reflection Universal plus growth development review ( telephone review)

Universal plus (UP) for -Growth development check (Telephone conversation)
In UK HV is universal service offered to families with children under 5 years of age and are willing to engage with the service. One of my tasks was to join the health visitor for an over the phone growth developmental check for baby (L). A verbal consent was obtained from (G – baby’s mother) for me to listen to the conversation for learning purposes.
HV started by asking G how she was feeling and asked how baby L was doing. G went on to explain that baby L was having mixed feeding, formula (Aptamil) and breast milk because she was worried about L’s weight. L was said to be tolerating the formula well, taking 4-5 oz per feed (6-8 times a day). G stated that baby L had had the 8 weeks GP check-up and was immunised, and that he had had triple vaccinations. The health visitor then asked G if she had given children’s pain relief (Calpol), she discussed the benefits and explained the recommended dosage for 8 weeks baby (5ml, 4 times in 24 hours) During the conversation L was said to be feeding well, and the mother not experiencing any discomfort when breastfeeding. G reported that baby L’s skin was well perfused, and that there were no concerns with his eyes and the umbilical area had since healed well. L was having daily bowel motion – (soft yellow stool) and 6-8 full wet nappies with no rashes.
On asked about development, G said L is now able to follow G with his eyes when she is walking about in the room, he smiles a lot, he has time on his tummy(why) and can now lifts his head when he is lying on the floor.
G said L had his (6-8weeks) postnatal review done, AOAE hearing assessment with clear bilateral responses. Blood spot prick was also done, and that the results were clear. G said she is on Vitamin D, but she is not giving to L. She was advised to read about Vitamin D on page 25 of the Red Book and start giving Vitamin D to J (10mg)
Safe sleep: J uses the Moses basket for sleeping at night and naps. G was advised on the use of grow bags and sleeping bags. G said she is eating well; she has support from friends, and she takes out J for a walk once every day just for fresh air. G verbalised she felt well, she has had physiotherapy sessions to strengthen tummy muscles after her birth operation.
G was given information about the breastfeeding support group, virtual groups, a contact number, and leaflets, (Starting Well website)- a resource, Baby Buddy and Babby check App. G was also advised to ring 111 if she gets worried about the baby.
During the conversation, the HV was calm and clear whilst asking questions and I could see that there was good rapport well established between the two. HV would give G time to explain after each question whilst listening attentively and would paraphrase as to get clarity of what G was saying.
So what
Universal partnership Plus aims to provide ongoing family support by health visitors working together with the whole range of local services in assisting families identified to have complex additional needs. There are four principles for health visiting practice that are: Search for health needs; stimulate an awareness of health needs; influence policies affecting health; facilitate health-enhancing activities.
Covid-19 has proven to be a challenging pandemic for families with young children. Some of the consequences of the pandemic are related to mental health, domestic violence, and abuse hence physical visits will have more advantages to phone calls. It has become a norm for health visitors to stay connected to families through regular phone call conversations, this helps HV to monitor child’s development and understand the family situation, become aware of those in need providing help and support as needed. Through this phone-call conversation, baby L was noted to be doing well regarding the developmental stages at 6-8 weeks. At 8 weeks babies are seen buy a GP where they will be immunised against the 6 childhood diseases e.g., diphtheria, hepatitis B whooping cough and others. This is a 6-in-1 vaccine. Babies can develop high temperature and soreness hence becoming unsettled. Calpol liquid baby paracetamol to be given soon after vaccination 5ml dose, 4times in 24 hours. At 4-8 weeks babies are given Vitamin K injection which is a coagulant to prevent them from suffering from haemorrhagic disease. It is recommended that breast feeding babies must be given 10mcg of Vitamin D a day for development the baby’s bones. Babies who are receiving at list 500ml of formula milk may not need to take Vitamin D because it is present in the formula. Furthermore, blood spot prick check which is done within 5 days of birth is very important because it will help to find out if baby has 1 of 9 of the rare but serious health conditions
Now what
I learned good telephone manners and communication skills between the health visitor and G. I am going to utilise the information that I have for development within my profession. I will also, research eating well, how it helps a person who has just given birth. Furthermore, I will research the importance of the exercises she does during physiotherapy sessions.
I am acquiring new knowledge that I can use during health teaching in my profession. I am learning and expanding my knowledge through research and how to impact knowledge through educating in my profession. Throughout my practice I will always refer to literature for evidence-based practice.

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