Infant Toddler Development Training
Module 6, Lesson 1
Consider this scenario.
You are an ITDS working with Nancy who is 18 months old and has mild motor delays and chronic lung disease. Her mother tells you that Nancy has had no immunizations since her first set at the age of 2 months. Mother relates that she does not have health coverage for Nancy and the family appears to not be able to purchase such.
Your first course of action would be to discuss the situation with the mother and the service coordinator to work toward linking this family to a primary care provider and explore the insurance options for the family such as the KidCare network.
The ITDS may also suggest and assist as needed with placing calls to the County Public Health Department for information on free or reduced immunization programs for disease prevention.
Question 1 - What valid information can you provide to this mother related to health care programs including immunizations?
This is useful information to share with the child's family. Even more important is insuring that the family gains access to a medical home for the child. Explore the options for KidCare and Medicaid with her and assist, as needed, with applications. Websites which the mother and ITDS could explore together include
Question 2 - What other information could you provide that may assist this family using electronic resources such as the internet?
The following are excellent resources.
A site that provides modules related to maternal and child health including growth and development, and nutrition is Maternal and Child Health Library. The site links to many other sites such as the Centers for Disease Control which provides growth charts that can be downloaded free of charge.
Read the following criteria for assessing valid clinical information that includes a rigorous process of
- information with an extensive literature review
- material subjected to a stringent supervised peer review process
- feedback and correction
- hypothesizing and research design to determine the validity of the hypothesis
Consider this scenario.
When visiting Ms. S. and her 3 month old son Sammy, who has Down syndrome, the ITDS is asked by Ms. S. whether it would be okay to start her son in a "Mommy and Me" Gymboree class. Ms. S. says she thinks this would be good because this is a place where Sammy could do things with peers his age. She has visited some websites for Down syndrome on the internet and has seen that many children with Down syndrome attend Gymboree. Ms. S. shows the ITDS one of the articles she has read.
Based on the reading you completed for this activity, reflect on the criteria for assessing valid clinical information. Given the criteria, how should the ITDS answer this mother?
First and foremost, the ITDS should refer Sammy's mother to discuss the issue with Sammy's primary medical provider. The primary medical provider is often a pediatrician or a family practitioner. However, the primary medical provider may be a nurse practitioner that works with a clinical practice to provide a medical home (hub of medical care) for the child. Sammy may have health conditions that would preclude his participation. This may include a cardiac condition, joint laxity, or other condition that the children represented in the article did not demonstrate. Additionally, the ITDS will want to ensure that Sammy's service coordinator and provider team are aware of Ms. S.'s desire for more community based opportunities for Sammy. The ITDS should ensure that additional supports are added to the Individualized Family Support Plan (IFSP) and the case notes.
Go to the list of websites at the end of this lesson. Locate some that provide information on statistics related to health and disease including health initiatives such as Healthy People 2010. Look for statistics on infant mortality and linked files on death and causes of death.
Identify websites where information on vital statistics can be found. Answer these questions based on the information you find. What is the number of live births in Florida? What are the leading causes of infant mortality?
Note: Questions about the categorical breakdown of information provided on the website relating to infant birth and death rates may appear on the Self Assessment and/or Final Evaluation.
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