Anticipatory Guidance

Improved Essays
Children’s growth and development are fast when they grow. It is important to regular check children’s growth and development in order to find or prevent problems. The regular well child visit can prevent illness by scheduled immunization, track growth and development, raise concerns, counsel behaviors issues, nutrition, exercise, and unintentional injury, and build trust relationship among pediatrician, parents, and child (Lin, 2015). For adolescent, hormones trigger rapid and profound physical and sexual changes and these changes are primarily completed in late adolescent (18-21 years old). Late adolescent have developed and consolidated the physical, cognitive, emotional, and social experience (Hagan, Shaw, and Duncan, 2008). They begin …show more content…
Z. has no other risk factors related to his health except screen time over 2 hours everyday other than schoolwork according to his HPI, risk assessment, and physical exam. An anticipatory guidance is still needed to guide him to keep health when he moves away from home and takes responsibility for decision making. Hagan, Shaw, and Duncan (2008) states the anticipatory guidance of physical growth and development for late adolescent include brush teeth at least twice daily with fluoridated toothpaste and see a dentist twice a year, eats three nutritious meals a day, be physically active for one hour on most days, and spend no more than 2 hours screen time other than schoolwork a day. S. Z. spends more than 2 hours for computer games and playing phone other than schoolwork. He has about over 6 hours screen time in most days due to most schoolwork needs to do on computer. Annual eye exam is important to find and prevent any vision problems for long screen time everyday. S. Z. is instructed to have eye break at least every 30 minutes when he uses screen. In late adolescent period, most young adults experience emotional ups and downs. It is important to figure out how to deal with stress in ways that work well for them and know how to look for help when they can’t deal with the stressful lives (Hagan, Shaw, and Duncan, 2008). Although S. Z. has no emotional problems now, it is still important to provide an anticipatory guidance to help him go through the stressful college lives. Hagan, Shaw, and Duncan (2008) state the anticipatory guidance for risk reduction for late adolescent include tobacco, alcohol, drugs, and safe sex. The use of alcohol, tobacco, and other drugs can adverse affect health on young adults and their still-developing brain (Hagan, Shaw, and Duncan, 2008). Burns, Dunn, Brady, Barber Starr, Blosser, and garzon (2013) reports the adolescent brain is particularly susceptible to the influence of substances (nicotine and alcohol) and can result a higher

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