Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents 4th Edition

This essential resource provides key background information and recommendations for themes critical to healthy child development along with well-child supervision standards for 31 age-based visits—from Newborn through 21 Years.

What’s in the Bright Futures Guidelines, Fourth Edition?

Twelve health promotion themes addressing

· lifelong health for families and communities NEW

· family support

· health for children and youth with special health care needs NEW

· healthy development

· mental health

· healthy weight

· healthy nutrition

· physical activity

· oral health

· healthy adolescent development

· healthy and safe use of social media NEW

· safety and injury prevention

31 age-based health supervision visits—Newborn to 21 Years

All the information and guidance that’s needed to give children optimal health outcomes

-Context

-Health Supervision

-History

-Surveillance of Development

-Review of Systems

-Observation of Parent-Child Interaction

-Physical Examination

-Medical Screening

-Immunizations

-Anticipatory Guidance

What’s NEW in the 4th Edition?

·Builds upon previous editions with new and updated content that reflects the latest research.

·Incorporates evidence-driven recommendations.

·Includes three new health promotion themes:

-Promoting Lifelong Health for Families and Communities

-Promoting Health for Children and Youth With Special Health Care Needs

-Promoting the Healthy and Safe Use of Social Media

·Includes new screen time recommendations

·Provides greater focus on lifelong physical and mental health

-Weaves social determinants of health throughout the Visits, allowing health care professionals to consider social factors like food insecurity, violence, and drug use that may affect a child’s and family’s health

-Features updated Milestones of Development and Developmental Surveillance questions

·Provides new clinical content that informs health care professionals about the latest recommendations and provides guidance on how to implement them in practice:

-Maternal depression screening, Safe sleep, Iron supplementation in breast fed infants, Fluoride varnish, Dyslipidemia blood screening