‘4yoWCCplan

Healthy 4 yo child
– The family was given a children’s book today (per “Reach Out and Read” program).
– CBC ordered. No indication for a lipid panel or DM screening.
– MCHAT was done at 18 and 24 months of age.
– Follow up at 5 years of age, or sooner PRN.
– ER/return precautions discussed.

* Vaccines today:
– Kinrix (DTaP #5, IPV #4), MMR #2, Varicella #2, Influenza

Anticipatory guidance (discussed or covered in a handout given to the family)
– Safety: Street/car safety, strangers, gun safety, helmets and safety equipment.
– Booster seat required by law until 8 yrs old or 4’9”
– Food: Limiting juice and junk/fast food.
– Discipline: Praising wanted behaviors, time outs, setting limits, routines, offering choices.
– Speech: Importance of reading, limiting screen time.
– Dental care and fluoride; dental visits
– Hazards of second hand smoke
Healthy 4 yo child
– The family was given a children’s book today (per “Reach Out and Read” program).
– CBC ordered. No indication for a lipid panel or DM screening.
– MCHAT was done at 18 and 24 months of age.
– Follow up at 5 years of age, or sooner PRN.
– ER/return precautions discussed.

* Vaccines today:
– Kinrix (DTaP #5, IPV #4), MMR #2, Varicella #2, Influenza

Anticipatory guidance (discussed or covered in a handout given to the family)
– Safety: Street/car safety, strangers, gun safety, helmets and safety equipment.
– Booster seat required by law until 8 yrs old or 4’9”
– Food: Limiting juice and junk/fast food.
– Discipline: Praising wanted behaviors, time outs, setting limits, routines, offering choices.
– Speech: Importance of reading, limiting screen time.
– Dental care and fluoride; dental visits
– Hazards of second hand smoke

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