The Well-Child Visit

  • James BinderEmail author
Part of the Current Clinical Practice book series (CCP)


Jack, a second year pediatric resident in continuity clinic, enters the exam room to see his first patient, Braxton, a six-year-old boy in kindergarten. Braxton performs poorly in school and has been suspended twice for spitting and fighting. He is markedly overweight. He spends his spare time watching TV and playing video games. Grandma watches him after school. Sadly, he reports no friends to play with in his neighborhood. Jack feels discouraged. He says to himself that he does not like well-child care and wants to go into neonatology.


Sudden Infant Death Syndrome Playing Video Game Sleep Habit Behavioral Counseling Pediatric Resident 
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  1. 1.
    Wood D (2003) Effect of child and family poverty on child health in the United States. Pediatrics 112:707-711PubMedGoogle Scholar
  2. 2.
    Regaldo M, Halfon N (2001) Primary care services promoting optimal child development from birth to three years: review of the literature. Pediatr Adolesc Med 155:1311-1327Google Scholar
  3. 3.
    Moyer VA, Butler M (2004) Gaps in the evidence for well-child care: a challenge to our profession. Pediatrics 114:1511-1521PubMedCrossRefGoogle Scholar
  4. 4.
    Yarnell KSH, Pollak KI, Ostbye T, Krause KM, Michener L (2003) Primary care: is there enough time for prevention, research and practice? Am J Public Health 93:635-641CrossRefGoogle Scholar
  5. 5.
    Glascoe FP (2000) Early detection of developmental and behavioral problems. Pediatr Rev 21:272-279PubMedCrossRefGoogle Scholar
  6. 6.
    Reynolds AJ, Temple JA, Robertson DL, Mann EA (2001) Long-term effects of an early childhood intervention on education achievement and juvenile arrest. JAMA 285:2339-2346PubMedCrossRefGoogle Scholar
  7. 7.
    American Academy of Pediatrics (2001) Developmental surveillance and screening of infants and young children. Pediatrics 108:192-196CrossRefGoogle Scholar
  8. 8.
    Kuo AA, Inkelas M, Lotstein DS, Samsan KM, Scher EL, Halfon N (2006) Rethinking well-child care in the United States: an international comparison. Pediatrics 118:1692-1702PubMedCrossRefGoogle Scholar
  9. 9.
    Telzrow RW (1978) Anticipatory guidance in pediatric practice. J Contin Educ Pediatr 20:14-27Google Scholar
  10. 10.
    Green M, Palfrey JS (eds) (2000) Bright futures: guidelines for health supervision of infants, children and adolescents, 2nd edn. National Center for Education in Maternal and Child Health, Arlington, VAGoogle Scholar
  11. 11.
    Stott NCH, Rollnick S, Rees MR, Pill RM (1995) Innovation in clinical method: diabetics care and negotiating skills. Fam Pract 12:413-418PubMedCrossRefGoogle Scholar
  12. 12.
    Gottman JM, Gottman JS (2007) And baby makes three: the six-step plan for preserving marital intimacy and rekindling romance after baby arrives. Three Rivers Press, New York, NYGoogle Scholar
  13. 13.
    Rollnick S, Heather N, Bell A (1992) Negotiating behavior change in medical settings: the development of brief motivational interviewing. J Ment Health 1:25-37CrossRefGoogle Scholar
  14. 14.
    Miller WR, Rollnick S (2002) Motivational interviewing: preparing people for change, 2nd edn. Guilford Press, New YorkGoogle Scholar
  15. 15.
    Keller VF (1997) Kemp-White. Choices and changes: a new model for influencing patient health behavior. J Clin Outcomes Manag 4:33-36Google Scholar
  16. 16.
    Platt FW, Gordon GH (2004) Field guide to the difficult patient interview, 2nd edn. Lippincott Williams &Wilkins, Baltimore, MDGoogle Scholar
  17. 17.
    Van Wormer JJ, Boncher JL (2004) Motivational interviewing and diet modification: a review of the evidence. Diabetes Educ 30:404-416CrossRefGoogle Scholar
  18. 18.
    Brenner RA, Simons-Morton BG, Bhasker B, et al (1998) Prevalence and predictors of the prone sleep position among inner-city infants. JAMA 280:341-346PubMedCrossRefGoogle Scholar
  19. 19.
    Gould RK, Rothenberg MD (1973) The chronically ill child facing death - how can one pediatrician help. Clin Pediatr 12:447-449CrossRefGoogle Scholar
  20. 20.
    American Academy of Pediatrics Guidelines and Policies (2006) A compendium of evidence-based research for pediatric practice, 6th edn. AAP, Elk Grove Village, ILGoogle Scholar
  21. 21.
    Hunt L, Fleming P, Golding J (1997) ALSPAC Study team: does the supine sleeping position have any adverse effects on the child? I. Health in the first six months. Pediatrics 100:1-14CrossRefGoogle Scholar
  22. 22.
    Blair PS, Sidehothan, Berry PJ, Evans M, Flemining PJ (2006) Major epidemiological changes in sudden infant death syndrome: a 20 year population based study in the UK. Lancet 367:314-319PubMedCrossRefGoogle Scholar
  23. 23.
    Rutter M (1979) Separation experiences: a new look at an old topic. J Pediatr 95:147-154PubMedCrossRefGoogle Scholar
  24. 24.
    Rothenberg MD (1974) The unholy trinity: activity, authority and magic. Clin Pediatr 13:870-873CrossRefGoogle Scholar
  25. 25.
    Kaplan L (1978) Oneness and separateness: from infant to individual. Simon and Schuster, New YorkGoogle Scholar

Copyright information

© Humana Press, a part of Springer Science+Business Media, LLC 2010

Authors and Affiliations

  1. 1.Marshall University School of MedicineHuntingtonUSA

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