6/11/2023 0 Comments Anticipatory guidanceThe present document serves as a quick office reference for the educational content required to promote cognitive and social-emotional development, and for their corresponding milestones. It can be used in conjunction with a health maintenance checklist such as the “Rourke Baby Record”. ![]() This ‘anticipatory guidance’ document is intended for use by clinicians during developmental surveillance at well-child visits, and its age intervals match the well-baby visit schedule for Canada. Primary care clinicians are the most common professionals sought by parents for child-rearing advice during the preschool years ( 4), and physicians are encouraged to provide this advice during well-child and immunization appointments ( 5, 6). Such difficulties can affect social adjustment and physical health throughout childhood and into adulthood ( 3). Evidence indicates that learning or behavioural difficulties are experienced by almost 30% of children ( 1). Responsive parenting is one of the most important factors promoting healthy cognitive and social-emotional development ( 1, 2). Knowing the sequence of milestones allows professionals to help families understand what their child is currently doing and what comes next, so as to anticipate common developmental patterns, especially those that may prove difficult or puzzling to parents, and suggest parenting strategies demonstrated to be effective. When a milestone has not occurred by the time most of the population has attained it, usually 95% or 2 SD from the mean, it is described as delayed. Each milestone does not correspond to a single point in time, but rather a range. Milestones are specific developmental attainments that occur in a predictable sequence over time, reflecting the interaction of the child’s developing neurological system with its environment. Le développement du langage, l’alphabétisation et la socialisation sont également abordés.Īnticipatory guidance for development is education provided to parents in order to promote optimal developmental outcomes. Le présent article contient de l’information à l’intention des parents et des présentations cliniques importantes que les cliniciens connaissent peut-être moins bien, tels que la promotion de l’attachement, les comportements qui favorisent la socialisation, de saines habitudes de sommeil, l’autodiscipline, la résolution de problèmes et la gestion de comportements qui font partie d’un développement normal, comme l’angoisse de la séparation, les crises de colère, l’agressivité, les caprices alimentaires et des peurs précises. ![]() Il s’agit de domaines du développement des enfants qui, selon les dispensateurs de soins de première ligne en exercice, sont mal explorés pendant la formation et dans les ressources accessibles. Il lie les recommandations à des données probantes précises contenues dans les publications médicales et cite les sources des normes et des conseils en matière de développement afin de les consulter, au besoin. ![]() Le présent document se veut un aide-mémoire pour les cliniciens qui donnent des conseils préventifs sur le développement cognitif et socio-affectif des enfants de la naissance à cinq ans. Information on the development of language, literacy and socialization are also included. The present article includes parenting information on important clinical presentations with which clinicians may be less familiar, such as promoting attachment, prosocial behaviours, healthy sleep habits, self-discipline and problem-solving as well as on managing behaviours that are part of normal development, such as separation anxiety, tantrums, aggression, picky eating and specific fears. Practising primary care providers have indicated that these are areas of child development that are not well addressed by training and other available resources. The present review links recommendations to specific evidence in the medical literature, citing sources of developmental standards and advice, so that these may be further explored if desired. ![]() The present article serves as a quick office reference for clinicians, providing anticipatory guidance about the cognitive and social-emotional development of newborns, and children up to five years of age.
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