ࡱ> ;=:5@ 9bjbj22 4 XX9 ^L>5 I $R8!@U U U 7 7 7 U 7 U 7 7 K C ;wk R .0^3x! px!(CC6x!yXU U 7 U U U U U - Notes Child Health Development Louise Riley December 08 6 months- (sits with hands supporting, 8 months no hands) 12 months- hand held walking independently up to 18 months but 13 onwards 2 years- up to 4 parts body 2 years and builds tower 6 bricks True-up to 4 weeks 4 years (draws across age 3) 1 year; by 18 months- 6 recognisable words; by2 putting 2 words together False- Normal range from birth to 18 months Most around 6 months False Done at 6-8 weeks but not at pre school Used to be . Pre school- hearing visual screening, ht and wt dental screening Hall report 6 months-used to be 4 months Cows milk age 1 6 weeks 3 years can do shoes socks pants age 2 Evolution of screening Hall report- Health for all children-First published in 1989, report produced guidance on child health surveillance and screening for preschool children Reduction in some of the routine examinations, a greater emphasis in some areas and a change in overall emphasis Health promotion not just health surveillance (targeting effort on active intervention for children and families at risk. ) Needs assessment in preference to rigid programmes Personal child health records A core programme of screening tests and surveillance 4th report published in February 2003, Health for All Children 4, referred to as HALL 4. Universal Core Programme- as handout-universal hearing tests preschool vision etc Some families requiring additional Support from Health Visitors Intensive Support Look at child health promotion programme Hvs in our practice High risk population 8 weeks, 8 months,18 months, Preschool  HYPERLINK "http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_083645" http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_083645 Child health promotion programme March 08  HYPERLINK "http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_074924" http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_074924 Birth to Five Print HYPERLINK "http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_074924?IdcService=GET_FILE&dID=140698&Rendition=Web"http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_074924?IdcService=GET_FILE&dID=140698&Rendition=Web Page 2 A4 table a guide to development ( also page 31 of whole document) HYPERLINK "http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_074924?IdcService=GET_FILE&dID=140700&Rendition=Web"http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_074924?IdcService=GET_FILE&dID=140700&Rendition=Web page 5 Screening at a glance cW k M i j   X x y   d e f ˻rn[%h_EhT}B*PJ^JnH phtH h_E%h_Eh_EB*PJ^JnH phtH %hT}h%B*PJ^JnH phtH h%B*PJ^JnH phtH %hT}hT}B*PJ^JnH phtH hfjwB*PJ^JnH phtH h%B*^JphhT}B*^JphhT}hT}B*^JphhT}hhn hrh wd ' : W j x e E  & Fgd.gd M & Fgd M & Fgd%gd%gd & Fgd w9 * - E =DFNOX[deq@AmnzIJY_`~34İȔȔȔȔȬh>whd0JjhdUhk='hso0J hsohsohsojhsoUhdh{5hfjwh{hdh. h MH*h M%hT}h%B*PJ^JnH phtH %h%h%B*PJ^JnH phtH 6 =dmY34789gd Mgd_Egddgdfjw 489 h Mh Mh_E21h:pr. 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