4.34 CME

Pendekatan Komprehensif untuk Praktik Pediatrik

Pembicara: Dr. Nandini Kumaran

MBBS, DCH, PGPN, Konsultan Senior Dokter Anak, Coimbatore

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Keterangan

Comprehensive approaches to pediatric practice emphasize holistic care that integrates early screening, preventive measures, and tailored treatments. These strategies involve using tools like the NISA card for early detection of conditions such as iron deficiency anemia. Regular anthropometric assessments provide insight into growth and development, allowing for early intervention. Incorporating neurodevelopmental screening tools ensures that cognitive, emotional, and physical milestones are monitored effectively. Collaborative care models, including parental involvement and education, support continuous patient engagement. Digital health tools can enhance monitoring and streamline consultations. Multidisciplinary teams can address complex cases more efficiently. Preventive care and health education are prioritized to reduce long-term risks. Comprehensive approaches foster a proactive environment that adapts to each child's needs. The result is improved health outcomes and overall child well-being.

Ringkasan

  • The session focused on early screening for iron deficiency anemia using the Nisa card, a non-invasive color shade card developed to assess conjunctival pallor. The card aims to improve subjectivity in visual assessments of anemia, particularly in resource-scarce settings where laboratory tests are not readily available. Studies involving pediatricians across India evaluated the Nisa card's accuracy, sensitivity, and specificity, highlighting its potential as an additional aid in identifying children at risk for anemia.
  • Anthropometric measurements, particularly length/height, weight, and head circumference, were discussed as essential components of routine pediatric care. Regular monitoring and plotting these measurements on growth charts help to track a child's growth velocity and identify potential nutritional or developmental issues early on. Special attention was given to the importance of head circumference in infancy for assessing brain growth.
  • Developmental markers in pediatric OPD were also addressed, emphasizing the continuous nature of development from conception to maturity. Assessing developmental milestones, including physical and neurological aspects, helps to reassure parents, diagnose potential disabilities early, and provide appropriate interventions. Red flags, such as arrest or regression in development, warrant further investigation and referral to specialists.
  • Tools for assessing neurodevelopment were discussed, including physical, gross motor, fine motor, mental, language, social, emotional, and self-help skills. M-CHAT, a modified checklist for autism, was described as a screening tool for identifying potential autism-related disorders in toddlers, underscoring the importance of eye contact and social interaction. Digital tools and apps can support developmental tracking, though professional medical assessments remain essential for accurate evaluations.

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