3 steps to boost health literacyWhat do patients and their families really understand about their healthcare and what can pediatricians do about it?
In this issue
Health literacy: A challenge in diverse populationsHealth illiteracy is widespread across all populations, but it has the extra burden of language and cultural barriers in diverse and underserved populations. Here’s how pediatricians can help. When parents say “no” to newborn nursery protocolsParental refusals of protocols in the newborn nursery do happen. Providers need to know how to respond to parents with patient-centered yet medically safe care for their newborns.
Be a health literacy catalystPediatric providers need to help patients and their parents develop critical thinking about their personal healthcare and the long-term outcomes from their decisions.
5 truths about ADHD and autismThis month I offer some observations on developmental disorders—ADHD and autism.
Suspicious fever of unknown originA 5-month-old Hispanic boy, previously healthy, presents to the emergency department (ED) for 5 days of fever, 3 days of diarrhea and rash, and 2 days of vomiting. He had been diagnosed with acute otitis media by his primary care physician 3 days prior to his presentation and started on amoxicillin. The parents brought their son to the ED because of his persistent fever up to 104°F and decreased oral intake. He has no recent travel and no known sick contacts. His immunizations are up to date and he has never been hospitalized. He was born in the United States, full term with an uncomplicated birth history.
Protuberant blister over newborn’s lumbar spineA healthy full-term newborn presented with a prominent sacral dimple within an oval patch. Ultrasound showed no evidence of spinal anomalies, and the child was discharged home. Three days later, the patch became elevated, red, and moist appearing, and she was brought to the emergency department (ED) for further evaluation of the “growing blister.”
Seeing movies with guns piques kids’ interest in using themChildren who view movies with gun violence are more interested in guns and violence than their peers who do not have this exposure, a recent experiment showed. Breastfeeding for at least 2 months provides SIDS protectionBreastfeeding for a minimum of 2 months has a significant protective effect against sudden infant death syndrome (SIDS), almost halving the risk of its occurrence. Ideal pain relief for musculoskeletal injury remains elusiveA comparison of a combination of oral morphine and oral ibuprofen with each of these drugs alone found that none of these options provided optimal analgesia for the pain of a musculoskeletal injury (MSK-I).