Team Based Medical Home
This is the most essential foundation of an effective team.
What is communication?
Iron Status is a continuum from iron deficiency anemia to iron overload. Deficiency is attributable to an imbalance between iron needs and available iron that results in a deficiency to mobilize iron stores and is accompanied by a change in this concentration.
What is hemoglobin?
Exclusive breastfeeding for more than this number of months has been associated with an increased risk of iron deficiency by 3 months later.
What is 6?
Once the diagnosis of Iron Deficiency anemia has been established, following this concentration is a good measure of treatment response.
What is hemoglobin?
The AAP has concluded that infant formula this contains this amount of elemental iron /L is safe for its intended use.
What is 12 mg/L?
When clinicians feel these 2 things about patient relationships, they are more engaged and less likely to burn out.
What is connection to patients and personal satisfaction from their work?
Along with universal screening for iron deficiency at 12 months, we need to assess risk factors associated with iron deficiency/iron deficiency anemia including exposure to this toxin.
What is lead?
A preterm infant less than 37 weeks who is fed human milk should receive a supplement of elemental iron at this dose, in mg/kg/d, starting by 1 month and continuing through 12 months.
What is 2?
This laboratory test is a sensitive parameter for the assessment of iron stores in healthy subjects. 1 mcg/L corresponds to 8-10 mg of stored iron. It is also an acute phase reactant that can elevate in chronic inflammation, infection, malignancy, or liver disease.
What is serum ferritin?
Infants who are born at term from a healthy mother who is not diabetic usually have sufficient iron stores until this 2 month age range.
What is 4-6 months of age?
Team based care is considered a functional element of the patient-centered medical home, as defined in a 1992 AAP Policy. The team-based care model endorses this partnership across multiple settings to meet the needs of the whole child. These are the three partners.
What are: the child, the family, and the physician?
In both male and female children ages 12 through 36 months, anemia is a hemoglobin concentration of less than this number.
What is 11 g/dL?
This number in mg/d is the amount of iron that an infant between 6 and 12 months of age should be consuming. Red meats and certain high iron vegetables should be introduced early to help achieve this number.
What is 11?
This is the percentage of anemia that is not attributable to iron deficiency, so measuring serum ferritin and a CRP will increase the sensitivity and specificity of the diagnosis.
What is 60%?
Ideally, toddlers will eat naturally iron-rich foods to satisfy their requirements. Foods that contain phytates, which are found in soy, reduce iron absorption while foods that contain this vitamin aid in iron absorption.
What is Vitamin C?
These 3 concepts comprise the Triple Aim of Healthcare.
What is: better care, better health, and reduced cost of care?
This is the percentage of the cases of anemia identified at 12 months of age that will be secondary to iron deficiency.
What is 40%?
This number, in mg/day, is the amount of iron that toddlers (age 1-3 years) should consume.
What is 7?
Combining these two lab tests is a more readily available means of assessing iron stores and is a reliable screening test for the diagnosis of iron deficiency anemia in a child with a hemoglobin of less than 11.
What are serum ferritin and a CRP?
Additional risk factors for iron deficiency include feeding problems, poor growth, inadequate nutrition, low socioeconomic status, and children of this specific race/culture.
What is Mexican-American?
An ideal pediatric care team incorporates the 5 key elements of a high functioning team.
What are:
-shared goals,-clear roles, -mutual trust,-effective communication, and -measurable outcomes?
The WHO, the United Nations Children's Fund, and the United Nations University all use this definition of anemia.
What is a hemoglobin concentration of 2 SD below the mean?
It is recommended that exclusively breastfed term infants receive iron supplementation of this amount in mg/kg/day, starting at 4 months of age and continuing until many appropriate iron containing complementary foods have been introduced.
What is 1?
An alternative approach to diagnosing iron deficiency anemia in a stable child with mild anemia (hemoglobin between 10 and 11) is to supplement with iron and recheck hemoglobin to look for a 1g/dL increase after this length of time.
What is 1 month?
80% of iron stores in a newborn infant are accreted in the third trimester, therefore, very preterm NICU infants have a total body iron deficit due to these three things.
What is:
1. prematurity
2. rapid postnatal growth
3. frequent phlebotomies without adequate replacement. ?