ASQ: accurate, reliable developmental and social-emotional screening.Ages & Stages Questionnaires® (ASQ®) provides reliable, accurate developmental and social-emotional screening for children between birth and age 6. Drawing on parents’ expert knowledge, ASQ has been specifically designed to pinpoint developmental progress and catch delays in young children—paving the way for meaningful next steps in learning, intervention, or monitoring. Show
 Intro to ASQ-3
The ASQ System
ScreeningASQ®-3 and ASQ®:SE-2 questionnaires are easy for parents to complete.
Online ManagementEfficiently manage ASQ® data and allow parents to complete questionnaires online.
ActivitiesFun, age-appropriate learning activities help parents encourage their child’s development.
TrainingImplementation is easy with on-site training, annual seminars, and training DVDs. If a child has a developmental delay, it is important to identify it early so that the child and family can receive needed intervention services and support. Healthcare providers play a critical role in monitoring children’s growth and development and identifying problems as early as possible. The American Academy of Pediatrics (AAP) recommends that healthcare providers do the following:
Developmental monitoring and screening can be done by a number of professionals in healthcare, community, and school settings in collaboration with parents and caregivers. Pediatric primary care providers are in a unique position to promote children’s healthy development because they have regular contact with children before they reach school age, and their families. The AAP encourages pediatric care providers to provide family-centeredexternal icon, comprehensive, and coordinated care. Developmental MonitoringDevelopmental monitoring, also called developmental surveillance, is the process of recognizing children who might be at risk for developmental delays. The AAP recommends that developmental monitoring should be a part of every well-child preventive care visit. Monitoring can include using a brief checklist of milestones, but is less formal than developmental screening. Developmental monitoring should include the following:
If concerns are identified through developmental monitoring, they should be addressed promptly with validated screening tools to identify and refine any risk or concern that has been noticed. Developmental ScreeningDevelopmental screening is more in-depth than monitoring and may identify children with a developmental risk that was not identified during developmental monitoring. The American Academy of Pediatrics (AAP) recommends developmental and behavioral screening for all children during regular well-child visits at these ages:
In addition, AAP recommends that all children be screened specifically for autism spectrum disorder (ASD) during regular well-child visits at:
Developmental screening with a validated test is recommended for all children at these ages even if there are no concerns. Healthcare providers may screen a child more frequently if there are additional risk factors, such as preterm birth, low birthweight, and lead exposure, among others. Evidence-based screening tools that include reports from parents and early childhood professionals can help parents and healthcare professionals talk about the child’s development in a systematic way. A number of good screening tools designed for a variety of settings, ages, and purposes are available (e.g., Ages and Stages Questionnaire, 3rd edition, Parents’ Evaluation of Developmental Status with Developmental Milestones, and Child Development Inventory). Screening tools can be specific to a disorder (for example, autism), an area (for example, cognitive development, language, or gross motor skills), or they can be about development in general, addressing multiple areas of concern. More information is available from the AAP’s Screening Technical Assistance and Resource Centerexternal icon (STAR Center). A list of examples of validated screening tools is available from the American Academy of Pediatricsexternal icon. If the screening test identifies a potential developmental problem, further developmental and medical evaluation is needed. Screening tools do not provide conclusive evidence of developmental delays and do not result in diagnoses. A positive screening result should be followed by a thorough assessment done by a trained provider. A more detailed evaluation will show whether the child needs treatment and early developmental intervention services. Medical examinations can identify whether the problems are related to underlying medical conditions that need to be treated. Children aged 0-3 years can be referred to early intervention programs and children aged 3 years and older can be referred to special education services for developmental evaluation and services. Learn more about early intervention and special educationexternal icon. Children with behavior problems can also benefit from parent behavior therapy and may need a referral to a mental health provider. Teaching Parents and Caregivers to Recognize Developmental MilestonesParents can monitor a child’s development as well. Research studies have confirmed that parents are reliable sources of information about their child’s development. Parents who are aware of developmental milestones can observe their child and inform their healthcare provider about any concerns they may have about their child’s development. Pediatric healthcare providers can provide parents with milestone checklists to track their child’s milestones at home. CDC’s “Learn the Signs. Act Early.” campaign was designed to give parents and professionals the tools they need to track healthy child development and move toward evaluation and intervention if concerns are noted. Childcare providers can also be a valuable source of information on how the child is developing.
Ensuring All Children Have a Medical HomeQuality of care is best when children receive coordinated care and services. Having a medical home means having consistent access to health care that is comprehensive, well-coordinated, and of high quality, and that provides an ongoing relationship with personal providers who treat the whole child. The AAP describes a family-centered medical homeexternal icon as an approach in which the pediatric care team works in partnership with a child and a child’s family to assure that all of the medical and non-medical needs of the patient are met. In a medical home approach, developmental monitoring and screening includes the following:
Integrating Developmental Screening into Pediatric Primary CareThe following are resources to integrate screening services into primary care efficiently and at low cost, while ensuring thorough coordination of care:
References
In which settings would the nurse perform developmental assessments for pediatric clients?Pediatric developmental assessments are performed in many settings, including the home, school, hospital, and daycare center environments.
At which stage of development would the nurse anticipate that pediatric clients will begin to show differences in play activities that are related to gender?During the late school-age years, the nurse should anticipate that pediatric clients will begin to show differences in play activities that are related to gender. There will be very few differences in play activities related to gender during the preschool stage of development.
In which stage of Piaget's theory of growth and development does an infant develop an action pattern to deal with the environment?The sensorimotor stage is the first phase of children's cognitive development. During this stage, children primarily learn about their environment through their senses and motor activities. The sensorimotor stage comprises six substages, where children's behavior moves from being reflex driven to more abstract.
Which type of play would the nurse encourage when providing age appropriate care to preschool age child who is hospitalized?Which type of play should the nurse encourage when providing age-appropriate care to a preschool-age child who is hospitalized? The nurse should encourage the hospitalized preschool-age client to participate in associative play.
|
For which pediatric client with the nurse use the age and Stages questionnaire as a developmental screening tool during a health maintenance assessment?
zusammenhängende Posts
Urheberrechte © © 2024 berikutyang Inc.
