Depression Screening and Risk Evaluation
Depression Screening and Risk Evaluation
Anxiousness, sadness, and other mood and behavioral concerns seem to be on the rise in our community and across the country. We at Cary Pediatrics agree with the American Academy of Pediatrics that screening for these issues is important at least once a year as part of a child’s annual physical. Research shows that addressing issues early leads to quicker improvement in how a child feels, and reduces risk for larger concerns in the future. We employ a variety of tools such as the Edinburgh PostPartum Depression Screen, PSC-17, PHQ 2 and 9, and RAAPS questionnaires to assess for symptoms. If these screens are concerning, or if a family has a concern at any time beyond the screening tests, we know a number of local resources, including counselors, therapists, and psychologists, to help you and your family take positive steps forward.
Reliable Web Sites
- Kids Health- for Parents
Parent resource for children with mood disorders. - Kids Health- for Teens
Teen resource for mood disorders.
Reach Out and Read
Reach Out and Read
We are incredibly excited in 2019 to be partnering with Reach Out and Read and to provide new books to children at their checkups from ages 6 months to 5 years of age. Like Reach Out and Read says, ‘We encourage parents to read aloud daily to their infants, toddlers and preschoolers, as a simple and effective way of fostering nurturing, language-rich family interactions that support brain development and provide a foundation for success.”
Reliable Web Sites
- Reach Out and Read
Reach out and Read homepage - Reading Tips
Reach Out and Read- Reading Tips
Dental Fluoride
Dental Fluoride
Dental caries are a significant problem for children. The risk of developing caries can be decreased by using fluoride. In 2014, the American Academy of Pediatrics issued a policy recommending fluoride treatments for babies. In our office, we apply topical fluoride every 3-6 months starting when the first tooth erupts. During all of your well child checks, we also address dental health and proper dental care that is age appropriate. We also will recommend home treatment with fluoride supplements when medically necessary.
Reliable Web Sites
- AAP Policy Statement
Most recent AAP policy statement on dental varnish
Nurse Triage
Nurse Triage
Need advice from a nurse? Our highly trained nursing staff is available to answer your questions and concerns 24 hours a day. Each day our nurses provide advice on a wide range of topics from fevers, respiratory problems, to medication dosing. During business hours, our experienced in house nurses will be answering your concerns. Each of our LPNs and RNs take turns providing advice. After hours, we have contracted with WakeMed to provide nurse advice.
Medication Dosing
Medication Dosing
Easily determine the right dose of Acetaminophen (Tylenol) or Ibuprofen (Motrin, Advil) for your infant or child’s weight. If your child is less than 2 months old and has a fever >100.4, please call our office prior to giving any medications.
For infants under 6 pounds, check with your doctor.
| Child's Weight | Medication | Dose |
|---|---|---|
| 6-11 lbs | Acetaminophen Syrup 160 mg/5mL (such as Children’s Tylenol Oral Suspension) | 1.25 mL |
| 12-17 lbs | Acetaminophen Syrup 160 mg/5mL (such as Children’s Tylenol Oral Suspension) | 2.5 mL |
| 12-17 lbs | Ibuprofen Infant Drops 50 mg/1.25 mL (such as Infant’s Motrin Oral Suspension Drops) | 1.25 mL |
| 12-17 lbs | Ibuprofen Liquid 100 mg/5 mL (such as Children’s Motrin Oral Suspension) | 2.5 mL |
| 18-23 lbs | Acetaminophen Syrup 160 mg/5mL (such as Children’s Tylenol Oral Suspension) | 3.75 mL |
| 18-23 lbs | Ibuprofen Infant Drops 50 mg/1.25 mL (such as Infant’s Motrin Oral Suspension Drops) | 1.875 mL |
| 18-23 lbs | Ibuprofen Liquid 100 mg/5 mL (such as Children’s Motrin Oral Suspension) | 4 mL |
| 24-35 lbs | Acetaminophen Syrup 160 mg/5mL (such as Children’s Tylenol Oral Suspension) | 5 mL |
| 24-35 lbs | Chewable Acetaminophen Tablets 160 mg (such as Children’s Tylenol Chewable Tablets) | 1 tablet |
| 24-35 lbs | Ibuprofen Infant Drops 50 mg/1.25 mL (such as Infant’s Motrin Oral Suspension Drops) | 2.5 mL |
| 24-35 lbs | Ibuprofen Liquid 100 mg/5 mL (such as Children’s Motrin Oral Suspension) | 5 mL |
| 36-47 lbs | Acetaminophen Syrup 160 mg/5mL (such as Children’s Tylenol Oral Suspension) | 7.5 mL |
| 36-47 lbs | Chewable Acetaminophen Tablets 160 mg (such as Children’s Tylenol Chewable Tablets) | 1.5 tablets |
| 36-47 lbs | Ibuprofen Infant Drops 50 mg/1.25 mL (such as Infant’s Motrin Oral Suspension Drops) | 3.75 mL |
| 36-47 lbs | Ibuprofen Liquid 100 mg/5 mL (such as Children’s Motrin Oral Suspension) | 7.5 mL |
| 48-59 lbs | Acetaminophen Syrup 160 mg/5mL (such as Children’s Tylenol Oral Suspension) | 10 mL |
| 48-59 lbs | Chewable Acetaminophen Tablets 160 mg (such as Children’s Tylenol Chewable Tablets) | 2 tablets |
| 48-59 lbs | Adult Acetaminophen Tablets 325 mg (such as Tylenol Regular Strength) | 1 tablet |
| 48-59 lbs | Ibuprofen Infant Drops 50 mg/1.25 mL (such as Infant’s Motrin Oral Suspension Drops) | 5 mL |
| 48-59 lbs | Ibuprofen Liquid 100 mg/5 mL (such as Children’s Motrin Oral Suspension) | 10 mL |
| 48-59 lbs | Chewable Ibuprofin Tablets 100 mg (such as Children’s Motrin Chewables) | 2 tablets |
| 48-59 lbs | Adult Ibuprofen Tablets 200 mg (such as Motrin IB or Advil) | 1 tablet |
| 60-71 lbs | Acetaminophen Syrup 160 mg/5mL (such as Children’s Tylenol Oral Suspension) | 12.5 mL |
| 60-71 lbs | Chewable Acetaminophen Tablets 160 mg (such as Children’s Tylenol Chewable Tablets) | 2.5 tablets |
| 60-71 lbs | Adult Acetaminophen Tablets 325 mg (such as Tylenol Regular Strength) | 1 tablet |
| 60-71 lbs | Ibuprofen Liquid 100 mg/5 mL (such as Children’s Motrin Oral Suspension) | 12.5 mL |
| 60-71 lbs | Chewable Ibuprofin Tablets 100 mg (such as Children’s Motrin Chewables) | 2.5 tablets |
| 60-71 lbs | Adult Ibuprofen Tablets 200 mg (such as Motrin IB or Advil) | 1 tablet |
| 72-95 lbs | Acetaminophen Syrup 160 mg/5mL (such as Children’s Tylenol Oral Suspension) | 15 mL |
| 72-95 lbs | Chewable Acetaminophen Tablets 160 mg (such as Children’s Tylenol Chewable Tablets) | 3 tablets |
| 72-95 lbs | Adult Acetaminophen Tablets 325 mg (such as Tylenol Regular Strength) | 1.5 tablets |
| 72-95 lbs | Ibuprofen Liquid 100 mg/5 mL (such as Children’s Motrin Oral Suspension) | 15 mL |
| 72-95 lbs | Chewable Ibuprofin Tablets 100 mg (such as Children’s Motrin Chewables) | 3 tablets |
| 72-95 lbs | Adult Ibuprofen Tablets 200 mg (such as Motrin IB or Advil) | 1.5 tablets |
| 96 lbs or more | Adult Acetaminophen Tablets 325 mg (such as Tylenol Regular Strength) | 2 tablets |
| 96 lbs or more | Ibuprofen Liquid 100 mg/5 mL (such as Children’s Motrin Oral Suspension) | 20 mL |
| 96 lbs or more | Chewable Ibuprofin Tablets 100 mg (such as Children’s Motrin Chewables) | 4 tablets |
| 96 lbs or more | Adult Ibuprofen Tablets 200 mg (such as Motrin IB or Advil) | 2 tablets |
Important Instructions for Proper Use
- Always read and follow the label instructions.
- Use only the dosing device that came with the product.
Acetaminophen (Tylenol)
- Repeat dose every 4-6 hours while symptoms last.
- Do not give more than 5 doses in 24 hours.
- Do not use with any other product containing acetaminophen.
Ibuprofen (Advil, Motrin)
- Not for use with children under 6 months of age.
- Repeat dose every 6-8 hours as needed.
- Do not give more than 4 doses in 24 hours.
Patient Centered Medical Home (PCMH)
Patient Centered Medical Home (PCMH)
Cary Pediatric Center is proud to announce that in June 2017 it was recognized by the NCQA Patient-Centered Medical Home (PCMH) 2014 Program. What does this mean, and what does it mean for you as our patient?
What is a Patient Centered Medical Home?
The patient centered medical home (PCMH) is a promising model for transforming the organization and delivery of primary care. It means that you will be surrounded by a dedicated team of health professionals, working together with you, to optimize your health goals using the best evidence-based medicine and resources available for you today. Helping and empowering you to take responsibility for your health and giving you the self-management support that you need to succeed.
As your primary care provider/team we will:
- Learn about your child, your family, life situation, and health goals and preferences. Our team will recall your health history every time you seek care and will suggest treatments that make sense for you.
- Take care of any short-term illness, long-term chronic disease, and you or your child’s all around well-being.
- Keep you or your child up-to-date on all vaccines and preventative screening tests.
- Connect you or your child with other members of your care teams (specialists, health coaches, etc.) and coordinate care with them as you or your child’s health needs change.
- Find appropriate behavioral help as needed (including specialists, support groups etc.)
- Be available to you or your child, after hours, for urgent medical needs. Our regular business hours are: Monday through Friday 9 am – 5 pm in all three offices and Saturday 9 am – 12 pm in the Cary office only. Should you require medical care outside of these hours, urgent needs can be directed our nurse triage through WakeMed One Call Nurse Line. They can be reached by calling any of our regular office phone numbers.
- Notify you of test results in a timely manner.
- Communicate clearly so that all conditions and options are well-understood.
- Listen to your questions and feelings. We will respond promptly to you, and your calls, in a way you understand.
- Help you make the best decisions for your care.
- Give you information about classes, support groups, or other services that can help you learn more about your condition and stay healthy.
- Help you understand your insurance options, should you be uninsured – all children deserve equal care to stay healthy, please contact our billing department in the Cary office for more information.
We trust you, as our patient, to:
- Know that you are a full partner with us in your care.
- When you join our practice, you will provide us with a complete medical history and inform us if you obtained care outside of the practice. Upon your first visit, we will have you complete new patient forms so that we may obtain all previous records you or your child may have. Should you have any questions about this process, please contact the Front Office Supervisor at any of our locations.
- Come to each visit with updates on medications, dietary supplements, or remedies you are using, and any questions that you may have.
- Keep scheduled appointments or call to reschedule as early as possible. Scheduled visits cancelled in under 24 hours or “no-shows” will incur a $25.00 fee.
- Understand your health condition and what you can do to stay as healthy as possible.
- Work with us to develop and follow a plan that is best for your health, if you have obstacles in fulfilling this plan, please discuss them fully with our staff.
- Take medications, as prescribed.
- Contact us, after hours, only if your issue cannot wait until the next work day.
- If possible, contact us before going to the emergency room so someone who knows your medical history can care for you.
- Agree that all health care providers in our healthcare team will receive all information related to your healthcare.
- Learn about your health insurance coverage either from your insurer, or, if you have additional questions about billing, you can contact our billing department in the Cary office at 919-467-3211.
- Give us feedback to help us improve our care for you.