(BQ) Part 2 book “Integrative pediatrics - Art, science, and clinical application” hass contents: Allergy and asthma, an integrative approach to preventive health, integrative intake, obesity and metabolic disease, conclusion, gastroenterology, dermatology, and other contents. | 14 An Integrative Approach to Preventive Health Time available for pediatric preventive care in clinical visits has become more and more constricted in the tightly controlled insurance reimbursement climate in the . However, despite the challenges, preventive care remains a major focus in pediatric integrative medicine. In the . there are typically 32 well child visits, including the prenatal visit, with the majority occurring before the age of 5 years. These offer an important opportunity to reinforce a lifelong foundation of health. The integrative medicine model can be used to enrich these visits by introducing more detailed information on nutrition, selected dietary supplements, stress management tools, physical activity, and sleep counseling and to harness emerging data on topics such as environmental health and the microbiome to maximize children’s wellbeing. Once past the infant stage, an estimated 20% of pediatric office visits are due to behavioral or mental issues, highlighting the importance of addressing nurturing relationships, family and peer connections, self-regulation skills, self-efficacy, effective behavior change, and development of empathy and compassion for others—skills that are routinely taught in integrative medicine. The Bright Futures resources through the American Academy of Pediatrics provides a foundation of rich resources on traditional pediatric health and health screening, and continues to serve as a classic blueprint for those caring for children and adolescents. The Bright Futures guidelines were updated in 2014, with some of the biggest changes including recommendation for depression screening annually from age 11–21. Screening for dyslipidemia is now recommended for patients between 9 and 11 years old, screening for HIV between 16 and 18 years old (Geoffrey et al. 2014). This chapter includes a discussion and checklist of proposed integrative anticipatory guidance suggestions by age. Ideally these guidelines would be .
