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Preventive and Promotive Health (Pediatrics) - Coggle Diagram

- - - - Protection produced by the person's own immune system
      - Usually permanent
      - Examples
        
        Vaccines produce
        
        Live Attenuated Vaccines
        
        Viral
        
        measles, mumps,rubella,varicella/zoster, rotavirus, yellow fever, intranasal influenza,vaccinia
        
        Bacterial
        
        BCG, oral typhoid
        
        Inactivated Vaccines
        
        Hepatitis A,Flu (shot only),Polio (shot only),Rabies
        
        Pure Polysaccharide Vaccines
        
        Pure polysaccharide
        
        pneumococcal, meningococcal, Salmonella Typhi (Vi)
        
        Conjugate polysaccharide
        
        Haemophilus influenzae type b, pneumococcal,meningococcal
        
        Product Given First
        
        Vaccine
        
        Wait 2 weeks before giving antibody
        
        Antibody
        
        Wait 3 months or longer before giving vaccine
        
        Adverse Reaction
        
        Local
        
        pain, swelling, redness at site of injection
        
        common with inactivated vaccines
        
        usually mild and self-limited
        
        Systemic
        
        fever, malaise, headache
        
        nonspecific , may be unrelated to vaccine
        
        Allergic
        
        due to vaccine or vaccine component
        
        rare, risk minimized by screening
        
        Contraindication
        
        Permanent
        
        severe allergic reaction
        
        encephalopathy
        
        Temporary
        
        Pregnancy
        
        Immunosuppression
    - - Protection transferred from another person or animal
      - Temporary protection
      - Examples
        
        blood products,immune globulin,antitoxin
  - - - BCG,Hepatitis B
    - - DTwP-Hib- Hep B,OPV
    - - Rotavirus
    - - Measles
    - - MMR
    - - BCG (Bacille Calmette Guerin)
      - HBV (Hepatitis b vaccine)
      - Hib (Hemophilus influenzae type b conjugate vaccine)
      - DTP(Diphtheria and tetanus toxoid and pertussis vaccine)
      - Td(Tetanus and Diphtheria toxoid)/TdaP(Tetanus and Diphtheria toxoid and Acellular Pertussis vaccine
      - Oral Poliovirus Vaccine
      - IPV(Inactivated poliovirus vaccine)
      - Rotavirus
      - Pneumococcal vaccine
        
        Pneumococcal conjugate vaccine (PCV 10)
        
        Pneumococcal polysaccharide vaccine (PPSV23 or Pneumovax 23)
        
        Pneumococcal conjugate vaccine (PCV 13 or Prevnar13)
      - Influenza vaccine
      - Measles vaccine
      - MMR(Measles- mumps- rubella vaccine)
      - VARICELLA VACCINE
      - MMRV(Measles-mumps-rubella-varicella vaccine)
      - JE(Japanese encephalitis vaccine)
      - Hepatitis A vaccine
      - HPV (Human papillomavirus vaccine)
      - Meningococcal Vaccine
      - Rabies Vaccine
      - Typhoid Vaccine
- - - - Hearing screening
      - Breastfeeding 10min for each breast
    - - 1st dose of DTP, IPV or OPV, HiB and PCV be given
    - - Handled carefully and NEVER SHAKEN
    - - Cup feeding to wean off from B
      - No sharing of utensils with caregivers
    - - First dental visit is recommended at this age or after eruption of 1st tooth
      - Tooth brushing 2x a day and avoid bottle feeding even water
      - May experience about 6 URTI per year, most are viral in nature
    - - Encouraged to sit at table during family meals for social interaction
      - Deworming is advised to start from this age
    - - TV and video exposure should be limited with more time for reading and singing and interactive activities
    - - Parents can start to explain that some areas of the body are private
    - - Taught to be wary of strangers and avoid accepting ride from anyone
    - - Child abuse prevention
      - Max screening time: 2 hours
    - - Parents should spend quality time with each child and serve as
        good role models to children
      - Importance of home responsibilities
    - - Watch for concerns re. body weight, body image and diets
    - - using the tool HEEADSSS
        
        HOME,EDUCATION/ EMPLOYMENT,EATING,ACTIVITIES, DRUGS,SEXUALITY,SUICIDAL/ DEPRESSION,SAFETY / SPIRITUALITY
- - - - Abusive head trauma
    - - Remember TEN- 4 RULE
        
        Torso
        
        Ears
        
        Neck in less than 4yo
  - - - States that he/she has been abused – most common presentation
      - Sexually proactive behavior
      - Pregnancy
      - Sexually transmitted infections
      - Psychosomatic illness
      - Suicidal behavior
    - - Child Sexual Abuse Accommodation Syndrome (CSAAS)
      - Emotional/Psychological Abuse
      - Cybercrimes