‘3yoWCCplan

Healthy 3 yo child without concerns
– The family was given a children’s book today (per “Reach Out and Read” program).
– CBC ordered.
– Consider MCHAT (autism screen) considered between 18 and 24 months of age.
– Follow up at 4 years of age, or sooner PRN.
– ER/return precautions discussed.

Vaccines today:
– Influenza
– None

Anticipatory guidance (discussed or covered in a handout given to the family)
– Safety: Street/car safety, water safety, toxins (Poison Control number: 800-222-1222), gun safety, helmets and safety equipment.
– Booster seat required by law until 8 yrs old or 4’9”
– Food: Picky eating, fortified skim milk, limiting juice and junk/fast food.
– Discipline: Praising wanted behaviors, time outs, setting limits, routines, offering choices, +expect sharing, limiting screen time.
– Speech: Importance of reading, temporary stuttering
– Dental care and fluoride; dental visits
– Sleep: Nightmares, sleep hygiene
– Hazards of second hand smoke
Healthy 3 yo child without concerns
– The family was given a children’s book today (per “Reach Out and Read” program).
– CBC ordered.
– Consider MCHAT (autism screen) considered between 18 and 24 months of age.
– Follow up at 4 years of age, or sooner PRN.
– ER/return precautions discussed.

Vaccines today:
– Influenza
– None

Anticipatory guidance (discussed or covered in a handout given to the family)
– Safety: Street/car safety, water safety, toxins (Poison Control number: 800-222-1222), gun safety, helmets and safety equipment.
– Booster seat required by law until 8 yrs old or 4’9”
– Food: Picky eating, fortified skim milk, limiting juice and junk/fast food.
– Discipline: Praising wanted behaviors, time outs, setting limits, routines, offering choices, +expect sharing, limiting screen time.
– Speech: Importance of reading, temporary stuttering
– Dental care and fluoride; dental visits
– Sleep: Nightmares, sleep hygiene
– Hazards of second hand smoke

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