Download - Danilo Blank
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Steven E. Wegner, Richard C. Antonelli and Renee M. TurchiThe Medical Home–Improving Quality of Primary Care for ChildrenPediatric Clinics of North America, Volume 56, Issue 4, August 2009, pages 953-964
Ver:
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Official Bright Futures 3 Table Images
Prenatal Visit
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15 to 17 Year Visit
Official Bright Futures 3 Table Images
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Fonte: http://brightfutures.aap.org/pdfs/Guidelines_PDF/20-Appendices_PeriodicitySchedule.pdf
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Intervenções preventivas
fundamentadas em evidências científicas sólidas,
visando à promoção da saúde
da gestação até a maturidade;
em parceria com a família e a comunidade!
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Quem
Conexão vertical
Conexão horizontal
Profissionais do serviço de saúde
Recursos da comunidade
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Quem
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Quem e para quemcom?
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Fatores institucionais
Fatores interpessoais
Fatores intrapessoaisCriança
Fatores culturais
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Quem e para quemcom?
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Quem
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Quem
ComoHabilidades na comunicação
Diagnóstico contextual
Grupos
Material escrito
Novas tecnologias
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Quem
Como
Quando
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Quem
Como
QuandoFlexibilidade
Personalização
Risco e resiliência
Competência da família
Recursos da comunidade
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Quem
Como
Quando
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Quem
Como
Quando
O quê
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Quem
Como
Quando
O quê
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Imunização
Calendário oficial
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Imunização
Calendário oficial
Outras vacinas de eficácia comprovada
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Anamnese
Efetividade como teste de triagem?
Perguntas facilitadoras
Avaliação sistemática dosfatores de risco
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Exame físico
Ausculta cardíaca e palpação de pulsos
Displasia do quadril
Aferição da pressão arterial ?
Genitália masculina e mamas ?
Pesquisa de escoliose emadolescentes ?
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Monitorização do crescimento
Recomendação formal
http://www.rcpch.ac.uk/Research/UK-WHO-Growth-Charts
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Monitorização do crescimento
Recomendação formal
http://www.rcpch.ac.uk/Research/UK-WHO-Growth-Charts
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Monitorização do crescimento
Recomendação formal
http://www.rcpch.ac.uk/Research/UK-WHO-Growth-Charts
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Monitorização do desenvolvimento
Avaliação clínica: sensibilidade baixa
Testes formais: valor preditivo baixo
Crianças com alto risco
Informações objetivas dos pais
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Audição
Registro de fatores de alto risco
Técnicas de triagem no consultório ?
Monitorização da aquisição da fala
Audiometria
Exame de Emissão Otoacústica
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Visão
Avaliação antes dos 3 anos ?
Encaminhar:
3-5 anos <20/40
> 6 anos <20/30
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Exames de laboratório
Fezes e urina
Doenças sexualmente transmissíveis ?
Triagem de anemia alto risco, 6-12 m
Colesterol alto risco, > 2 anos
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Orientação antecipatóriaEfetividade documentada:
DisciplinaManejo de temperamento difícilProblemas de sonoTratamento racional da febrePromoção da segurançaCuidados com os dentesHábitos nutricionais saudáveisPromoção do aleitamento natural
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Bright Futures Guidelines Priorities and Bright Futures Guidelines Priorities and Screening TablesScreening Tables
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Official BF3 Table ImagesUse for Presentations
Newborn Visit
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Official BF3 Table ImagesUse for Presentations
Newborn Visit
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Official BF3 Table ImagesUse for Presentations
First Week Visit
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First Week Visit
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1 Month Visit
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1 Month Visit
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2 Month Visit
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2 Month Visit
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4 Month Visit
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4 Month Visit
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6 Month Visit
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6 Month Visit
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9 Month Visit
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9 Month Visit
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Official BF3 Table Images
12 Month Visit
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12 Month Visit
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15 Month Visit
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15 Month Visit
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18 Month Visit
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18 Month Visit
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Official BF3 Table ImagesUse for Presentations
2 Year Visit
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Official BF3 Table ImagesUse for Presentations
2 Year Visit
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2 ½ Year Visit
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2 ½ Year Visit
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3 Year Visit
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3 Year Visit
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4 Year Visit
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4 Year Visit
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5 & 6 Year Visit
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5 Year Visit
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6 Year Visit
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7 & 8 Year Visits
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7 Year Visit
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8 Year Visit
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9 & 10 Year Visit
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9 Year Visit
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10 Year Visit
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11-14 Year Visit
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11-14 Year Visit
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15 to 17 Year Visit
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18 to 21 Year Visit
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18 to 21 Year Visit
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For Questions Regarding Priority and Screening Tables, Please Contact:
Amy E. Pirretti, M.S.Manager, Bright Futures Materials Development 847.434.4980 (direct)[email protected]