Interval History
What happened since the last health supervision visit? Be sure to include any parent concerns.
Examples
- “What questions or concerns do you have about your child?”
- “Do you have any concerns about your child’s behavioral, physical well-being or special health care needs?”
- “Do you have any concerns about school issues, such as learning disorders, bullying, or ADHD?
Ask about past history. Any visits to the emergency department or urgent care? Any changes in the health of anyone in the family?
Questions for the child
- Tell me something you are really good at doing.
- Tell me about your friends?
Development
Any specific concerns?
Language
- At this age, he is better able toexpress emotions and ideas.
- May talk in abstract without really understanding the meaning.
- He is learning to communicate clearly with friends.
Social
- Making friends is a critical task during this time.
- Cliques may begin to form.
- Needs to balance feelings in dealing with successes and failures.
- Successful accomplishments are of high priority for him in order to build a positive self-image.
Reference: Richardson, B. (2017). Pediatric primary care: Practice guidelines for nurses. (3rd ed.). Burlington, MA: Jones & Bartlett Learning.
Review of Systems
Do you have any concerns about:
- Rashes, sunburns
- Headaches (frequent or regular)
- Eyes or vision
- Ears or hearing
- Nose or throat
- Breathing problems or chest pain
- Stomach aches/pains, vomiting, or urine or bowel movement problems
- Muscle aches/pain or injury
Ask girls if they have started their periods [9-10 years].
| Girls | Boys | ||
|---|---|---|---|
| Calories | 1200 (4-8 years) | 1400 (4-8 years) | Increase 200-400 kcals/day if moderative – very physically active |
| 1600 (9-13 years) | 1800 (9-13 years) | ||
| Calcium/Vitamin D | 1000mg Ca + 600 IU Vitamin D (4-8 years)
1300mg Ca + 600 IU Vitamin D (9-13 years) |
1000mg Ca + 600 IU Vitamin D (4-8 years)
1300mg Ca + 600 IU Vitamin D (9-13 years) |
|
| Sleep | 9-11 hours | 9-11 hours |
