Anticipatory Guidance Provider Guide - Texas Health and ...

1 Anticipatory Guidance Provider GuideParent/Child Health Education for Texas Health Steps CheckupsThe Anticipatory Guidance Provider Guide is tailored specifically to Texas Health Steps providers for use during their patients periodic medical checkups. It provides age-appropriate Anticipatory Guidance topics for children birth through 20 years of age. These topics are consistent with those included on the Texas Health Steps Child Health Clinical Record Forms, which are recommended but not required for use by Texas Health Steps Guidance is a federally mandated component of each Texas Health Steps medical and dental checkup. Education and counseling provided during a medical checkup help the child and parent/guardian understand expected growth and development.

2 Anticipatory Guidance also serves to provide information about the benefits of healthy lifestyles and practices, as well as accident and disease flipchart format makes the Anticipatory Guidance Provider Guide easy and convenient to use during checkups. As graphics and text are designed to be child and family friendly, we encourage you to view it together with the child and parent/guardian as you cover the topics with them. Topic headings on the child and family side of the flipchart pages use simpler, more common terms and are more patient-oriented than those on the Provider to Meet the Needs of Patient and Family During the CheckupProviders are not expected to address all of the possible age-appropriate topics during a checkup.

3 The Guide is meant to support clinicians in providing patient education and to enable the patient and family to self-select what to discuss during the are free to adapt the Guide to meet their specific needs. We encourage you to individualize and prioritize the topics according to the questions or concerns they Tool for Providing Anticipatory GuidanceInfancyBirth - 11 MonthsInfancyInfancyDischarge to 5-Days CheckupFamily Well-Being keep a usual family routine. Get ready for return to work/school (if planned). Schedule next postpartum checkup. Be aware of postpartum depression/ family stress. Accept Baby Safe Do not shake or hit baby.

4 Have baby sleep in crib in room with you. Do not share bed with baby. Put baby on back in crib with no loose covers or soft bedding. Use a crib with slats no less than 2 /8 inches wide. Do not leave baby alone in bath water. keep a hand on baby when on bed or changing on table or couch and never leave alone. keep child in rear-facing car seat in back seat of car until at least 2 years or until child is over the height/weight limit set by seat maker. Ensure home is safe from fire and carbon monoxide poisoning. Do not smoke in home or car. Set water heater at less than 120 degrees. Avoid hot liquids when holding baby. Choose safe, quality child care.

5 Report family Feeding Avoid alcohol use while breastfeeding. Do not put baby in bed with bottle. Hold onto bottle, do not prop it. Follow breastfeeding how to tips. Store breastmilk in freezer. Follow label Guide for mixing formula. Store mixed formula (for 1-day use only) in refrigerator. Breastfeed 8 - 12 times in 24 hours. Formula-feed every 3 - 4 hours. Do not heat milk in microwave. Expect 6 8 wet diapers a day. Note stool color and frequency. keep track of baby s weight Care/Routines Clean skin, umbilical cord, circumcision. Clean mouth with soft cloth 2 times a day. wash hands often. Avoid crowds. Take temperature by rectum.

6 Follow skin care tips. Hold baby s head, allow tummy Progress Stroke head or rock gently to calm baby. Talk to baby with simple words, read simple are areas we cover during this checkup: Family Well-Being Keeping Baby Safe Healthy Feeding Regular Care/Routines Healthy ProgressWhat are your main concerns today?InfancyDischarge to 5-Days CheckupFamily Well-Being keep a usual family routine. Get ready for return to work/school (if planned). Schedule next postpartum checkup. Be aware of postpartum depression/family stress. Accept Baby Safe Do not shake or hit baby. Have baby sleep in crib in room with you. Do not share bed with baby.

7 Put baby on back in crib with no loose covers or soft bedding. Use a crib with slats no less than 2 /8 inches wide. Do not leave baby alone in bath water. keep a hand on baby when on bed or changing on table or couch and never leave alone. keep child in rear-facing car seat in back seat of car until at least 2 years or until child is over the height/weight limit set by seat maker. Ensure home is safe from fire and carbon monoxide poisoning. Do not smoke in home or car. Set water heater at less than 120 degrees. Avoid hot liquids when holding baby. Choose safe, quality child care. Report family Feeding Avoid alcohol use while breastfeeding.

8 Do not put baby in bed with bottle. Hold onto bottle, do not prop it. Follow breastfeeding how to tips. Store breastmilk in freezer. Follow label Guide for mixing formula. Store mixed formula (for 1-day use only) in refrigerator. Breastfeed 8 - 12 times in 24 hours. Formula-feed every 3 - 4 hours. Do not heat milk in microwave. Expect 6 8 wet diapers a day. Note stool color and frequency. keep track of baby s weight Care/Routines Clean mouth with soft cloth 2 times a day. Clean skin, umbilical cord, circumcision. Take temperature by rectum. Follow skin care tips. wash hands often. Avoid crowds. Hold baby s head, allow tummy Progress Stroke head or rock gently to calm baby.

9 Talk to baby with simple words, read simple CheckupThese are areas we cover during this checkup: Family Well-Being Keeping Baby Safe Healthy Feeding Regular Care/Routines Healthy ProgressWhat are your main concerns today?Infancy2-Week CheckupFamily Well-Being keep a usual family routine. Get ready for return to work/school (if planned). Schedule next postpartum checkup. Be aware of postpartum depression/family stress. Accept Baby Safe Do not shake or hit baby. Have baby sleep in crib in room with you. Do not share bed with baby. Put baby on back in crib with no loose covers or soft bedding. Use a crib with slats no less than 2 /8 inches wide.

10 Do not place baby in a walker. Do not leave baby alone in bath water. keep a hand on baby when on bed or changing on table or couch and never leave alone. keep child in rear-facing car seat in back seat of car until at least 2 years or until child is over the height/weight limit set by seat maker. Ensure home is safe from fire, carbon monoxide poisoning, and choking hazards. Do not smoke in home or car. Set water heater at less than 120 degrees. Avoid hot liquids when holding baby. Choose safe, quality child care. Report family Feeding Avoid alcohol use while breastfeeding. Do not put baby in bed with bottle. Hold onto bottle, do not prop it.