ࡱ> g Ebjbj٘ ^De  y%y%y%y%y%D%%%=&'4%8^-.T ;(;;;<>?\\\\\\\$ `b2\5y%m@<<m@m@\y%y%;;4]IGIGIGm@Fy%;y%;\IGm@\IGIGUW;ӦV@F/V"\^08^QVd@"dDWdy%Whm@m@IGm@m@m@m@m@\\D.m@m@m@8^m@m@m@m@dm@m@m@m@m@m@m@m@m@  ?$: WELL CHILD EXAM EARLY CHILDHOOD: 15 MONTHSAuthority: P.A. 116 of 1973 Completion: Required Consequences of non-completion: Non-compliance of licensing rules.Michigan Department of Human ServicesWell Child Exam Date FORMTEXT      Patient NameDOBSexParent Name FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      AllergiesCurrent Medications FORMTEXT       FORMTEXT      Prenatal/Family History FORMTEXT      WeightPercentileLengthPercentileWt. for length PercentileHCPercentileTemp.PulseResp.BP (if risk) FORMTEXT       FORMTEXT      % FORMTEXT       FORMTEXT      % FORMTEXT      % FORMTEXT       FORMTEXT      % FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       Interval History:(Include injury/illness, visits to other health care providers, changes in family or home) FORMTEXT      Nutrition FORMCHECKBOX Whole milk, cup only FORMCHECKBOX Solids FORMTEXT      servings per day FORMCHECKBOX City water FORMCHECKBOX Well waterWIC FORMCHECKBOX Yes FORMCHECKBOX NoElimination FORMCHECKBOX Normal FORMCHECKBOX AbnormalSleep FORMCHECKBOX Normal (8  12 hours) FORMCHECKBOX AbnormalAdditional area for comments on page 2Screening and Procedures FORMCHECKBOX Subjective Hearing Parental observation/ concerns FORMCHECKBOX Subjective Vision Parental observation/ concernsDevelopmental Surveillance FORMCHECKBOX Social-Emotional FORMCHECKBOX Communicative FORMCHECKBOX Physical Development FORMCHECKBOX CognitivePsychosocial/Behavioral Assessment FORMCHECKBOX Yes FORMCHECKBOX NoScreening for Abuse FORMCHECKBOX Yes FORMCHECKBOX NoImmunizations: FORMCHECKBOX Immunizations Reviewed, Given & Charted if not given, document rationale FORMCHECKBOX DTaP FORMCHECKBOX IPV FORMCHECKBOX HepB FORMCHECKBOX Flu FORMCHECKBOX MMRHepA FORMCHECKBOX Varicella or Chicken PoxDate FORMTEXT       FORMCHECKBOX MCIR checked/updated FORMCHECKBOX Acetaminophen FORMTEXT      mg. q. 4 hoursPatient Unclothed FORMCHECKBOX Yes FORMCHECKBOX NoReview of SystemsPhysical ExamSystemsNANA FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX General Appearance FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Skin/nodes FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Head/fontanel FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Eyes FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Ears FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Nose FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Oropharynx FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Gums/palate FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Neck FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Lungs FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Heart/pulses FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Abdomen FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Genitalia FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Spine FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Extremities/hips FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Neurological  FORMCHECKBOX Abnormal Findings and CommentsIf yes, see additional note area on next pageResults of visit discussed with parent FORMCHECKBOX Yes FORMCHECKBOX NoPlan FORMCHECKBOX History/Problem List/Meds Updated FORMCHECKBOX Fluoride Varnish Applied FORMCHECKBOX Referrals FORMCHECKBOX WIC FORMCHECKBOX Early On FORMCHECKBOX Children Special Health Care Needs FORMCHECKBOX Transportation FORMCHECKBOX Dentist FORMCHECKBOX Other FORMTEXT       FORMCHECKBOX Other FORMTEXT      Anticipatory Guidance/Health Education(check if discussed)Safety FORMCHECKBOX Keep Poison Control number handy FORMCHECKBOX Appropriate care seat placed in back seat FORMCHECKBOX Test smoke detectors (one on every level) FORMCHECKBOX Use stair gates, safety locks, window guards FORMCHECKBOX Childproof home (window guards, cleaners, medicines, outlets, guns, dangling cords) FORMCHECKBOX Never leave child alone in home or car FORMCHECKBOX Turn pot handles to back of stove FORMCHECKBOX Limit time in sun-use hat/sunscreen FORMCHECKBOX Keep hot liquids and matches out of reach FORMCHECKBOX Avoid TV viewingOral Health FORMCHECKBOX Brush toddlers teeth with soft toothbrush/water twice daily FORMCHECKBOX Make first dental appointment if not done yet FORMCHECKBOX Use good family oral habits FORMCHECKBOX Dont share utensils or cupsSleep Routines and Issues FORMCHECKBOX Bedtime Routine FORMCHECKBOX Strategies for nigh waking FORMCHECKBOX Dont put to bed with bottleChild Development and Behavior FORMCHECKBOX Stranger anxiety and separation anxiety FORMCHECKBOX Promote childs language by using simple clear words and phrases FORMCHECKBOX Allow child choices acceptable to you FORMCHECKBOX Speak to your child reassuringly FORMCHECKBOX Use distraction e.g. an alternative activity FORMCHECKBOX Praise good behavior and activities FORMCHECKBOX Use discipline tot each, not punishFamily Support and Relationships FORMCHECKBOX Keep family outings short and simple FORMCHECKBOX Help child express emotions appropriately FORMCHECKBOX Substance Abuse, Child Abuse, Domestic Violence Prevention, DepressionOther Anticipatory Guidance Discussed: FORMTEXT      Next Well Check: 18 months of ageDevelopmental Surveillance on Page 2 Page 3 required for Foster Care ChildrenMedical Provider Signature: PAGE 2  WELL CHILD EXAM  EARLY CHILDHOOD: 15 MONTHS DEVELOPMENTAL SURVEILLANCE(This page may be used if not utilizing a Validated Developmental Screener)DatePatient NameDOB FORMTEXT       FORMTEXT       FORMTEXT      Developmental Questions and ObservationsAsk the parent to respond to the following statements about the toddler:YesNo FORMCHECKBOX  FORMCHECKBOX Please tell me any concerns about the way your toddler is behaving or developing FORMTEXT       FORMCHECKBOX  FORMCHECKBOX My toddler likes to be with me. FORMCHECKBOX  FORMCHECKBOX My toddler is interested in people, places and things. FORMCHECKBOX  FORMCHECKBOX My toddler shows different feelings. FORMCHECKBOX  FORMCHECKBOX My toddler feeds self with fingers/spoon and drinks from a cup. FORMCHECKBOX  FORMCHECKBOX My toddler can stack 2-3 blocks.Ask the parent to respond to the following statements:YesNo FORMCHECKBOX  FORMCHECKBOX I am sad more often than I am happy. FORMCHECKBOX  FORMCHECKBOX I have people who help me when I get frustrated with my toddler. FORMCHECKBOX  FORMCHECKBOX I am enjoying my time with my toddler. FORMCHECKBOX  FORMCHECKBOX I have time for myself, partner and friends. FORMCHECKBOX  FORMCHECKBOX I feel safe with my partner.Developmental MilestonesAlways ask parents if they have concerns about development or behavior. A standardized developmental and autism screening tool should be administered (Medicaid required) at the 18 moth visit. If the child is unlikely to return for an 18 month visit, the standardized screens should be completed at the 15 month visit. In addition, the following should be observed:Toddler DevelopmentYesNoParent DevelopmentYesNoUnderstands simple commands FORMCHECKBOX  FORMCHECKBOX Appropriately disciplines toddler FORMCHECKBOX  FORMCHECKBOX Walks without support FORMCHECKBOX  FORMCHECKBOX Positively talks, listens, and responds to toddler FORMCHECKBOX  FORMCHECKBOX Says at least 3 5 words FORMCHECKBOX  FORMCHECKBOX Parent is loving toward toddler FORMCHECKBOX  FORMCHECKBOX Indicates wants by pointing or gestures FORMCHECKBOX  FORMCHECKBOX Uses words to tell toddler what is coming next FORMCHECKBOX  FORMCHECKBOX Is able to transition from one activity to another throughout the day FORMCHECKBOX  FORMCHECKBOX Appears to have a secure and attached relationship with parent FORMCHECKBOX  FORMCHECKBOX Please note: Any concerns raised during surveillance should be promptly addressed with standardized developmental screening tests. In addition, screening tests should be administered regularly at the 9-, 18-, and 24- or 30-month visits (AAP, 2006, Identifying Infants and Young Children with Developmental Disorders in Medical Home: An Algorithm for Developmental Surveillance and Screening)Additional Notes from pages 1 and 2: FORMTEXT      Medical Provider SignatureMedical Provider Name (please print)AddressTelephone Number FORMTEXT       FORMTEXT       THIS PAGE IS REQUIRED FOR FOSTER CARE CHILDREN WELL CHILD EXAM  EARLY CHILDHOOD: 15 MonthsDateChild s NameDOB FORMTEXT       FORMTEXT       FORMTEXT      Name of person who accompanied child to appointment FORMCHECKBOX Parent FORMTEXT       FORMCHECKBOX Foster ParentPhone number of person who accompanied child to appointment FORMCHECKBOX Relative Caregiver (specify relationship) FORMTEXT       FORMTEXT       FORMCHECKBOX CaseworkerPhysical completed utilizing all Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) requirements FORMCHECKBOX YesPlease attach completed physical form utilized at this visit FORMCHECKBOX NoIf no, please state reason physical exam was not completed FORMTEXT       FORMTEXT      Developmental, Social/Emotional and Behavioral Health ScreeningsAlways ask parents or guardian if they have concerns about development or behavior. (You must use a standardized developmental instrument or screening tool as required by the Michigan Department of Community Health and Michigan Department of Human Services).Validated Standardized Developmental Screening completed: Date FORMTEXT      Screener Used: FORMCHECKBOX ASQ FORMCHECKBOX ASQSE FORMCHECKBOX PEDS FORMCHECKBOX PEDSDM FORMCHECKBOX Other tool: FORMTEXT      Score: FORMTEXT      Referral Needed: FORMCHECKBOX No FORMCHECKBOX YesReferral Made: FORMCHECKBOX No FORMCHECKBOX YesDate of Referral: FORMTEXT      Agency: FORMTEXT      Current or Past Mental Health Services Received: FORMCHECKBOX No FORMCHECKBOX Yes(if yes please provide name of provider)Name of Mental Health Provider: FORMTEXT      EPSDT Abnormal results: FORMTEXT      Special Needs for Child (e.g., DME, therapy, special diet, school accommodations, activity restrictions, etc.): FORMTEXT      Medical Provider SignatureMedical Provider Name (please print)AddressTelephone Number FORMTEXT       FORMTEXT      This HME form was developed by the Institute for Health Care Studies and Michigan State University in collaboration with the Michigan Medicaid managed care plans. 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Provide childs caregiver/foster parent with handout.PARENT/CAREGIVER HANDOUT Your Childs Health at 15 Months Milestones Ways your child is developing between 15 and 18 months of age Says phrases of at least two words Walks, may run a bit, climbs up or down one stair Likes pull tows and likes being read to Is curious and likes to explore people, places and things Protests and says, NO! Imitates others Kisses and shows affection Makes marks with a crayon For Help or More Information: Care seat safety: Contact the Auto Safety Hotline at 1-888-327-4236 or online at  HYPERLINK "http://www.nhtsa.dot.gov" www.nhtsa.dot.gov To locate a Child Safety Seat Inspection Station, call 1-866-SEATCHECK (866-732-8243) or online at  HYPERLINK "http://www.seatcheck.org" www.seatcheck.org For information about childhood immunizations: Call the National Immunization Program Hotlines at 1 (800) 232-4636 or online at  HYPERLINK "http://www.cdc.gov/vaccines" http://www.cdc.gov/vaccines For information about lead screening: Visit the Michigan Bridges 4 Kids lead website at  HYPERLINK "http://www.bridges4kids.org/lead.html" www.bridges4kids.org/lead.html or contact the Childhood Lead Poisoning Prevention Project at (517) 335-8885 Poison Prevention: Call the Poison Control Center at 1-800-222-1222 or online at  HYPERLINK "http://www.mitoxic.org/pcc" www.mitoxic.org/pcc If youre concerned about your childs development: Contact Early On Michigan at 1-800-327-5966 or Project Find at  HYPERLINK "http://www.projectfindmichigan.org/" http://www.projectfindmichigan.org/ or call 1-800-252-0052 Parenting skills or support: Call the Parents HELPline at 1-800-942-4357 or the Family Support Network of Michigan at 1-800-359-3722. For families of children with special health care needs: Children Special Health Care Services, Family phone line at 1-800-359-3722 or  HYPERLINK "http://www.mdch.state.mi.us/msa/mdch_msa/cshcs.htm" www.mdch.state.mi.us/msa/mdch_msa/cshcs.htm Prevention of Unintentional childhood injuries: National Safe Kids Campaign 1-202-662-0600 or  HYPERLINK "http://www.safekids.org" www.safekids.org Domestic Violence hotline: National Domestic Violence Hotline (800) 799-SAFE (7233) or online at  HYPERLINK "http://www.ndvh.org" www.ndvh.org Health Tips Your childs check-ups will be spaced farther apart as your child gets older. If you have concerns between checkups, be sure to call the doctor or nurse and ask questions. Check to make sure your child has had all the shots he needs. If your child has missed some shots, make an appointment to get them soon. Your child needs all the required shots to have the best protection against serious diseases. Your childs appetite may be less than in the past. Offer a variety of healthy foods. Let her decide how much of each food to eat. Do not force her to finish food. Your child needs two cups of milk or yogurt or three slices of cheese each day. Avoid low-fat foods until age 2. Each child develops in his own way, but you know your child best. If you think he is not developing well, you can get a free screening. Call your childs doctor or nurse if you have questions. Parenting Tips: Name your childs feelings out loud happy, sad or mad. Use words to tell her what is coming next. Your child can understand more words than she can say. Give your child simple choices. Example squash or peas? Calmly set limits for your child by giving him something different to do. Praise him when he does things that you like. When you are a parent you will be happy, mad, sad, frustrated, angry and afraid, at times. This is normal. If you feel very mad or frustrated: Make sure your child is in a safe place (like a crib) and walk away. Call a good friend to talk about what you are feeling. Call the free Parent Helpline at 1-800-942-4357 (in Michigan). The will not ask your name and can offer helpful support and guidance. The helpline is open 24 hours a day. Calling does not make you weak; it makes you a good parent. Safety Tips Falls often cause young children to get hurt. Take your child to a safe playground. Find one that has padding, sand, or wood chips under the toys. Look for small toys that fit a toddler. Stay close to your child while they are playing. Your child may try to get out of her car seat. Avoid letting her get out, because then she will try again and again. If she tries, be firm, stop the care and refuse to move until she stays buckled in. Take soft toys, picture books, and music to entertain your child in the car. Wear your own seat belt, too.From the Institute for Health Care Studies at Michigan State University.Department of Human Services (DHS) will not discriminate against any individual or group because of race, religion, age, national origin, color, height, weight, marital status, sex, sexual orientation, gender identity or expression, political beliefs or disability. If you need help with reading, writing, hearing, etc., under the Americans with Disabilities Act, you are invited to make your needs known to a DHS office in your area.     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