How to create a Pediatric Health Promotion Plan (Solved)

How to create a Pediatric Health Promotion Plan (Solved)

Achieving and maintaining health during childhood is significant in promoting the physical, cognitive, emotional, and social development of the child. The emerging science in early childhood development has challenged past paradigms of health care and puts greater focus on the health of children. Promoting the health of the child increases control over their growth and development (Inkelas & Oberklaid, 2018). Additionally, health promotion for these groups helps to identify interventions and programs that can prevent ill health and disability. This discussion focuses on a family consisting of two children aged 2 ½ years and 6 years and formulates a treatment plan based on their health needs.

Treatment Plan for 2 ½-Year-Old

Immunization

Investing in immunizations keeps children safe and prevents them from diseases because of their weak immune systems. The immunizations start at birth and extend through adulthood. The following immunization plan will help the 2 ½-year-old child from getting serious illnesses.

DTaP vaccine. The Centers for Disease Control and Prevention(CDC) provides guidelines for childhood immunization through adulthood. A child under 2 years should receive four doses of diphtheria, tetanus, and pertussis vaccines at different intervals. The first dose is given at 2 months followed by another dose at 4 months, 6 months, 15 months to 18 months (Centers for Disease Control and Prevention(CDC), 2022).

IPV. The recommended schedule for inactivated polio vaccine involves administering the first dose from 2 months, the second dose at 4 months, and the third dose from 6 to 18 months (CDC, 2022). The child should be given the third IP dose based on the history.

Hib vaccine. This vaccine prevents against Haemophilus influenzae type B and is administered in 3 to 4 doses. The child receives the first dose during the second month and subsequent doses during months 4, 6, and 12-18 months (CDC, 2022). The child should receive the third Hib vaccine at this time.

Hep B vaccine. For children, the hepatitis B vaccine is given thrice with the first dose administered at birth and subsequent doses at 1-2 months and between 6 to 18 months (CDC, 2022). The child should be given the third dose of the Hep B vaccine.

Hep A vaccine. Hepatitis A vaccine is given to children between the age of 12 and 24 months. The second dose should be given at least 6 months after the first dose with all children above 2 years who have not received the vaccine included (CDC, 2022). The child should be given the first dose of Hep A vaccine at this time.

PCV13. The immunization schedule indicates that a child should receive 4 doses of the pneumococcal conjugate vaccine. The administration is done during months 2, 4, 6, and between 12-15 months (CDC, 2022). The child should be given the 4th dose of PCV13.

MMR vaccine. This vaccine protects the child against measles, mumps, and rubella diseases. The first dose of the vaccine is given between 12 and 15 months (CDC, 2022). The child should receive the first dose of the vaccine at this time.

IV4. Influenza vaccine is given between the age of 12 to 15 months with the second dose administered 6 months apart (CDC, 2022). The child should be given the first dose of IV4.

 

 

Child Safety

The children’s safety, permeated by the essential needs, contributes to balance in growth and development. Child safety involves concerns with limiting exposure to hazards and reducing the risk of harm. A 2-year-old is an active child that can walk, jump, throw the ball, walk down steps, and drink or eats alone. The mother should secure doors that lead to stairways to avoid falls. Locking medicines away immediately after use is another strategy to minimize harm. Dangerous tools like farm equipment shocked are locked while things like matches and cigarette lighters should be out of the child’s reach. During bathing, the child should never be left alone and places like pools should be out of bounds (Early Childhood Learning & Knowledge Center (ECKLC), 2021). Other safety tips may include closing car windows and using safety belts during traveling, checking toys for broken parts, and keeping hot liquids away from the child.

Health promotion

Establishing healthy behaviors to prevent chronic diseases is effective and much easier during childhood and adolescence than at any other stage of life (Inkelas & Oberklaid, 2018). The first aspect of health promotion should involve nutrition where the child learns to eat different types of food. Parents should develop a habit of taking meals once or twice a day together and ensure mealtime is fun. The child should be offered a variety of fruits, grains, vegetables while limiting sodium and fats (ECKLC, 2021). The child should learn to brush teeth at least once a day and use paste that is recommended for children. Encourage the child to use the toilet and let the child choose when to void. Limiting the use of gadgets, limiting television time, and encouraging early sleeping are essential for the child’s growth (ECKLC, 2021). Lastly, monitor the child’s developmental milestones and seek regular medical advice when delays are observed.

Wellness Preservation

Promoting the well-being of children and adolescents involves addressing the physical, behavioral, social, and cognitive areas of development. For a 2-year-old child, learning to obey commands is among the first signs of positive growth. Train the child to use good language when communicating and correct the child immediately they perform mistakes (ECKLC, 2021). Encourage free play as much as possible and allow the child to interact with friends. Rewards are important at this stage to reinforce positive behavior in children.

Treatment Plan for 6-Year-Old

Vaccinations

At the age of 6 years, the child should have received most of the recommended immunizations. Given that the last visit to the provider was one year ago, the 6-year-old treatment plan should involve the following immunizations.

DTaP vaccine. Protects against diphtheria, tetanus, and acellular pertussis. The child is due for the 5th DTaP dose that is given between 4 to 6 years (CDC, 2022).

IPV. The 4th IPV dose is administered between the age of 4 to 6 years.

MMR vaccine. The second dose is administered between the age of 4 to 6 years to protect against measles, mumps, and rubella.

VAR vaccine. The second dose of the varicella vaccine is administered between the age of 4 to 6 years to protect against chickenpox (CDC, 2022).

Influenza vaccine. Annual shots are given to children starting at the age of 6 months to protect the child from flu.

 

Child Safety

School-age is characterized by increased physical activity and emotional connection that can pause threats to the health of the. Encourage the child to play in parks and playgrounds to minimize injuries. The child should wear helmets when biking or skating to avoid physical injuries as they practice. Educate the child to watch traffic and other road safety precautions when walking to the school bus or back from school. At home, teach the child to use more complex kitchen appliances to minimize harm. The parent should ensure equipment for playing are well-maintained to prevent injury and educate the child on basic first aid and how to respond to an emergency.

Health Promotion

The development of physical, cognitive, and socioemotional capacities in children increase with age with the intensity of interventions also increasing (Inkelas & Oberklaid, 2018). The first aspect of health promotion is nutrition where the child should be given a variety of foods to choose from including plenty of fruits and vegetables and limiting the intake of sugary foods like chocolate. Schedule 3 meals and 1 to 2 healthy snacks a day (ECKLC, 2021). Dental hygiene is another aspect of care that should be emphasized during development. The child should brush their teeth after meals and early in the morning. Children at this age need to sleep for about 9 to 12 hours to promote recovery and growth.

Wellness Preservation

Ensure to praise the child’s accomplishments and provide support in areas where they struggle. Reinforce rules at home because it is normal for kids to test boundaries set by their parents. Parents should actively get involved in the child’s school life to improve performance and protection (ECKLC, 2021). To improve the child’s mental health, ensure they have adequate playtime and interaction with friends. The parent should regulate the use of gadgets and television at home. Discussing appropriate touch and protection of private parts should be done at this age.

References

Centers for Disease Control and Prevention. (2022). Immunization schedules: Child and adolescent immunization schedule.

https://www.cdc.gov/vaccines/schedules/hcp/imz/child-adolescent.html

Early Childhood Learning & Knowledge Center. (2021). Tips for keeping infants and toddlers safe: A developmental guide for home visitors – toddlers. https://eclkc.ohs.acf.hhs.gov/safety-practices/article/tips-keeping-infants-toddlers-safe-developmental-guide-home-visitors-toddlers

Inkelas, M., & Oberklaid, F. (2018). Improving preventive and health promotion care for children. Israel Journal of Health Policy Research, 7(1), 1-4.

https://doi.org/10.1186/s13584-018-0259-3

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