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6th World Nursing and Healthcare Conference

London, UK

Anjan Bhattacharya

Anjan Bhattacharya

Apollo Gleneagles Hospital, India

Title: Proposed universal reporting system for sub-syndromal and sub-threshold EBD [emotional/educational, behavioral &developmental] problems in children

Biography

Biography: Anjan Bhattacharya

Abstract

Emotional/Educational, Behavioral and Developmental [EBD] problems including Dyslexia, Autism Spectrum Disorder (ASD) or Attention Deficit Hyperactivity Disorder (ADHD) constitutes 20% of children suffering globally, often unnecessarily. A sizable number of such children are passing through the hands of nurses in healthcare set ups, both in-patient and out-patients (including community and immunization clinics). Missed opportunities of reporting EBD concerns must be one of the important determinants of such morbidity. Current author proposed a universal model during Nursing 2014 at Chicago on how a nurse can improve vastly up on the knowledge and professional input so that the “miss outs” are minimized to enable Early Detection and Early Intervention. An output of that presentation is a model of universal reporting developed as a proposal in healthcare set up as follows: Author proposes that Nurses and other healthcare professionals shall have over-riding obligations to report any “red-flag” signs or symptoms observed or reported to them about a child in any healthcare set up. Child Development Centre (CDC) or its equivalent e.g. IDEA Centre in many parts of the USA (designated centre) should be a point of direct access for such reporting. Professionals should report to their Line Managers. But to avoid the consequences of professional ignorance on the subject (item number 20 of the Pediatric Symptom Checklist [PSC] of the Bright Futures), a direct referral must always accompany. Nations will have to support the legislative framework in lieu with their respective Child Protection Agencies to empower Early Detection and Early Intervention of Sub-syndromic and Sub-threshold neuro developmental and bio-psychosocial disorders, which take up half of the office visits of the family physicians at least in three quarter of instances, where less than a fifth of the family physicians have any clue on these disorders as par current Evidence Based Medicine! This could be one of the most potent cost saving tools in Pediatric Healthcare.