted behaviors, distraction, setting limits, routines.
– Emerging independence (offer choices)
– Speech development (importance of reading and talking)
– Sleep: Nightmares, sleep hygiene
– Limiting screen time
– Hazards of second hand smoke
-Healthy 15-month old toddler
-Common immunization SE’s
-CBC and lead level ordered.
– Follow up at 18 months of age, or sooner PRN.
– ER/return precautions discussed.
-Vaccines adminstered today, see below.

Anticipatory Guidance Discussed.
-Safety: Child-proofed home, burn prevention, kitchen safety, water safety, firearms, sunscreen, Poison Control number (800-222-1222)
-Car seat facing backward until 2 year of age or 40 pounds
-Dental care and fluoride; dental visits
– Food: Picky eating, fortified whole milk, limiting juice and junk/fast food.
– Transitioning from bottle to cups; no bottle in bed
– Discipline: Praising wanted behaviors, distraction, setting limits, routines.
– Emerging independence (offer choices)
– Speech development (importance of reading and talking)
– Sleep: Nightmares, sleep hygiene
– Limiting screen time
– Hazards of second hand smoke

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