Anticipatory Guidance

1
Anticipatory Guidance

• Perry, pp. 991-999 1033-1041 1055 1093
  1122-1124

2
Guidance and Safety

• Anticipatory guidance is about 2 things
• Caregiver understanding of child development and
  thus anticipating the childs needs and
  understanding behavior
• Educating caregivers about injury prevention

3
Nursing Responsibilities

• Need to be aware of risks in each age group in
  order for anticipatory prevention teaching to
  occur.
• Also need to have understanding of child
  development and behavior.
• Enables nurse to guide parents regarding
  childrearing practices that will help prevent
  problems.
• Ideally, discuss risks before each age group
  occurs.

4
Healthy People 2010 Objectives R/T Safety

• Commonalities in all age groups
• Poisoning
• MVA/Pedestrian accidents
• Fire
• Drowning
• Homicide/suicide
• Head injuries
• Food safety
• Dog bites
• Sports protection
• Abuse/assault/rape (covered in a future course)

5
Injury Prevention

• In your text, all pediatric age groups will
  include all or some of the following categories
• Aspiration
• Suffocation/drowning
• MVAs (1 cause of death in all groups x infants)
• Falls
• Poisoning
• Burns
• Bodily injury

6
Anticipatory Guidance During Infancy

• Infancy includes all the injury prevention
  categories
• See interventions in Table 36-1, pp. 992-993
• See Patient Teaching Boxes on pp. 1000 1001

7
Infancy contd

• Three leading causes of accidental death in U.S.
  were suffocation, MVAs, drowning
• Remember that overall leading cause of death in
  infants is congenital anomalies, not accidents.
• Infant needs constant supervision and vigilance
  d/t increasing skills and curiosity.

8
During Early Childhood (Toddlers and Preschoolers)

• Includes all categories see Table 37-3,
  1034-1035
• Also look at Guidance p. 1056
• Toddlers are at risk because of high activity
  level, high curiosity, oral fixation, limited
  reasoning ability, esp. for poisoning
• Preschoolers understand reasons for rules child
  care focus shifts from protection to education
  good time for development of long-term safety
  behaviors (e.g. swimming lessons, bike helmets)

9
School Age

• Includes MVAs, drowning, burns, poisoning, and
  bodily damage. See Table 39-2, p. 1095
• Less injuries d/t more refined coordination and
  skills, and increased cognition and
  understanding.
• Also see Guidance on p. 1084.

10
Adolescence

• Adolescent concerns are pregnancy, STDs, eating
  disorders, suicide, accidents, homicide
• Categories include MVAs, falls, drowning, burns,
  poisoning , bodily damage. See Box 40-3, p. 1123
• Caregivers also need information regarding
  developmental changes and process of gaining
  independencesee Guidance on p. 1125

11
Adolescence contd

• MVAssingle greatest cause of serious and fatal
  injuries in teens60 malealcohol frequently a
  factor 10 may have been suicides
• Firearms/other weaponspowder, paint, BB
• Sports injuriesfootball with boys gymnastics
  with girls. Important that sport fits body type
  and ability and that protective gear is worn

12
Adolescence contd

• Adolescents have a sense of indestructiveness
  accompanied by the it wont happen to me
  syndrome causing them to take chances in areas
  of driving, sex, drugs and alcohol, daredevil
  activities, and defying authority.