Berkowitz's pediatrics : a primary care approach - download pdf or read online

By Carol D. Berkowitz MD FAAP

ISBN-10: 1581108516

ISBN-13: 9781581108514

The reference of selection for pediatricians, pediatric citizens, and clinical scholars, the newly revised and accelerated fifth version presents transparent, practice-oriented advice of the center wisdom in pediatrics. accomplished assurance of thousands of issues starting from mood tantrums and thumb-sucking to diabetes and kidney disorder make this an excellent reference for college students, pediatric citizens, pediatric nurse  Read more...

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Sample text

Often these questions stem from discussions with other parents or increasingly from information received through various Internet and media resources (see Chapter 9). Although such concerns may seem trivial to pediatricians, they may be extremely important to parents. In addition to addressing the needs of the child, the health maintenance visit also gives the pediatrician an opportunity to assess and address parental needs. Parental depression, substance abuse, family violence, or marital discord can all have profound effects on children’s health and development.

You place an age-appropriate book on the examination table, indicating to the child that the book is for her. You begin your interview with the mother and try not to look at the girl. Out of the corner of your eye, you see that her crying is easing a bit and she has begun to examine the book you had placed on the table. Questions 1. How does children’s age influence their understanding of health and illness? 2. Should physicians speak directly with children about their illnesses? 3. At what age can children begin to communicate with physicians about their illnesses?

A pleasant, child-friendly environment with bright colors, wall decorations, and toys helps make children feel more comfortable. Health care practitioners should be sincere because children are extremely sensitive to nonverbal cues. Pediatricians should take a few minutes to enjoy children; this not only gives children a chance to evaluate their physicians but also allows clinicians to begin assessing areas of development. A general principle of the pediatric examination is to begin with the least invasive portions of the examination (eg, heart, lungs, abdomen) and save the most invasive for last (eg, oropharynx, ears).

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Berkowitz's pediatrics : a primary care approach by Carol D. Berkowitz MD FAAP


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