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PEDS:Developmental Milestones Glascoe FP, Robertshaw NS ©2007, Nashville, Tennessee: Ellsworth & Vandermeer Press www.pedstest.com Case Example: Vernon, age 7 months Vernon’s mother, Ms. Chavez, completed the PEDS:DM while in the waiting room, just before seeing a public health nurse for his 6 month check-up.

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PEDS:Developmental MilestonesGlascoe FP, Robertshaw NS

©2007, Nashville, Tennessee: Ellsworth & Vandermeer Presswww.pedstest.com

Case Example:Vernon, age 7months

Vernon’s mother,Ms. Chavez,completed thePEDS:DM whilein the waitingroom, just beforeseeing a publichealth nurse forhis 6 monthcheck-up.

The orangemarks show Ms.Chavez’sanswers to thequestions aboutVernon’s skills.When thePEDS:DMScoringTemplate (notshown) wasplaced over theanswers, allwere correct,suggestingadequatedevelopment ineach area.

PEDS:Developmental Milestones--Example of items across domainsItems at the 5 - 7 month level. Each question taps a different developmentaldomain: fine motor, receptive language, expressive language, gross motor, self-help, andsocial-emotional.

PEDS:Developmental MilestonesDevelopmental Promotion component

After parents answer questions about skills, they are encouraged to read a story to theirchild. Each story describes age-appropriate parenting practices and age-appropriate childdevelopment. Shown here is the story for children 5 - 7 months of age and it focuses on afather talking to his child, naming the things she sees, repeating the sounds she makes, andadding meaning to her sounds.

PEDS:Developmental MilestonesDevelopmental promotion: Vernon Case Example (continued)

During Vernon’s check-up, Ms. Chavez commented that she and Vernon had enjoyed thestory and the PEDS:DM questions. She also said, “So I guess I should be talking with himlots, even though he can’t understand me?”. The public health nurse agreed emphaticallyand gave Ms. Chavez an information handout on how to promote Vernon’s development.The PEDS:DM professional manual includes parent education handouts on a range oftopics, information about websites offering parenting information in various languages,and a detailed chart of developmental milestones.: The parenting guides and website linksare available in English and Spanish and can be downloaded from the PEDS website(www.pedstest.com) and thus customized as desired. The nurse selected the handout onbuilding speech-language skills and used a highlighter to note some of the parentingactivities most appropriate for Vernon’s age. Shown below is a clip from the handout.

Case example, continued. Ms. Chavez agreed to talk with and read to Vernon and toreturn at 9 months so his progress could be monitored. At his 9 month check up, hecontinued to perform well and even showed a strength in expressive language. Note: onthe PEDS:DM items for older or younger children can also be administered in order toview strengths and weaknesses in development.

PEDS:Developmental Milestones: Recording FormBelow is the PEDS:DM Recording Form showing the Growth Chart section documentingVernon’s performance over time, including (optionally) probing above age level and strengthsin expressive language. The Recording Form also has space for provider comments (SpecificDecisions Section), in this case showing how Vernon’s nurse responded to his mother.

Healthy development,happy mother

Developing normally, gavemo suggestions about sleepingskills

Mo raised Q’s about talkingto Vernon. Gave handout onpromoting speech-language Speech-language and otherskills WNL. Praised mom forreading/talking. Gave more info

©2007 Glascoe FP. Robertshaw NS. Ellsworth & Vandermeer Press, LLC, 1013 AustinCourt, Nolensville, TN 37135 phone: 615-776-4121 facsimile: 615-776-4119web: www.pedstest.com email: [email protected] Electronic version:[email protected] This case example may be photocopied but only for trainingpurposes.

ORDERING INFORMATION FOR PEDS:DM Item Description Cost Quantity Total

PEDS:DM for Pediatric and Public Health encounters (complete starter kit)

PEDS:DM Family Book with laminated formsPEDS:DM Professional Manual with directions, guides, parent education materialsPEDS:DM Binder Case containing scoring template Package of 100 PEDS:DM Recording Forms: for longitudi-nal monitoring of PEDS:DM and PEDS $275.00

PEDS:DM plus PEDS: The Best Approach to early de-tection in Primary Care This ensures ideal compli-ance with the new Ameri-can Academy of Pediatrics policy on screening and surveillance.

PEDS:DM Family Book with laminated formsPEDS:DM Professional Manual with directions, guides, parent education materialsPEDS:DM Binder Case containing scoring template Package of 100 PEDS:DM Recording Forms: for longitudi-nal monitoring of PEDS:DM and PEDSPEDS Response Forms:100 PEDS Response forms contain-ing questions about parents’ concernsPEDS Brief Guide to Administration and Scoring: Direc-tions for eliciting and addressing parents concerns $305.00

PEDS:DM for Early Child-hood and NICU follow-up (complete starter kit)

PEDS:DM Family Book with laminated formsPEDS:DM Professional Manual with directions, guides, parent education materialsPEDS:DM Binder Case containing scoring template Package of 25 PEDS:DM Assessment Level Forms: 12 page record booklets reusable for each child $275.00

PEDS:DM and PEDS for Early Childhood and NICU follow-up: The Best Ap-proach for addressing par-ents’ concerns and assess-ing development

PEDS:DM for Early Childhood and NICU follow-up com-plete starter kit Plus:PEDS Response Forms:100 PEDS Response forms contain-ing questions about parents’ concernsPEDS Brief Guide to Administration and Scoring: Direc-tions for eliciting and addressing parents concerns $305.00

E X T R A C O P I E S A N D R E F I L L S

PEDS:DM Family Book

It is helpful to have a Family Book for each exam room or appointment scheduled at the same time. Each extra order comes with clip and dry erase marker Volume Discount: for orders of 10 or more

$110.00(1 - 9)

$80.00(1 - 10)

PEDS:DM Professional Manual

In multiple-provider settings, a Manual is recommended for each room in which professionals administer the PEDS:DM Volume Discount: for orders of 10 or more

$40.00(1 - 9)

$30.00(1 - 10)

PEDS:DM Recording Form Package of 100 PEDS:DM Recording Forms: for longitudi-nal monitoring of PEDS:DM and PEDS $32.00

PEDS:DM Assessment Level Forms

Package of 25 PEDS:DM Assessment Level Forms: 12 page record booklets reusable for each child $75.00

PEDS:DM Family Book in Spanish

PEDS:DM items and all supplementary measures inSpanish $110.00

PEDS:DM Assessment Level Forms in Spanish

Package of 25 PEDS:DM Assessment Level Forms in Span-ish: 12 page record booklets reusable for each child $75.00

Electronic PEDS:DM/ PEDS Please inquire: [email protected]

Research discounts/bulk orders Please inquire: [email protected]

Subtotal (add to total on next page)

PEDS Printed Forms and Guides:Ellsworth & Vandermeer Press, LLC1013 Austin Court, Nolensville, TN 37135phone: 615.776.4121 fax: 615.776.4119 www.pedstest.com [email protected]

PEDS Electronic and Online:Forepath Ltd.PO Box 23186Washington DC 20026 www.forepath.org [email protected]

ORDERING INFORMATION PEDS FORMS AND GUIDES

Item DescriptionComplete Set: 1 Brief Administration & Scoring Guide, 1 pad of 50 PEDS Response Forms, 1 pad of 50 PEDS Score & Interpretation Forms

Brief Administration & Scoring Guide

Brief Administration & Scoring Guide for English-speaking professionals working with Spanish-speaking parents

PEDS Response Forms for English-speaking parents (pad of 50)

PEDS Score & Interpretation Forms (pad of 50)

PEDS Response Forms for Spanish-speaking parents (pad of 50)

PEDS Response Forms for Vietnamese-speaking parents (pad of 50)

Discounted Bulk Order Package: 1000 Response Forms, 1000 Score & Interpretation Forms, 20 Brief Administration & Scoring Guides (substitutions available on request)

Comprehensive PEDS Manual, “Collaborating with Parents”

For large volume orders (25,000+), versions in other languages, and research issues please contact us at www.pedstest.com. Training and research materials are also available for download from our web sites.For information on using PEDS in electronic health records contact: [email protected].*Scannable versions of PEDS Forms have color blocks removed for ease of scanning completed Forms into image-based electronic records.

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