Transcript Health Visiting Presentation

Health Visiting Presentation
February 2015
Background of a Health Visitor
• Qualified Nurse or Midwife with experience
• Additional year training at degree or post
graduate level in Specialist Community Public
Health Nursing
Role of the Health Visitor
• To assess the health and development of all children from the ages
of 0 – 5 years
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Assessment of Maternal Wellbeing
Attachment and attribution
Safeguarding of children
Development of children 0-5 years looking at Gross motor and fine
motor skills, Personal social and emotional development and
communication.
• Parenting advice and support on such issues as Feeding, Behaviour,
Sleep, Dental care and socialisation
• Growth
• Health issues
Role of the Health Visitor Continued
• Advice regarding immunisations
• Prescribing
• Children with a diagnosis or professional concerns
surrounding Developmental Delay
• Referring onto specialist services such as paediatrician,
speech and language therapy, The Multi-Disciplinary
Team, asthma and allergy nurse, GP, Social services,
audiologist and ophthalmologist.
• Documentation
• Work closely with other professionals such as
Midwives, Social care, GP’s, Hospitals, Paediatric
community nurses, Children's Centres
The Healthy Child Programme
Pregnancy and the first five years of
life
“The HCP is the early intervention and
prevention public health programme that
lies at the heart of our universal service for
children and families at a crucial stage of
life, the HCP’s universal reach provides an
invaluable opportunity to identify families
that are in need of additional support and
children who are at risk of poor outcomes”.
(Department of Health 2009: p8)
The Healthy Child Programme
• Health Visitors deliver the Healthy Child
Programme
Core contacts
- Antenatal offer
- New baby review 10- 14 days of age
- Six week check
- Under one year review
- 2- 3 year check
Activity 1
• In groups of four discuss the ways you involve
parents in completing the two year old check.
10 minute discussion
Feedback
The Health Visitor’s two year old check
The Healthy Child Programme and The
Two Year Check (2009)
• “Review with the parents the child’s social,
emotional, behavioural and language
development with signposting to appropriate
group-based parenting support”.
• “Review development and respond to any
concerns expressed by the parents regarding
physical health, growth, development, hearing
and vision”.
Department of Health 2009: p54
Two Year Old Check continued
• “Offer parents guidance on behaviour
management and an opportunity to share concerns”.
• “Offer parents information on what to do if worried about their
child”.
• “Promote language development through
book sharing and invitations to groups for
songs, music and interactive activities (e.g Bookstart)”.
• “Provide encouragement and support to take up early years
education”.
• “Give health information and guidance (telephone helplines,
websites, NHS Direct)”.
Department of Health 2009: p54
Two Year Check Continued
• “Review immunisation status, to catch up on any missed
immunisations”.
• “Offer advice and information on nutrition and physical
activity for the family, and on healthy eating, portion size
and mealtime routines”.
• “Raise awareness of dental care, accident prevention, sleep
management, toilet training, sources of parenting advice”.
• “Offer information on Family Information Service, Sure
Start children’s centres and early years learning provision.
Refer families whose first language is not English to English
as a second language services”.
Department of Health 2009: p54
Two year check continued
• “Advice about correct use of basic safety
equipment and facilitating access to local
schemes for the provision of safety
equipment”.
• “The Health Visitor must be alert to risk
factors and signs and symptoms of child
abuse, and follow local safeguarding
procedures where there is cause for concern”.
Two year check continued
Dental care
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“Sugar should not be added to foods”.
“As soon as the child’s teeth erupt, parents should brush them twice daily,
using only a smear of toothpaste”.
“From the age of one year, feeding from a bottle should be discouraged”.
“The frequency and amount of sugary food and drinks should be reduced,
and, when consumed, limited to mealtimes”.
“Sugars should not be consumed more than four times a day”.
“Where possible, all medicines given should be sugar-free”.
Department of Health 2009: p54
How do you promote good dental health in your setting?
Activity Two
• Discuss in groups of four how you would
support a child of two with communication
delays? What strategies would you use? How
might you share this information with parents
and relevant professionals.
• Feedback
Activity Three
• Discuss in groups of four how you would
support a two year old displaying challenging
behaviours. What strategies would you put in
place to support the child within the setting
and in the wider family.
• Feedback
Multi professional working
Benefits
• “early identification of any issues and intervention easier or quicker
access to services or expertise”
• “improved achievement in education and better engagement in
education”
• “better support for parents”
• “children, young people and family’s needs addressed more
appropriately”
• “better quality services”
• “reduced need for longer-term or more specialist services”.
(NSPCC 2011)
Multi professional working
Activity four
In pairs list some of the challenges/ barriers you
might face when working as part of a multi
professional team. How might these be
overcome?
Feedback
Activity five
In groups of four consider how as a leader of
early years provision you might promote the
health and wellbeing of children.
• Questions and feedback
References
• Healthy Child Programme Pregnancy and the first
five years of life, Department of Health, 2009
https://www.gov.uk/government/uploads/system
/uploads/attachment_data/file/167998/Health_C
hild_Programme.pdf
• NSPCC 2011http://www.safenetwork.org.uk/training_and_aw
areness/Pages/benefits-of-multi-agencyworking.aspx