Health Tool - Child Wellness Visit

I’m wondering if our local families understand and take advantage of the benefits of well-child checks. Well child checks are important tools for you and your doctor to make sure your child is developing right and to screen for common problems that appear at specific ages.

What happens at a well-child visit?  We check your child’s growth and development, looking at their height, weight, and head size as compared to other kids their age and gender.  This can tell us if there are trends that need attention.  We also check age-appropriate milestones, social behaviors and learning.  We make sure your baby is able to do the things he/she should be doing by certain ages.  If we find a problem, we make recommendations:  continue to monitor, send to a specialist to evaluate, or get specialized services or therapy starting at an age young enough to make a difference.  We also talk about nutrition and safety in the home and community.  At well child checks, we discuss immunizations to prevent illness.  At the Perry Memorial Walnut Clinic and our other Perry Clinics, we offer immunizations for children whose insurance cover them.  If your insurance doesn’t cover immunizations, we discuss with you when and which vaccines your child needs to get at the health department – who typically can provide these necessary immunizations for free or at a reduced cost to children without insurance or who are underinsured.

Most insurances cover wellness exams 100%, especially for kids.  Check with your insurance provider to be sure.  Well-child checks are for healthy kids who are growing and seldom go to the doctor, as well as for children who are seeing doctors regularly due to chronic health issues.

In my office, I like to see kids at the following intervals starting from their newborn checkup (2-5 days old), 1 month, 2 months, 4 months, 6 months, 9 months, and 12 months.  Then in the second and year, we would see them at 15 months and then every 6 months (18 months,  24 and 30 months of age) until they are 3.  Starting at age 3, we would then like to see the kids yearly until they are 21.  Their birth month is a good time to remember to schedule these visits, or you could do it in the summer when the children are off school.
 In the summertime (or any time of the year) we can incorporate school and sports physicals with the well-child check.  Keep in mind the well child visit and physical are not interchangeable.  The well-child check is much more comprehensive than the school or sports exams and is intended to catch any health problems early on.  Because of the wide range covered during the exam we can fill out the any required forms pertaining to the physical during this visit to save you time or an additional appointment.
Before you bring your child to the clinic for his/her wellness exam, make a list of topics you want to discuss with us, whether it be about how much sleep your baby should be getting, is a certain behavior normal, what and how much should they be eating, or maybe small health issues like skin lesions that you’ve deemed too minor to make an appointment for.

Regular wellness exams help your provider get to know your child and the family, so that they can know when something is amiss.  This consistency helps develop that medical home, where everyone knows your name.
Remember as you are making plans this summer, think about scheduling well child exams for your kids if they haven’t had one, need to get caught up on them, and especially if they need to get vaccines, or need physicals for camp,  school or sports.


Perry Nurses Pursue SANE Certification

February 14, 2019

Erika Darymple, BSN, RN and Kim Morse, BSN, RN do not want Perry to be a transfer hospital for male and female sexual domestic and dating-violence victims.  They want to make a difference.  Fortunately, the opportunity arose to do just that.  Freedom House, along with other area partners, collaborated to receive a federal grant to provide services in the Illinois Valley area.  Erika and Kim made the choice to become certified Sexual Assault Nurse Examiners (SANE).  They have a vision and are leading the way to make it happen at Perry.

First, 16 hours of online training had to be completed followed by a 40-hour education conference.  Then the year-long clinical training journey begins.  They will experience an array of exposure from forensic exams and witness advocacy, to photography and many other topics.  The current goal is to become internationally certified forensic nurses.

From Erika’s Emergency Department experience, she knows first hand the importance of providing this type of service to our communities.  Erika said, “I have performed it in the past, and in the near future I will be certified to provide the victims of sexual assault a voice and power to move forward if they choose to.”

Kim has always had an interest in women’s healthcare with her OB/GYN experience at Perry.  Kim shared, “It is important for a male or female to have options and I wanted to be part of helping in a time of trauma which can be a turning point in their lives.”

Certification target date is fall 2019.  Currently Perry is considered a transfer hospital, and any patients with sexual assault needs are transferred to other hospitals.  Once their certification is complete, Perry will become the hospital location for area hospitals to transfer patients to.  Erika and Kim will be on a Perry sponsored call rotation for the Perry Emergency Department and will perform off site consultations as needed.  Sexual Advocacy now has Perry’s voice thanks to Erika and Kim.