DOCSLIB.ORG

Pediatric Clinic 1500 Delhi Street, Suite 3500 Dubuque, Iowa 52001 (563) 557-3900

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Pediatric Clinic 1500 Delhi Street, Suite 3500 Dubuque, Iowa 52001 (563) 557-3900 Pediatric Clinic 1500 Delhi Street, Suite 3500 Dubuque, Iowa 52001 (563) 557-3900 www.grmg.health Hours of Operation Monday – Friday 8:00 a.m. – 5:00 p.m. Saturdays 8:00 a.m. – 12:00 p.m. PEDIATRIC INFORMATION Welcome to our clinic! We are happy to help you care for your child. This booklet is intended to provide advice for the treatment of common problems which we hope you will find helpful. Our goals are to help you develop your parenting skills, offer advice as needed, and provide the medical care your child needs during the exciting and important years ahead. This booklet serves as a guideline to answer some general questions. If you have more specific questions, please contact our office. Table of Contents Page # Care of Well-Child Routine Exam & Immunizations Schedule .............................. 1 Immunization Information .....................................................2-3 Vaccine Policy.......................................................................... 4 Nutrition & Vitamins ................................................................. 5 Food & Allergy ......................................................................... 6 Intro to Foods .....................................................................7-12 Skin Care ............................................................................... 13 Diaper Rash ......................................................................13-14 Dental Information ............................................................14-15 Teething ........................................................................... 14 Cleaning of Teeth ............................................................. 15 Care of a Sick Child ................................................................... 16 Fever ................................................................................17-18 Temperature Conversion Table .............................................. 17 Acetaminophen (Tylenol) Dosages ....................................... 19 Ibuprofen (Motrin) Dosages .................................................. 20 Colds, Cough & Upper Respiratory Infections .................. 21-22 Sore Throats .......................................................................... 22 Ear Infections ......................................................................... 22 Chicken Pox .......................................................................... 23 Itchy Rashes & Medication Dosages ..................................... 23 Allergy Medicine Dosages ..................................................... 24 Vomiting & Diarrhea ..........................................................25-27 Signs of Dehydration & Table ................................................ 28 Rehdration Solutions & Table ................................................ 29 Constipation ........................................................................... 30 Accidents, Injuries, & Bites ...............................................31-32 Poisoning ............................................................................... 33 ROUTINE EXAMS & IMMUNIZATIONS SCHEDULE EFFECTIVE 2019 AGE FOR SCREENINGS OR EXAM QUESTIONNAIRES IMMUNIZATIONS None, unless Hep B was not 2 Week Developmental given at Birth DTaP, Hib, IPV, PCV-13, Hep B, 2 Months Developmental Rotavirus 4 Months Developmental DTaP, Hib, IPV, PCV-13, Rotavirus 6 Months Developmental, Vision DTaP, Hib, IPV, PCV-13, Rotavirus, Flu 9 Months Developmental Hep B, Flu Developmental, Lead, Tuberculosis, 12 Months MMR, Varicella, PCV-13, Hep A, Flu Hemoglobin-checks for anemia 15 Months Developmental, Vision Flu 18 Months Developmental, Lead DTaP, IPV, Hib, Hep A, Flu 2 Years Developmental, Lead None if up to date with schedule, Flu Developmental, Lead, Vision, 3-4 Years None if up to date with schedule, Flu Blood Pressure Developmental, Lead, Vision, Kindergarten Blood Pressure, Urine*, DTaP, IPV, MMR, Varicella, Flu (5 years) Tuberculosis MMR- If 2nd dose was not received Tdap-11 yrs & older then Td every 5-10 yrs Hepatitis A- if series not completed earlier Blood Pressure, Urine*, Hepatitis B- if series not completed Hemoglobin*, Vision*, earlier Cholesterol* Mental Health 6-18 Years Meningococcal- 11 yrs & older Screenings* Meningococcal B- 16 yrs old Meningococcal Booster- 16 yrs & older Varicella Booster- if 2nd dose was not received HPV- 11 yrs & older (both males and females) Flu- yearly *Some screenings will vary with age depending on child’s condition and/ or risk factors. 1 IMMUNIZATIONS Most immunizations are given by injections. Injections are given in the child’s muscle or fatty tissue of the leg or arms. The age of the child will determine the site used for the injection. We will also use combination vaccines, as available, to help reduce the number of injections your child will receive. All routine vaccines we use DO NOT contain preservative (mercury). Some flu vaccinesmay contain a small trace of thimerosal. It is safe for your child to receive the above groups of vaccines at the same appointment. The abbreviations used in the table on page 1 are: DTaP Diphtheria, Tetanus, Acellular, Pertussis Hep A Hepatitis A Hep B Hepatitis B Hib Haemophilus Influenza B HPV Human Papillomavirus Vaccine IPV Polio- Inactivated MMR Measles, Mumps, Rubella Meningococcal Meningococcal Vaccine- A, C, Y, W Meningococcal B Meningococcal Vaccine- B strain only PCV-13 Pneumococcal Conjugate Vaccine- 13 valent Rotavirus Rotavirus (oral) TdaP Tetanus, diphtheria, Acellular Pertussis Td Tetanus and Diphtheria Varicella Chicken Pox Vaccine The Immunization Schedules can vary from clinic to clinic and may change over time with the development of new vaccines. We will modify the schedule as needed for your child. We do recommend your child receives all vaccines listed on the table above. The American Academy of Pediatrics & Advisory Committee of Infectious Diseases also recommends all the above listed vaccines. Vaccine Information Sheets will be provided to you at or before the time of the appointment for your review. They are also available for review online if interested at (https://www.cdc.gov/vaccines/Pubs/via/default. htm). If you have questions about any of the vaccines, please ask the nurse, physician, or nurse practitioner. 2 One of the most important things a parent can do to ensure the health of their child is to vaccinate them. Without immunizations, your child is at risk to become seriously ill from dangerous and even deadly diseases. We want to provide the best medical care for your child as well as protect other children and staff from these diseases while present in our office. Please refer to our vaccine policy on page 4, for detailed information. Only children with a true medical condition may be exempt from this policy. If you have concerns about the vaccines, we are happy to discuss your concerns with you. FLU VACCINE The flu vaccine is recommended for all children 6 months of age and older and should be given during each flu season. The flu vaccine not only helps to prevent your child from the flu but also helps protect your family, friends, and everyone around you each flu season. HIGH RISK individuals include: • Children ages 6 months - 5 years • People with certain chronic medical conditions (asthma, diabetes, etc.) • Children on long-term aspirin therapy • Pregnant women • Household contacts of persons at high risk for complications from the flu • Household contacts and out of home caregivers of children less than 6 months of age (these children are too young to be vaccinated) You can also visit these websites for more information on vaccine safety: www.cispimmunize.org American Academy of Pediatrics www.vaccineinformation.org Immunization Action Coalition www.cdc.gov/vaccines Center for Disease Control www.vaccine.org Allied Vaccine Group www.hhs.gov/nvpo National Vaccine Program Office www.who.int/immunization/en World Health Organization www.immunizationinfo.org National Network for Immunization Information (NNii) www.vaccine.chop.edu Vaccine Education Center at The Children’s Hospital of Philadelphia 3 GRAND RIVER MEDICAL GROUP PEDIATRIC CLINIC VACCINE POLICY We, at Grand River Medical Group - Pediatric Clinic, support immunizations and believe that appropriate vaccination is a standard of care. Immunizations have a well-proven benefit world-wide and over 35 years’ experience in Dubuque has completely supported this benefit. We believe that our responsibility for being advocates of children requires us to make a strong and positive statement of the need to immunize children. We are aware that concerns about vaccines have arisen in the public. Vaccines have been blamed for a number of problems that occur in children and later been found NOT to cause these conditions. SIDS is an example from the early 70’s and more recently autism. As a result of these anecdotal concerns, unqualified individuals have recommended delaying, modifying and otherwise changing the times that children receive immunizations. Some have recommended not immunizing at all. These recommendations have been made without adequate scientific basis and result in children being at risk of acquiring serious, even life-threatening illnesses. As pediatricians our primary concern is the health of your child. It would be unethical for us to participate in a practice that goes against our professional training, against the recommendations of medical authorities, and against our experience as pediatricians. It is against our principles to deny children the
Load more

Recommended publications
  • Feeding Your Baby 6 Months to 1 Year
    Feeding Your Baby 6 months to 1 year 1 Feeding your baby is about many things: • It’s about nutrition. • It’s about forming a close bond with your baby. • It’s about helping your baby feel secure and loved. • It’s about your baby’s growth and development. • It’s about developing life-long healthy eating habits. Health Canada recommends that breastmilk is the only food your baby needs until your baby is 6 months old. Infants should start iron-rich foods at 6 months with continued breastfeeding for 2 years or longer. • Breastfeeding is healthy, natural, convenient, and free. • Breastmilk contains antibodies that lower the chance of your baby getting sick. 2 Vitamin and Mineral Supplements Fluoride Fluoride helps children develop strong teeth. Do not give fluoride supplements to your baby before 6 months of age. It can harm your baby’s developing teeth. At 6 months of age, your baby may need fluoride drops if your water supply does not contain fluoride. Some communities do not put fluoride in the water. Check with your local public health office or dentist to see if the water in your community is fluoridated. Talk to your health care provider for more information. Vitamin D Vitamin D is needed for bone growth. Most babies, no matter the season or where they live, need a supplement of vitamin D starting at birth. Currently, Health Canada recommends that all breastfed, healthy term babies receive 400 IU (International Units) of liquid vitamin D supplement each day. Infant formula contains added vitamin D. Babies who are formula fed but are drinking less than 1000 ml or 32 ounces a day, would benefit from 400 IU vitamin D supplement each day.
    [Show full text]
  • Medications That Are Safe During Pregnancy
    Medications that Are Safe during Pregnancy Women who are between four and 12 weeks pregnant may safely take the following over-the-counter medications. Follow all directions on the container for adult dosage/use. ~r---------~ I Problem Over the Counter ICall Your Care Provider for: c __ ; Morning sickness Vitamin 86: take 50 mg/day to start; if not Persistent vomiting; weight loss or helpful, increase by 50 mg 2 to 4 times/day inability to tolerate fluids for 24 hours until you reach a total of 200 mg/day. Do not take more than 200 mg each day. I Increase fluids. i I Mild headaches / general Try comfort measures. Severe and/or persistent headaches I aches & pains Acetominophen (Tylenol) - ~ ~""~'" I Nasal congestion due to a IOcean Mist nasal spray I cold, sinusitis or allergies I I -, Women who are more than 12 weeks pregnant may safely take the following over-the-counter medications. Follow all directions on the container for adult dosage/use. I Problem lover the Counter 1Call Your Care Provider for: '" '''''Moo "0'''"0'''''''''''" , Nasal congestion due to a Sudafed, Afrin nasal spray, Ocean Mist cold, sinusitis or allergies nasal spray I I i Cough due to minor throat Robitussin (or other brand of Guaifenesin), Persistent cough i irritation Robitussin DM or non-alcohol cough syrup (not to exceed 1 ! week's use) i I Nasal congestion and coUgh Triaminic DM (or other brand of alcohol- free and antihistamine-free decongestant I and antitussive) I I I Sore throat Alcohol-free lozenges, such as Severe or persistent sore throat Chloraseptic
    [Show full text]
  • General Instructions for Infant and Child Care
    Name _______________________________________________ Birth Date ____________________________________________ GENERAL INSTRUCTIONS FOR INFANT AND CHILD CARE GUIDELINES FOR HEALTH EVALUATION VISITS Richmond Pediatrics Pediatric & Adolescent Medicine . for over 50 years 357 N.W. Richmond Beach Road Shoreline, Washington 98177 (206) 546-2421 (206) 546-8436 – Fax www.Richmond-Pediatrics.com Age Immunization Date Given Immunizations >9 Years Old Birth Hepatitis B Immunization Date Given Hepatitis B MCV4 (Meningitis) #1 DtaP MCV4 (Meningitis) #2 IPV (Polio) 2 Months TdaP Hib (Meningitis) HPV #1 PCV13 (Pneumonia) Rotavirus HPV #2 DtaP HPV #3 IPV (Polio) 4 Months Hib (Meningitis) We also recommend a yearly influenza immunization. PCV13 (Pneumonia) Rotavirus Hepatitis B DtaP IPV (Polio) 6 Months Hib (Meningitis) PCV13 (Pneumonia) Rotavirus MMR VZV (Chickenpox) DtaP 12 -18 Hib (Meningitis) Months PCV13 (Pneumonia) Hepatitis A #1 Hepatitis A #2 18mos-4yrs PCV13 booster DtaP IPV 5 Years MMR VZV (Chickenpox) Influenza #1 6mos-5 yrs Influenza #2 TABLE OF CONTENTS Infant Care Page Breast Feeding ..............................................................6 Diarrhea .......................................................................20 Formula .........................................................................8 Dehydration .................................................................20 Feeding Schedule .........................................................9 Fever ...........................................................................22
    [Show full text]
  • What to Do When Your Child Has the “Tummy Flu”?
    What to do when your child has the “Tummy flu”? How can I take care of my child? Vomiting: 1. Diet for breast-fed babies The key to treatment is providing breast milk in smaller amounts than usual. If your baby vomits once, make no changes. If your baby vomits twice, continue breast feeding but nurse on only one side for 10 minutes every 1 to 2 hours. If your baby vomits 3 or more times, nurse for 4 to 5 minutes every 30 to 60 minutes. As soon as 8 have passed without vomiting, return to normal nursing on both sides. Pedialyte is rarely needed for breast-fed babies. If vomiting continues, switch to Pedialyte for 4 hours. Spoon or syringe feed 1 to 2 teaspoons (5 to 10 ml) of Pedialyte every 5 minutes. If your baby is urinating less than normal, you can offer the baby an electrolyte solution between breast-feedings for a short time (6 to 24 hours). 2. Diet for formula-fed babies For infants less than 1 year old, always use an oral electrolyte solution (such as Pedialyte). Spoon or syringe feed your baby 1 teaspoon (5 ml) every 5 minutes. Until you get some Pedialyte, give formula by teaspoon in the same way. 3. If the child is vomiting offer small amount of clear fluids for 8 hours (no solid food) Offer clear fluids (no milk) in small amounts until 8 hours have passed without vomiting. Preferably Pedialyte and/or other oral rehydration formulas. Pedialyte popsicles, Jell-O are other ways to get fluids into the child.
    [Show full text]
  • 2004-2008 Questionnaire
    1 First, we would like to ask a few questions 6. How tall are you without shoes? about you and the time before you got pregnant with your new baby. Please check Feet Inches the box next to your answer. OR Centimeters 1. Just before you got pregnant, did you have health insurance? Do not count Medicaid. 7. During the 3 months before you got K No pregnant with your new baby, did you K Yes have any of the following health problems? For each one, circle Y (Yes) if you had the 2. Just before you got pregnant, were you problem or circle N (No) if you did not. on Medicaid? No Yes K No a. Asthma . N Y K Yes b. High blood pressure (hypertension) . N Y c. High blood sugar (diabetes) . N Y d. Anemia (poor blood, low iron) . N Y 3. During the month before you got pregnant e. Heart problems . N Y with your new baby, how many times a week did you take a multivitamin or a prenatal vitamin? These are pills that contain many 8. Before you got pregnant with your new different vitamins and minerals. baby, did you ever have any other babies who were born alive? K I didn’t take a multivitamin or K No Go to Page 2, Question 11 a prenatal vitamin at all K K 1 to 3 times a week Yes K 4 to 6 times a week K Every day of the week 9. Did the baby born just before your new one weigh 5 pounds, 8 ounces (2.5 kilos) or less 4.
    [Show full text]
  • Approach to Pediatric Vomiting.” These Podcasts Are Designed to Give Medical Students an Overview of Key Topics in Pediatrics
    PedsCases Podcast Scripts This is a text version of a podcast from Pedscases.com on “Approach to Pediatric Vomiting.” These podcasts are designed to give medical students an overview of key topics in pediatrics. The audio versions are accessible on iTunes or at www.pedcases.com/podcasts. Developed by Erin Boschee and Dr. Melanie Lewis for PedsCases.com. August 25, 2014. Approach to Pediatric Vomiting (Part 1) Introduction Hi, Everyone! My name is Erin Boschee and I’m a medical student at the University of Alberta. This podcast was reviewed by Dr. Melanie Lewis, a General Pediatrician and Associate Professor at the University of Alberta and Stollery Children’s Hospital in Edmonton, Alberta, Canada. This is the first in a series of two podcasts discussing an approach to pediatric vomiting. We will focus on the following learning objectives: 1) Create a differential diagnosis for pediatric vomiting. 2) Highlight the key causes of vomiting specific to the newborn and pediatric population. 3) Develop a clinical approach to pediatric vomiting through history taking, physical exam and investigations. Case Example Let’s start with a case example that we will revisit at the end of the podcasts. You are called to assess a 3-week old male infant for recurrent vomiting and ‘feeding difficulties.’ The ER physician tells you that the mother brought the baby in stating that he started vomiting with every feed since around two weeks of age. In the last three days he has become progressively more sleepy and lethargic. She brought him in this afternoon because he vomited so forcefully that it sprayed her in the face.
    [Show full text]
  • Caring for Raccoons.Pdf
    CARECARE OFOF ORPHANEDORPHANED RACOONSRACOONS Compiled by Laurel A. Beechey [email protected] 94 North St. W. Tillsonburg, On. Canada N4G1C3 519-842-9416 CARE OF ORPHANED RACCOONS For Wildlife Guardians of Ontario This information is from a conglomerate of sources including IWRA & experiences of several Canadian Wildlife Rehabbers. Index Infants Page 3 Keep Warm Page 3 Examine Page 3 Dehydrated Page 3 Re-hydrate Page 3 Formula Page 4 Nipples Page 4 Weaning Page 4 Post Weaning Page 4 Wild Diet Page 4 Store bought foods Page 4 Poop & Pee Page 5 Housing Page 5 Roundworm Page 6 Quarantine Page 7 Diseases Page 6 Lung Infections Page 7 Coccidia Page 7 Toxemia Page 7 Release Page 7 Fast Release Page 7 Post Release Page 7 Growth Chart Page 8 Feeding Chart Page 9 2 INFANT RACCOON Keep Warm: Put the baby/babies in a box or cage with lots of rags and place a portion of the box/cage on a heating pad on low, leaving a portion unheated to allow the baby to move from the heat if necessary. Hot water in a jar, wrapped in a towel or a ‘hot water bottle’ can be used but the temperature must be monitored. If eyes are closed they will not climb but if eyes are open a secure lid is recommended so they don’t climb out. Find a wildlife rehabilitator in your area and get the animal to them as soon as possible. Can't locate one yet? Do the following and get the baby to a rehabber as soon as possible.
    [Show full text]
  • What's in My Baby's Food? | Healthybabyfood.Org | II SAFETY STANDARDS
    NEW TESTS SHOW THE 6 TYPES OF BABY FOOD PARENTS SHOULD LIMIT - AND SAFER CHOICES What’s in my baby’s food? A national investigation finds 95 percent of baby foods tested contain toxic chemicals that lower babies’ IQ, including arsenic and lead Report includes safer choices for parents, manufacturers and retailers seeking healthy foods for infants IN PARTNERSHIP WITH Healthy Babies Bright Futures | Jane Houlihan, Research Director and Charlotte Brody, National Director | October 2019 IN PARTNERSHIP WITH ACKNOWLEDGEMENTS TABLE OF CONTENTS Authors: Jane Houlihan, MSCE, Research Director, and Charlotte Brody, RN, National Director, Healthy EXECUTIVE SUMMARY ...................................................................................1 Babies Bright Futures Promising signs of progress must accelerate to protect babies. ......................................................................1 Healthy Babies Bright Futures (HBBF) would like to thank Parents can make five safer baby food choices for 80 percent less toxic metal residue. ................................2 the following people and organizations for their support: Fifteen foods account for more than half of the risk. Rice-based foods top the list. .......................................3 A network of groups and individuals around the country made this study possible by purchasing Parents, baby food companies, farmers, and FDA all have a role cereals at their local stores: Alaska Community Action in measurably reducing babies’ exposures. .......................................................................................................3
    [Show full text]
  • Saving Wild Baby Rabbits the Best Chance for Survival
    Saving Wild Baby Rabbits The best chance for survival of a wild baby rabbit is to leave it in its nest, where the mother will return to take care of it. If you find a wild baby rabbit, let him be, and do not attempt to "rescue" him. Mother cottontails feed their babies only once or twice a day, and then stay as far away from the nest as possible, so as to avoid attracting predators. Mama rabbit will be calling for the baby you think is abandoned. No matter how cute and helpless he looks, if he appears healthy, leave him alone. If you disturbed a nest, just remake it. If you touched the baby, that doesn't matter. Put back in the general area in a safe place. Mama comes back only at night, when you are not looking. If, however, you find ANY injured animal, or a truly orphaned wild baby (you can confirm that the mother was killed), contact your local humane society/animal control. Do not attempt to feed the babies, as the physiology of their digestive tract is incredibly complex and sensitive. Feeding anything can definitely do more harm than good. If the baby appears injured, and it's after normal veterinary hours, try to call an emergency vet who can administer treatment. To find a vet in your area who is experienced in treating rabbits, go to: http://www.rabbit.org/care/vets.html and/or http://www.morfz.com/PB_vets.html(Vets Global) Orphaned wildlife species have very specific dietary and care needs.
    [Show full text]
  • NWOB Preg Book
    DOCTORS Dr. Bethany Cluskey Dr. Patricia Katz Dr. Melinda Lukens Dr. Anjali Mehta Dr. JeeYoon Park Dr. Constants Adams OFFICE Northwestern Obstetrics and Gynecology Consultants, LLC A Guide 676 North St. Clair, Suite 1880 Chicago, Illinois 60611 (312) 642-9844 phone (312) 642-7637 fax to Your Website: www.nogconsultants.com PRENTICE WOMEN’S HOSPITAL Triage, 1st floor Labor and Delivery, 8th floor Pregnancy 250 East Superior Street Chicago, Illinois 60611 (312) 472-0800 For any urgent matter, call the office number. When the office is open, you will speak with our staff directly. After hours you will be connected to our answering service who will page the on-call physician. If you do not get a response, please call Labor and Delivery (312) 472-0800. IF YOU HAVE A LIFE-THREATENING EMERGENCY, PLEASE CALL 911. Updated February 2020 TABLE OF CONTENTS Congratulations. Pregnancy is a healthy and happy time for most women. Few medications are used, and observation is frequently all that is necessary. We A Healthy Pregnancy................................................................................... p.2-6 practice what we like to call “common sense obstetrics,” meaning that we give carefully supervised prenatal care, provide information for the patient and her Tests During Pregnancy ………………………………………………… . p.5-6 partner, and conduct labor and delivery in a way best suited for each individual patient. Genetic Counseling and Testing …………………………………………….. p.7 You will have your physician who will care for you throughout your pregnancy. However, we feel it is very important for physicians to work together Child Birth Education Classes/Preregistration ...……………………..…….. p.8 as a team to provide you with the best care.
    [Show full text]
  • Nutrition and Growth Assessment Manual for Healthy Term Infants and Children (NAMIC 2014)
    Nutrition and Growth Assessment Manual For Healthy Term Infants And Children (NAMIC 2014) Birth to 6 months 6 to 24 months 2 to 5 years Developed by the Public Health Nutritionists of Saskatchewan Working Group in collaboration with the Ministry of Health Nutrition and Growth Assessment Manual For Healthy Term Infants And Children (NAMIC 2014) Birth to 6 months 6 to 24 months 2 to 5 years Fourth Edition Published by the Ministry of Health and the Public Health Nutritionists of Saskatchewan Working Group. 2014. Regina, Saskatchewan. Acknowledgements This manual was developed by the Early Childhood Nutrition Committee of the Public Health Nutritionists of Saskatchewan Working Group: Johanna Bergerman IBCLC Audrey Boyer RD Saskatoon Health Region Athabasca Health Authority, Keewatin Yatthe & Mamawetan Churchill Health Regions Jadwiga Dolega-Cieszkowski MSc RD Heartland Health Region Heather Torrie RD Sunrise Health Region Eunice Misskey RD, MCEd Regina Qu’Appelle Health Region Kathleen Copeland RD Kelsey Trail Health Region Shari Tremaine RD Five Hills Health Region Helen Flengeris RD Regina Qu’Appelle Health Region Sincere thanks to the following for feedback and content contributions. The support of the following individuals and groups is gratefully acknowledged: Heidi Ludwig-Auser RD NICU at RUH, Saskatoon Health Region Natalie Millar RD NICU at RGH, Regina Qu’Appelle Health Region Public Health Nurses Regina Qu’Appelle, Saskatoon, Heartland, and Sunrise Health Regions and other provincial health providers Five Hills Health Region, Public Health Nursing Public Health Nursing Managers Public Health Nutritionists The Early Childhood Nutrition Committee would also like to thank Heartland Health Region for support in drafting this 2014 edition.
    [Show full text]
  • Feeding Your Baby
    _~Äó=eÉäé cÉÉÇáåÖ=~åÇ=fããìåáòáåÖ=vçìê=_~Äó cáêëí=bÇáíáçåW=NVTR cáêëí=oÉîáëáçåW=NVUM pÉÅçåÇ=oÉîáëáçåW=NVUQ qÜáêÇ=oÉîáëáçåW=NVVM cçìêíÜ=oÉîáëáçåW=NVVR cáÑíÜ=oÉîáëáçåW=NVVU páñíÜ=oÉîáëáçåW=OMMM pÉîÉåíÜ=oÉîáëáçåW=OMMP báÖÜíÜ=oÉîáëáçåW=OMMT mêÉé~êÉÇ=ÄóW= mêáåÅÉ=bÇï~êÇ=fëä~åÇ=aÉé~êíãÉåí=çÑ=eÉ~äíÜ _~Äó=eÉäé=oÉëçìêÅÉë `çããìåáíó `çããìåáíó=aáÉíáíá~å mìÄäáÅ=eÉ~äíÜ=kìêëÉ qáÖåáëÜ UUOJTPSS ^äÄÉêíçå URVJUTOM lÛiÉ~êó URVJUTOP URVJUTOM=EUTONF tÉääáåÖíçå URQJTORV pìããÉêëáÇÉ UUUJUNRS=EUNRTF UUUJUNSM hÉåëáåÖíçå UPSJPUSP `Ü~êäçííÉíçïå PSUJRPRT=ERPRPF=ERMTNF PSUJQRPM jçåí~ÖìÉ UPUJMTNV UPUJMTSO pçìêáë SUTJTMRN=ETMRRF SUTJTMQV iÉååçñ=fëä~åÇ=eÉ~äíÜ=`ÉåíêÉ UPNJOTNN ^ÄÉÖïÉáí=eÉ~äíÜ=`ÉåíêÉI=pÅçíÅÜÑçêí STSJPMMT=EORORF i~iÉÅÜÉ=iÉ~ÖìÉ qÜÉ=i~iÉÅÜÉ=iÉ~ÖìÉ=áë=~=Öêçìé=çÑ=ãçíÜÉêë=ïÜç=Ü~îÉ=ÄêÉ~ëíÑÉÇ=íÜÉáê=Ä~ÄáÉëK=qÜÉó=çÑÑÉê=ÜÉäé=~åÇ=~ÇîáÅÉ íç=íÜçëÉ=ïÜç=éä~å=íç=ÄêÉ~ëíÑÉÉÇ=çê=~êÉ=ÅìêêÉåíäó=ÄêÉ~ëíÑÉÉÇáåÖK=få=~ÇÇáíáçåI=íÜÉáê=ãçåíÜäó=ãÉÉíáåÖë éêçîáÇÉ=áåÑçêã~íáçå=~åÇ=ëìééçêí=íç=ãçíÜÉêëK=cÉÉä=ÑêÉÉ=íç=Åçåí~Åí=~=Öêçìé=äÉ~ÇÉê=áå=óçìê=~êÉ~=Ñêçã=íÜçëÉ äáëíÉÇ=ÄÉäçïW `Ü~êäçííÉíçïå `Üêáë=lêíÉåÄìêÖÉê STRJOOPV `çJäÉ~ÇÉê jÉä~åáÉ=t~äëÜJcê~ëÉê RSVJNSMQ `çããìåáíó i~Åí~íáçå=`çåëìäí~åíë eçëéáí~äë ^äÄÉêíçå URPJOPPM lÛiÉ~êó oáí~=^êëÉå~ìäíI=URVJUTOP URVJUTOM qóåÉ=s~ääÉó = UPNJTVMM pìããÉêëáÇÉ _~êÄ=máåÉ~ìI=UUUJUNSM QPOJORMM pìããÉêëáÇÉ açåå~=t~äëÜI=QPOJORMM QPSJVNPNI=Éñí=NPN Éñí=OPQ=çê=QPSJVNPNI=Éñí=OPQ= `Ü~êäçííÉíçïå qÜÉêÉë~=qê~áåçêI=PSUJQRPN oçëÉã~êó=aê~âÉI= UVQJOOST=EOOSUF UVOJSSTTEÜF UVQJOMMQ=EaáÉíáíá~åF UVQJOQQM=EmÉÇë=`äáåáÅF j~êáäóå=kçêíçåI UVQJRNRN=EÜFI=UVOJUTQQEïF jçåí~ÖìÉ UPUJMTTT pçìêáë SUTJTNRM
    [Show full text]