Indian Pediatrics ; IAP Policy on Age of Children for Pediatric Care Introduction In many health care institutions in India, sick children up to 12 or 13 years are registered under Pediatric service and older children under adult Medicine service. This age cut-off has been traditional.
Some 3 to 4 decades ago, sick children were treated by physicians who were primarily responsible for adult medical service.
Children were considered miniature adults and the main concern was only to scale down the doses of medicines according to the body weights of children. It did not matter very much where a child was admitted for treatment, because the same physicians treated children and adults. The children's wards had short beds and only children below about 12 or 13 would fit in them. Taller children, who were usually older, were admitted in adult wards. Even after Pediatrics came of age as discipline, somehow the traditional age cut off remained.
Even today, when sick persons are registered at the hospital reception desk, those under years are sent to Pediatric clinic and older children are sent to Medical clinic.
Adult Medicine or Internal Medicine as it is often called is usually preoccupied with the diagnosis and treatment of physical illnesses. Symptoms without disruption of functions of organs or issues are often attributed to 'functional' illness, usually without going into further details. Pediatrics is also concerned with such diagnostic accuracy of physical illness. Since the patterns of illnesses vary very much between adults and children, the same principles as those used by Internists are necessary for Pediatricians also to diagnose and under- stand disease processes and to treat diseases rationally.
But Pediatrics goes beyond disease. Childhood is the formative stage of life towards adulthood and we are concerned about growth, development and disease prevention, both physical and otherwise.
This process or growth, development and vulnerability to deviation from the normal or optimal path of growth and development do not cease with age 12 or 13 years, but proceeds up to the late teen age, that is, until a person is an adult. For this and other reasons, there are many advantages for teenagers td cone under the purview of Pediatric care.
Obviously, it does not matter as to who, the Internist or the Pediatrician, treats a teenager with typhoid fever or thyroid nodule. But, special skills are necessary to counsel a teenager who faces the stress of rapid body changes and the consequent confusion of self image and relationships.
This section contains some guidelines to help you with the most important of these preparations. Your baby will give you the most important information—how she likes to be treated, talked to, held, and comforted. This section address the most common questions and concerns that arise during the first months of life.
Your child is advancing from infancy toward and into the preschool years. During this time, his physical growth and motor development will slow, but you can expect to see some tremendous intellectual, social, and emotional changes. Your child should feel confident in her ability to meet the challenges in her life. This sense of personal power evolves from having successful life experiences in solving problems independently, being creative and getting results for her efforts.
Adolescence can be a challenge for parents. Your youngster may at times be a source of frustration and exasperation, not to mention financial stress. But these years also bring many, many moments of joy, pride, laughter and closeness. A young adult who goes away to a college or a job far from home has to build a social support system from the ground up. At the same time, he may have to acclimate himself to a drastically different environment.
You may be trying to access this site from a secured browser on the server. Please enable scripts and reload this page. Turn on more accessible mode. Turn off more accessible mode. Here's why and what experts say the pediatrician age limit should be. For most parents, getting started with a pediatrician is the easy part.
Chances are that even before you gave birth, you had researched doctors certified to treat children and chosen one for your baby on the way. The tougher part is realizing it's time to say goodbye to a doctor everyone has no doubt come to love. Many parents, as well as children who are on their way to becoming adults, wonder at what age is it appropriate to stop seeing their pediatrician.
In the same boat? We went to the experts to get the answer, plus answers to a few other questions you may be curious about when it comes knowing it's time to leave your family pediatrician. Then, in , they raised the recommended pediatric age to This advice was based on conditions like sickle-cell disease that could claim the life of an adolescent as young as At the same time, the AAP's position is a recommendation, as opposed to a set rule, so the age at which a patient will be advised to see adult care by their pediatrician varies from practice to practice.
Dyan Hes, M. Many pediatric emergency rooms automatically send anyone 18 years old and above to the adult emergency room. In some instances, the adolescent is force to transition to an adult doctor because of the insurance guidelines that mandate this to happen at age 18 years. While it might seem like some adult patients continue on with their pediatrician out of sheer convenience or indolence, there are a couple of major reasons patients might postpone seeking an adult care provider:.
Pediatricians' willingness to see older patients usually boils down to personal preference, Dr. Hes explains. In some offices, some physicians really enjoy seeing newborns, while others enjoy the psychosocial dynamics of adolescent health care.
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