DOCSLIB.ORG

Standard Treatment Guidelines in Homoeopathy

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Standard Treatment Guidelines in Homoeopathy STANDARD TREATMENT GUIDELINES IN HOMOEOPATHY Central Council for Research in Homoeopathy, Ministry of AYUSH, Govt. of India 2016 ©Central Council for Research in Homoeopathy, 2016 ISBN: Publisher: Central Council for Research in Homoeopathy Updated: 10th July 2016 Disclaimer While it is hoped that the book may prove to be a concise and ready reference, it makes no pretension to being anything more than an introduction to the important conditions; in no sense it is put forward as complete treatise. Readers are advised to check the most current information. It is the responsibility of the practitioners, relying on his/her clinical experience and knowledge of the patient, to make diagnosis, to determine dosages and the best treatment for each individual patient and to take all appropriate safety precautions. Central Council for Research in Homoeopathy STANDARD TREATMENT GUIDELINES IN HOMOEOPATHY Contents S.no Topics I. Foreword II. Preface III. Acknowledgement IV. Introduction and how to use the book V. Homoeopathic management of diseases 1. Acute otitis media 2. Alcohol dependence 3. Attention deficit hyperactivity disorder 4. Benign prostatic hyperplasia 5. Cancer 6. Depression 7. Diabetes mellitus 8. Diarrhoea 9. Hypertension 10. Irritable bowel syndrome 11. Menopause 12. Polycystic ovarian syndrome 13. Psoriasis 14. Rhinitis 15. Sinusitis 16. Urolithiasis 17. Uterine fibroids 18. Vitiligo *** Hf{q qrcd Irc.F'R eTrg{q, *rr e sr5,ftru. fqf*'tqt Wunlqarqftdr ss14 auil TTrfr, fud \F ffitsfr (urgq; q*Eq , qft $r,.r;T,'fr q[fr', fr.fr.et $TErfrffi, en{.w.q. r$ fqad_r sr*f, +€E vnoT rc023 AJIT M. SHARAN SECRETARY GOVERNMENT OF INDIA MINISTRY OF AYURVEDA, YOGA & NATUROPATHY uNANt, SIDDHA AND HOMOEOPATHY (AYUSH) INA, NEW DELHI. 110023 Tel. :01 1-246519S0, Fax : 01 1-24651997 E-mail : [email protected] Foreword Globally' health service delivery institutions are engaged shrinking resources, in addressing problems of competing ;",";;;.,';ffi;l*ij'lt p".,u,ions Standard treatment guioeiineslsrCsl for quarity services. outrine the p."r..?J treatment for health They can be the channel to intpi.tnofe problems. and contriurt. to 1,*lth ard well-being the best care to every by providing patient dv u.,r,glrg together integrated research' clinical practice, education and A src offers advantages to'leatttr .u." p.orIa"., quality (by giving an expert consensus, o.f care standard. and bisis moninring), for supply manager s (by making demand more predictable and ailowingfor pre-pa.ckagirsi'i"i,;;r:.J and treatment @y provrding more consistency fficacv) ano"heattrr poti"y ;;!;t rii'"'prgviding integration of speciar programs focus for therape,ic and pimoting fficient use offunds). 2' The central council for Research,in HomoegRathv (ccRH) under Ministry is an autonomous body of AYUSH which undertakes ..r"u..h irnau."ntal Homoeopathy' i, and applied aspects of clinical research studies explore the effectiv.n.s. orrromoeopathy in specific disease conditions' A considerable number of observatiorui- rtuai., as well as randomized control trials have been conducted in specific disease conditions. There is a need to consolidate these research findings for the benefit ortrre p.oression and patient both. 3' Based upon the information available in the authoritative research texts, outcome of the studies conducted globally and the expert guidance, ccRH which could has prepared these STGs be considered as a noiable u"ginrirg ii'this u."u practitioners' ro. the benefiiof homoeopathic both in govemment and private slctors. These shall aid in development of a standardised therapeutic approach for patients una gir. to evidence practice in homoeopathy. ffitus based clinical 4' I am pleased to support this initiative undertaken by ccRH. I hope this document will be updated with passing on iir" the uurrc or emerging scientific evidence and additions other diseases as well. of (Ajit New Delhi M. Sharan) 23'd May,2016 Preface It was often said that “Homoeopathy treats the patient and not the disease” but the relevance of the statement was only limited to olden days when disease diagnosis was not much developed. The statement only highlighted the fact that a homoeopathic practitioner could treat/ provide relief to a patient based on the available symptomatology barring the nosological labelling which wasn’t that well developed. Knowledge about diagnosis in earlier times was limited and was primarily done for prognosis of the case. With advances in sophisticated techniques, medical diagnosis has come a long way, from empirical diagnosis to clinical and laboratory diagnosis which has widened its scope in management of the patient. This advancement in medical field has been of paramount importance for a homoeopathic practitioner as well who is faced with the challenge of treating various diseases. A homoeopathic physician has a dual task of establishing a disease diagnosis as well as a patient diagnosis as per the individualistic holistic approach of the system of medicine. Both are vital in identification of the indicated remedy for the management/treatment of the patient. Casual observation, as well as more systematic study of prescribing practices, frequently reveals a pattern of tremendous diversity among prescribers in the treatment of even the most common conditions. A Standard Treatment Guideline (STG) which provides standardized guidance of diagnosis and therapeutic management of a diseased condition can be a solution to this therapeutic anarchy. Also, a simplification of treatment can facilitate the objective appraisal of value of homoeopathic system of medicine. Over the years, RCTs/ Observational studies, experiences of homeopathic practitioners have tried to identify remedies suitable for various disease conditions per se. The Council with the aim of conducting research on scientific lines in Homoeopathy has completed 119 clinical studies and has collected data of most useful medicines in various diseases. Council has made an attempt to develop a standardised guideline for management of diseases, based on expert consensus, review of current published scientific evidence of acceptable approaches to diagnosis, management and/or prevention of specific diseases; data from research studies. Such a systematically developed statement can assist practitioners in rational decision making about appropriate health care for specific clinical circumstances, help maintain quality standards and also represent one approach in promoting therapeutic effective and economically efficient prescribing. In the beginning of this initiative, eighteen diseases have been identified. Each condition gives clear presentation of definition, symptoms, epidemiology, diagnosis, differential diagnosis and its general management. Apart from this the STGs also include information about various outcome measurable questionnaires which can be used by the homoeopathic practitioner for disease assessment, treatment evaluation (follow up) and research. An algorithm of the treatment process given at the end of each disease condition helps in having bird’s eye view of disease and also indicate appropriate time of referral. The book puts forward a group of medicines found most commonly indicated in each disease as identified from published research papers, MateriaMedica and inputs of experienced homoeopathic practitioners. These STGs are prepared for wider dissemination and implementation by the practitioners at large. The Council welcomes inputs and experiences of practitioners for betterment of these guidelines and looks forward to continuous updating. While it is hoped that the book may prove to be a concise and ready reference, it makes no pretension to being anything more than an introduction to the important conditions; in no sense is it put forward as a complete treatise. Readers are advised to check the most current information. It is the responsibility of the practitioner, relying on his/her own experience and knowledge of the patient, to make diagnosis, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions. Dr Raj. K. Manchanda Director General Central Council for Research in Homoeopathy ACKNOWLEDGEMENT Facilitation and guidance Dr Raj K. Manchanda, Director General, Central Council for Research in Homoeopathy (CCRH), New Delhi Content planning and technical expertise Dr. Anil Khurana, Deputy Director General, Dr Praveen Oberai, Scientist -4, and Dr. Varanasi Roja, Research officer (H)/Scientist -2, CCRH Review and critical appraisal Dr. Manjit Singh, Neurologist, Former Addl. Cum Medical Superintendent, Safdarjung Hospital, New Delhi, Dr. S.K. Nanda, Director, National Institute of Homoeopathy, Kolkata, West Bengal, Dr. Lalit Verma, Secretary, Central Council of Homoeopathy, New Delhi, Dr. V.K.Gupta, Former principal , Nehru Homoeopathic Medical College and Hospital, New Delhi, Chairman, Scientific Advisory Committee (SAC), Dr. C. Nayak, Former Director General, CCRH, Chairman, Special Committee for Fundamental and Collaborative research, CCRH, Dr.L.K.Nanda, Former Principal cum Superintendent, Dr. A.C. Homoeopathic Medical College and Hospital, Bhubaneswar, Odisha, Member , SAC, CCRH, Dr. Kusum Chand, Medicine Specialist, Visiting Consultant, CrossLay Hospital, New Delhi, Dr. Mohit Mathur, Professor, Nehru Homoeopathic Medical College and Hospital, New Delhi, Dr.SandhyaRastogi, Reader, BR Sur Homoeopathic Medical College and Hospital, New Delhi, Dr. Pankaj Bhatnagar, Homoeopathic consultant, Member Governing body, Central
Load more

Recommended publications
  • A Pediatric Role in Enhancing Development in Young Children
    CLINICAL REPORT Guidance for the Clinician in Rendering Pediatric Care The Power of Play: A Pediatric Michael Yogman, MD, FAAP,a Andrew Garner, MD, PhD, FAAP, b Jeffrey Hutchinson, MD, FAAP, c RoleKathy Hirsh-Pasek, in PhD, Enhancing d Roberta Michnick Golinkoff, PhD, Development e COMMITTEE ON PSYCHOSOCIAL inASPECTS Young OF CHILD AND FAMILY Children HEALTH, COUNCIL ON COMMUNICATIONS AND MEDIA Children need to develop a variety of skill sets to optimize their development abstract and manage toxic stress. Research demonstrates that developmentally appropriate play with parents and peers is a singular opportunity to promote the social-emotional, cognitive, language, and self-regulation skills that build executive function and a prosocial brain. Furthermore, play aDepartment of Pediatrics, Harvard Medical School, Harvard University and Mount Auburn Hospital, Cambridge, Massachusetts; bDepartment supports the formation of the safe, stable, and nurturing relationships with of Pediatrics, School of Medicine, Case Western Reserve University and University Hospitals Medical Practices, Cleveland, Ohio; cDepartment all caregivers that children need to thrive. of Pediatrics, F. Edward Hebert School of Medicine, Uniformed Services University, Bethesda, Maryland; dDepartment of Psychology, Brookings Play is not frivolous: it enhances brain structure and function and promotes Institution and Temple University, Philadelphia, Pennsylvania; and executive function (ie, the process of learning, rather than the content), eSchool of Education, University
    [Show full text]
  • The Long-Term Effects of Breastfeeding on Development
    3 The Long-Term Effects of Breastfeeding on Development Wendy H. Oddy1, Jianghong Li1,3, Monique Robinson1 and Andrew J.O. Whitehouse1,2 1Telethon Institute for Child Health Research, Centre for Child Health Research, The University of Western Australia, Perth, 2Neurocognitive Development Unit, School of Psychology, The University of Western Australia, Perth, 3Centre Population Health Research, Curtin Health Innovation Research Institute, Curtin University, Perth, Australia 1. Introduction The link between breastfeeding duration and subsequent development, cognition, educational, mental, psychomotor and behavioural functioning of the infant has been the subject of much scientific enquiry. Indeed, the effect of feeding on infant health and development was first discussed more than half a century ago when breastfed babies were reported to have better cognitive outcomes in childhood than artificially fed babies (Hoefer and Hardy 1929). Some studies have found striking results pertaining to the relative advantages that breastfeeding can confer on child neurodevelopment (Oddy, Kendall et al. 2003; Vohr, Poindexter et al. 2006; Kramer, Aboud et al. 2008). Breastfeeding has previously been associated with improvements across neurodevelopmental domains for low birthweight babies in comparison with not breastfeeding at all (Vohr, Poindexter et al. 2006). One study reported results from a large randomized controlled trial and found that breastfeeding for a longer duration and exclusive breastfeeding were associated with significant increases in
    [Show full text]
  • ACT Early Milestone Moments
    Milestone Moments Learn the Signs. Act Early. Learn the Signs. Act Early. www.cdc.gov/milestones 1-800-CDC-INFO Adapted from CARING FOR YOUR BABY AND YOUNG CHILD: BIRTH TO AGE 5, Fifth Edition, edited by Steven Shelov and Tanya Remer Altmann © 1991, 1993, 1998, 2004, 2009 by the American Academy of Pediatrics and You can follow your child’s development by watching how he or BRIGHT FUTURES: GUIDELINES FOR HEALTH SUPERVISION OF INFANTS, CHILDREN, AND ADOLESCENTS, Third she plays, learns, speaks, and acts. Edition, edited by Joseph Hagan, Jr., Judith S. Shaw, and Paula M. Duncan, 2008, Elk Grove Village, IL: American Academy of Pediatrics. Special acknowledgements to Susan P. Berger, PhD; Jenny Burt, PhD; Margaret Greco, MD; Katie Green, MPH, Look inside for milestones to watch for in your child and how you CHES; Georgina Peacock, MD, MPH; Lara Robinson, PhD, MPH; Camille Smith, MS, EdS; Julia Whitney, BS; and can help your child learn and grow. Rebecca Wolf, MA. Centers for Disease Centers for Disease Control and Prevention Control and Prevention www.cdc.gov/milestones www.cdc.gov/milestones 1-800-CDC-INFO 1-800-CDC-INFO 220788 Milestone Moments How your child plays, learns, speaks, and acts offers important clues about your child’s development. Developmental milestones are things most children can do by a certain age. The lists that follow have milestones to look for when your child is: 2 Months ............................................................... page 3 – 6 Check the milestones your child has reached at each age. 4 Months ............................................................... page 7 –10 Take this with you and talk with your child’s doctor at every visit about the milestones your child has reached and what to 6 Months ..............................................................
    [Show full text]
  • Cross-Linguistic Patterns in Infant Babbling
    Cross-linguistic Patterns in Infant Babbling Andreea Geambașu, Mariska Scheel, and Clara C. Levelt 1. Introduction Infants begin to vocalize very soon after birth, and they begin to babble about six months after they are born (Oller, 1980). The babbling stage is distinct from the previous phase of vocalizations in that sounds – or gestures in infants acquiring sign language – are now clearly organized in a syllabic structure. As such, these utterances are the infant’s first linguistic productions. In the works of Stark (1980) and Oller (1980), two stages were identified within the babbling phase. Babies start with reduplicated babbling when they are six to eight months old, and progress into “variegated” (Oller, 1980) or “non- reduplicated” (Stark, 1980) babbling at 10 to 12 months. Work by Koopmans- van Beinum and van der Stelt (1986) outlines a similar line of development, with reduplicated babbling beginning at six months and lasting up until at least 12 months. They do not identify a specific non-reduplicated stage during this period. In addition, Roug, Landberg, and Lundberg (1989) also identified babbling stages similar to those proposed by Oller and Stark, with reduplicated (consonant) babbling beginning at seven months, and variegated babbling beginning at 12 months. The stages identified by these researchers differ only slightly. Where they crucially converge is on the consensus that infants begin their babbling at around six to eight months old, that they begin with reduplicated utterances, and that they transition into producing variegated utterances at around 10 to 12 months. The existence of these two stages has been disseminated in introductory linguistics textbooks for years (e.g., Hoff, 2008).
    [Show full text]
  • Infant Risk Identifier Worksheet
    Infant Risk Identifier Worksheet Demographics Infant Demographic Information Screening Date (MM/DD/YYYY) Medicaid ID First Name M.I. Legal Last Name Sex Female Male City County What is your infant’s date of birth? (MM/DD/YYYY) Caregiver Demographic Information Non-Traditional Caregiver Foster Other Medicaid ID First Name M.I. Legal Last Name Sex Female Male City County What is your date of birth? (MMDDYYYY) What is your marital status? Married Unmarried Widowed Separated Divorced Refused Maternal/Infant Basics Infant Basic Information What do you identify as the infant’s race/ethnic background? (Check all that apply) ☐Asian ☐American Indian or Alaskan Native ☐Black or African American ☐Native Hawaiian or other Pacific Islander ☐White/Caucasian ☐Arab/Chaldean ☐Hispanic/Latino ☐Refused Maternal Basic Information Mother’s age at time of birth Years How many grades of school have you completed? Less than 8th Jr. high/middle school Trade School High School Diploma/GED Associate’s degree Bachelor’s degree Graduate degree 1 IRI Worksheet 1.31.18 rev. 2.6.19 Infant Risk Identifier Worksheet What do you identify as your race/ethnic background? (Check all that apply) ☐Asian ☐American Indian or Alaskan Native ☐Black or African American ☐Native Hawaiian or other Pacific Islander ☐White/Caucasian ☐Arab/Chaldean ☐Hispanic/Latino ☐Refused Maternal Family Planning Are you or your husband or partner doing anything now to keep from getting pregnant? Yes No If yes, what kind of birth control are you or your husband or partner using now to keep from getting pregnant? If No, skip to the next question.
    [Show full text]
  • Supporting Feeding & Oral Development in Young Children
    Supporting Feeding & Oral Development in Young Children Guidelines for Parents Support Feeding & Oral Development in young children with Down Syndrome, Congenital Heart Disease and Feeding difficulties. A JOINT PROJECT WITH CONTENTS 1. Introduction........................................................................................................................................... 2 2. How Feeding Works....................................................................................................................... 3 2.1 Oral Phase............................................................................................................................................ 3 2.2 Pharyngeal Phase.............................................................................................................................. 3 2.3 Oesophageal Phase......................................................................................................................... 4 2.4 Breathing and Feeding................................................................................................................... 4 3 Principles of Good Feeding.......................................................................................................... 5 3.1 Breast and Bottle Feeding............................................................................................................ 5 3.2 Nutrition...............................................................................................................................................
    [Show full text]
  • The New Family
    The New Family Your Child’s Early Months Key Points for New Families If you need more information about any of these topics, please tell your nurse before leaving the hospital. In the Hospital: Things You Should Know Before You Leave: Things You Should Do Right after delivery: ☐ Fill out paperwork for your baby’s birth certificate and social security card ...... page c ☐ Mom’s recovery and comfort care ......page 4 ☐ Make sure you have a rear-facing car seat for ☐ Hospital security ...............................page 4 your baby ........................................page 24 ☐ Early breastfeeding ..........................page 29 After You Go Home ☐ Skin-to-skin contact ........................page 29 ☐ Get help if you have trouble Safety: breastfeeding ..................................... page a ☐ Signs of jaundice ............................ page 13 ☐ Schedule your baby’s first doctor visit ........................................ page a ☐ Shaken Baby Syndrome ...................page 23 ☐ Know when it’s safe to resume sex .....page 5 ☐ Safe sleep .........................................page 24 ☐ Choose a method of birth control .....page 5 ☐ Newborn safety ...............................page 24 ☐ Know when to call: Baby-care skills: Your doctor ..................................page 6 Your baby’s doctor ......................page 25 ☐ Circumcision care ...........................page 16 ☐ Watch for signs of depression ............page 8 ☐ Cord care ........................................page 18 ☐ Schedule a postpartum visit ☐ Bathing
    [Show full text]
  • 9-Month Well Child Handout
    June 10, 2010 Dear Mr. Smith Lorem ipsum dolor sit amet, consetetur sadipscing elitr, sed diam nonumy eirmod tempor invidunt ut labore et dolore magna aliquyam erat, sed diam9-Month voluptua. At vero eos Handout et accusam et justo duo dolores et ea rebum. Stet clita kasd gubergren, no sea takimata sanctus est Lorem ipsum dolor sit amet. Lorem ipsum dolor sit amet, consetetur sadipscing elitr, sed diam nonumy eirmod tempor invidunt ut labore et dolore magna aliquyam erat, sed diam voluptua. At vero eos et accusam et justo duo dolores et ea rebum. Stet clita kasd gubergren, no sea takimata 9-MONTH DEVELOPMENT QUESTIONS sanctus est Lorem ipsum dolor sit amet. Lorem ipsum dolor sit amet, consetetur sadipscing elitr, sed diam nonumy 1.eirmod Can temporyour baby invidunt pull ut herself labore toet adolore standing magna position? aliquyam erat, sed diam voluptua. At vero eos et accusam et 2.justo Can duo your dolores baby et crawl?ea rebum. Stet clita kasd gubergren, no sea takimata sanctus est Lorem ipsum dolor sit amet. 3.Duis Can autem your vel baby eum sit iriure upright dolor onin hendrerithis own, in with vulputate no extra velit support? esse molestie consequat, vel illum dolore eu feugiat 4.nulla Does facilisis your at baby vero makeeros et babbling accumsan noises et iusto (ma-ma, odio dignissim da-da)? qui blandit praesent luptatum zzril delenit augue duis 5.dolore Does te yourfeugait baby nulla use facilisi. her thumb Lorem andipsum fingers dolor sitto amet,grasp consectetuer small objects? adipiscing elit, sed diam nonummy nibh 6.euismod Will your tincidunt baby ut feed laoreet himself dolore using magna his aliquam fingers? erat volutpat.
    [Show full text]
  • 2 Month Well Child
    Cornerstone Pediatrics Michael Marsh, M.D. Phone Number: (817)596-3531 Website: www.cornerstonekid.com 2 Month Well Child Name: _______________________________________ Date: ___________________ Weight: _______ lbs _______ oz Length: _______ in Head Circumference: _______ cm Age: _______ Next Scheduled Appointment: _________________________________ General Nutrition: A simple diet of breast milk or iron-fortified formula is all your baby needs until 6 months of age. Solid foods, juices, cow’s milk given too early can lead to allergies, anemia and poor nutrition. Breast feed or bottle feed on demand. Babies should not be laid flat on their backs while feeding and bottles should always be held by a caregiver and not propped up. These can lead to choking and increased ear infections. Always cuddle baby during feedings. Babies will need fluoride by 6 months. Check whether the water you use is fluoridated. We will prescribe a fluoride supplement at six months if your household water is not fluoridated. Please do not give your baby honey during the first year. Honey can contain harmful bacteria that infants cannot process. Please do not give honey, tomatoes, or citrus until after 12 months of age. Please do not give hen eggs until 24 months of age. Please do not give peanuts, tree nuts, fish or seafood until 24 months of age. If your baby is wetting 6-8 diapers a day and gaining weight appropriately the baby’s feeding is adequate. Babies do not need extra water until at least 6 months of age and only in the summer. They are highly sensitive to water and can get water overloaded very easily.
    [Show full text]
  • 9-Month Handout
    June 10, 2010 Dear Mr. Smith Lorem ipsum dolor sit amet, consetetur9-Month sadipscing elitr, sed Handout diam nonumy eirmod tempor invidunt ut labore et dolore magna aliquyam erat, sed diam voluptua. At vero eos et accusam et justo duo dolores et ea rebum. Stet clita kasd gubergren, no sea takimata sanctus est Lorem ipsum dolor sit amet. Lorem ipsum dolor sit amet, consetetur sadipscing elitr, sed diam nonumy eirmod tempor invidunt ut labore et dolore magna aliquyam erat, sed diam 9voluptua.-MONTH At DveroEVELOPMENT eos et accusam QetUESTIONS justo duo dolores et ea rebum. Stet clita kasd gubergren, no sea takimata sanctus est Lorem ipsum dolor sit amet. Lorem ipsum dolor sit amet, consetetur sadipscing elitr, sed diam nonumy 1. Can your baby pull herself to a standing position? eirmod tempor invidunt ut labore et dolore magna aliquyam erat, sed diam voluptua. At vero eos et accusam et 2.justo Can duo your dolores baby et crawl?ea rebum. Stet clita kasd gubergren, no sea takimata sanctus est Lorem ipsum dolor sit amet. 3. Can your baby sit upright on his own, with no extra support? 4.Duis Does autem your vel babyeum iriuremake dolor babbling in hendrerit noises in (ma-ma, vulputate da-da)? velit esse molestie consequat, vel illum dolore eu feugiat nulla facilisis at vero eros et accumsan et iusto odio dignissim qui blandit praesent luptatum zzril delenit augue duis 5. Does your baby use her thumb and fingers to grasp small objects? dolore te feugait nulla facilisi. Lorem ipsum dolor sit amet, consectetuer adipiscing elit, sed diam nonummy nibh 6.
    [Show full text]
  • Immunizations and Developmental Milestones for Your Child from Birth Through 6 Years Old Child’S Name Birth Date 1 2 4 6 Birth MONTH MONTHS MONTHS MONTHS
    Immunizations and Developmental Milestones for Your Child from Birth Through 6 Years Old Child’s Name Birth Date 1 2 4 6 Birth MONTH MONTHS MONTHS MONTHS Recommended Immunizations Recommended Hepatitis B n HepB n HepB1 n HepB continues on back page continues Rotavirus n RV n RV n RV Diphtheria, Tetanus, Pertussis n DTaP n DTaP n DTaP Haemophilus influenzae type b n Hib n Hib n Hib Pneumococcal n PCV n PCV n PCV Inactivated Poliovirus n IPV n IPV n IPV n Influenza, first dose2 Influenza (Flu) n second dose Milestones* Milestones should be achieved n Recognizes caregiver’s voice n Starts to smile n Begins to smile at people n Babbles with expression n Knows familiar faces by the age indicated. n Turns head toward breast n Raises head when on tummy n Coos, makes gurgling n Likes to play with people n Responds to own name or bottle n Calms down when rocked, sounds n Reaches for toy with one hand n Brings things to mouth Talk to your child’s doctor n Communicates through cradled or sung to n Begins to follow things n Brings hands to mouth n Rolls over in both directions about age-appropriate body language, fussing or with eyes n Pays attention to faces n Responds to affection n Strings vowels together when milestones if your child was crying, alert and engaged n Can hold head up n Holds head steady, unsupported babbling ("ah', "eh", "oh") born prematurely. n Startles to loud sounds WEIGHT / PERCENTILE WEIGHT / PERCENTILE WEIGHT / PERCENTILE WEIGHT / PERCENTILE WEIGHT / PERCENTILE Growth At each well child visit, enter date, length, weight, and percentile information to keep LENGTH / PERCENTILE LENGTH / PERCENTILE LENGTH / PERCENTILE LENGTH / PERCENTILE LENGTH / PERCENTILE track of your child’s progress.
    [Show full text]
  • Developmental Milestones
    Developmental Milestones Rebecca J. Scharf, MD, MPH,* Graham J. Scharf, MA,† Annemarie Stroustrup, MD, MPH‡ *Division of Developmental Pediatrics, Center for Global Health, Department of Pediatrics, University of Virginia, Charlottesville, VA. †Institute for Advanced Studies in Culture, Charlottesville, VA. ‡Division of Newborn Medicine, Departments of Pediatrics and Preventive Medicine, Icahn School of Medicine at Mount Sinai, New York, NY. Practice Gap Clinicians should be aware of developmental milestones for children and especially areas of concern that may prompt referral of a child for further evaluation. Pediatric clinicians should carefully monitor developmental progress in children born preterm. Objectives After completing this article, readers should be able to: 1. Discuss progress in typical development in motor, language, social, and cognitive domains. 2. Note differences in development for children born preterm. 3. Identify delays that warrant referral for further evaluation. CHILD DEVELOPMENT The first years of development are crucial for lifelong learning and development. Milestones follow predictable courses in infants and children, and later devel- opmental skills build on previous ones achieved. Understanding normal devel- opment can help clinicians to recognize delayed development. Early identification of developmental delays allows for referral to therapeutic services, and children referred for early intervention are more likely to make gains in developmental milestones. Research into outcomes of intervening early in a child’s life has shown a great variety of benefits when a child receives needed speech/language therapy, physical therapy, occupational therapy, or special education services in a language-rich preschool classroom environment. (1)(2)(3)(4) Coordination of these services is often provided by state-based early intervention programs.
    [Show full text]