Gingival Retraction

Child guidance clinicPresented by:Pratima BhattaraiPriyanka GautamB.Sc Nsg 3rd Year

1/1/20031Priyanka, Pratima SlidesIntroduction:1/1/20032Priyanka, Pratima SlidesObjectives: The objective of child guidance clinic is to prevent children from the possibility of becoming neurotics and psychotics in later life. 1/1/20033Priyanka, Pratima SlidesHistory: The first child guidance clinic was started in Chicago in 1909 and ever since they have grown in number and complexity throughout the world. It was originally intended to deal with the problems of juvenile delinquency.1/1/20034Priyanka, Pratima SlidesThe child guidance clinic is a team work. The team comprises of:

A psychiatristClinical psychologistEducational psychologistPsychiatric social workerPublic health nursesPediatricianSpeech therapistOccupational therapistNeurologistCounselor

1/1/20035Priyanka, Pratima SlidesThe psychiatrist is the central figure and is helped by the other in arriving to correct diagnosis and formulating the line of treatment.

The clinical psychologist is the one who helps the child to perform various tests. The diagnostic tests basically help the psychiatrist to come into the point of diagnosis and to judge the extent of limit upto which the child has improved himself.1/1/20036Priyanka, Pratima SlidesContd.A pediatrician takes a complete health history of the child and a complete physical assessment. Here during the physical examination he can see the cooperation of the child towards the examiner in addition to the developmental procedures of screening.

In case of an infant, questionnaire may also be used by the psychologist.1/1/20037Priyanka, Pratima SlidesContd.The questionnaire objectively identifies temperamental profile so that the professional person can then help the parents interact with and care their child.

1/1/20038Priyanka, Pratima SlidesThe public health nurses work by supporting, counseling and reassuring the patients since the infants of various temperaments differ in their rates of development. The nurse can thus provide anticipatory guidance to parents to improve parent-child interactions. 1/1/20039Priyanka, Pratima SlidesContinuedHere the core of therapy is psychotherapy in order to restore the feelings of security in the child. To achieve this, many methods are applied:Play therapyCounselingSuggestionsChange in physical environmentReconstruction of parental attitudes1/1/200310Priyanka, Pratima Slidesy101/1/2003Pratima, Priyanka SlidesThe child guidance clinics operate on the premises that if sound foundations of mental health are laid in childhood and adolescence , the same will continue in the adulthood. Hence it is mandatory for each child with behavioral disorder to be under child guidance clinic. 1/1/200311Priyanka, Pratima SlidesROLE OF NURSES:

1/1/200312Priyanka, Pratima SlidesHelp family members to recognize the symptoms early and referring client for various services provided in clinics(eg.Day treatment programmes, psychosocial rehabilitation programmes, support groups)

Working effectively with multidisciplinary approach.

Counselling the family members about the benefits of visiting such clinics

Monitoring effectiveness of their services (e.g.. through health visits or follow up appointment in community)

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THANK YOU1/1/200314Priyanka, Pratima Slides141/1/2003Pratima, Priyanka Slides