’18moWCCplan

Healthy 18-month old toddler
– MCHAT done today – No concerns.
– Recommended finding local dental care
– Follow up at 2 years of age, or sooner PRN.
– ER/return precautions discussed.

Vaccines today:
– HepA #2, Influenza

Anticipatory guidance (discussed or covered in a handout given to the family)
– Common immunization SE’s
– Safety: Child-proofed home, burn prevention, kitchen safety, water safety, firearms, sunscreen, Poison Control number (800-222-1222)
– Car seat facing backward until 2 years of age (ideally 2) and 20 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, time outs, setting limits, routines.
– Emerging independence (offer choices)
– Growing vocabulary (importance of reading and talking)
– Limiting screen time
– Sleep: Nightmares, sleep hygiene
– Hazards of second hand smoke

Healthy 18-month old toddler
– MCHAT done today – No concerns.
– Recommended finding local dental care
– Follow up at 2 years of age, or sooner PRN.
– ER/return precautions discussed.

Vaccines today:
– HepA #2, Influenza

Anticipatory guidance (discussed or covered in a handout given to the family)
– Common immunization SE’s
– Safety: Child-proofed home, burn prevention, kitchen safety, water safety, firearms, sunscreen, Poison Control number (800-222-1222)
– Car seat facing backward until 2 years of age (ideally 2) and 20 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, time outs, setting limits, routines.
– Emerging independence (offer choices)
– Growing vocabulary (importance of reading and talking)
– Limiting screen time
– Sleep: Nightmares, sleep hygiene
– Hazards of second hand smoke

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