Spire Healthcare Group PLC · LSE:SPI
Spire Healthcare — An overview of child development
32 slides from Spire Healthcare's investor presentation, June 2012
Slide 1: An Overview of Development
An Overview of Development Dr Debi Ray Consultant Community Paediatrician Waltham Forest
Slide 2: Background
Background Child Health Promotion 6 week checks Developmental milestones Autism Red flags
Slide 3: Subspeciality
Subspeciality Development Communication disorders Looked after children and Adoption Child Protection Immunisation advice Special Educational needs
Slide 4: Multidisciplinary team
Multidisciplinary team Speech Therapy Physiotherapy Dietetics Occupational therapy Portage Nursery workers Community nursing team
Slide 5: Multi agency
Multi agency Social Care SENCO Police
Slide 6: Statutory Assessment
Statutory Assessment Education ‘Statement’ Over 18 months age Special Schools
Slide 7: Tools
Tools Schedule of Growing Skills Griffiths Bayley DISCO ADOS
Slide 8: Child Health Promotion
Child Health Promotion
Slide 9: Child Health Promotion
Child Health Promotion All activities designed to promote the physical and mental health of children Universal Targeted
Slide 10: Child Health Promotion
Child Health Promotion GP and practice nurse are a core part Most children are seen six times a year in the first years of life important role to play in delivering the HCP, through screening, surveillance and immunisations, as well as opportunistically promoting health
Slide 11: Components of preventive child health programmes
Components of preventive child health programmes. Blair M , Hall D Arch Dis Child 2006;91:730-735 ©2006 by BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
Slide 12: Children's Centres
Children’s Centres Cover wide area – over 2500 nationally Multidisciplinary team Integrated services
Slide 13: PCHR
PCHR Uniform content Standard core pages No health promotion information Given at birth ideally
Slide 14: Screening
Screening Neonate – Examination – eyes, hips, heart 7 days – PKU/Thyroid/Haemoglobinopathies/CF 6 weeks - Examination 4 years - Vision 5 years – Hearing, Height and Weight
Slide 15: 6 week check
6 week check
Slide 16: 6 week checks
6 week checks PCHR Note birth, family and medical history Listen to parental concerns Remember feeding/nutrition Weigh and measure OFC and plot Hearing – check screen done
Slide 17: 6-8 week check
6-8 week check Vision – exclude cataract/note visual behaviour/family history Hips – check for Developmental Dysplasia Testes – undescended by 12 months Identify and refer prolonged jaundice Immunisations - discuss
Slide 18: 6-8 week check
6-8 week check Health promotion topics Postnatal depression Accident prevention Sudden Infant Death/Sleep position
Slide 19: Useful Warning Signs
Useful Warning Signs At 6 weeks Asymmetrical neonatal reflexes Excessive head lag Failure to smile No visual fixing or following Failure to respond to sound
Slide 20: Developmental Overview
Developmental! Overview:
Slide 21: 6-8 months
6-8 months Sit without support Crawls Palmar grasp/reach/transfers Mouthes Vocalises/Polysyllabic babble Hand/foot regard ‘peek a boo’
Slide 22: 1 year
1 year Walks alone Points Bangs bricks together Words Turns to name ‘Bye-bye’ and ‘pat a cake’
Slide 23: 18 months
18 months Climbs onto chair Delicate pincer Scribbles Tower of 3 bricks Jabbers and Body parts ‘Give me the ball’
Slide 24: 2-2½ years
2- 2½ years Jumps and kicks ball Tower of 8 Join 2 words together Can give name Self feed Toilet training
Slide 25: 3-4 years
3-4 years Run fast, Climb stairs like adult, Pedal Copy circle, cross, square Colours Sentences of 4-5 words Can dress with little help Independent in feeding
Slide 26: 5 years
5 years Hops, Walk backwards, Bounce/Catch Ball Thread beads/copy steps/triangle Fluent and clear speech More understanding of order Chooses own friends
Slide 27: Autism
Autism
Slide 28: Autism
Autism ASD, 1:100 Triad of Impairment: Communication Social interaction Behaviour
Slide 29: Autism
Autism Life long diagnosis Special Educational needs National Autistic Society
Slide 30: Red Flags
Red! Flags
Slide 31: Red flags
Red flags Not sitting at 8 months Not walking at 18 months Not putting 2 words together at 2 years Delayed pointing Poor eye contact
Slide 32: Questions
Questions
Spire Healthcare Group — An overview of child development on 6ix