Chest x-ray Asthma Basics • Nearly 1 in 10 children have asthma
• Most children who develop asthma (80%) develop symptoms prior to 5 years of age
• Cough and wheeze are the most common symptoms; breathlessness, chest tightness, chest pain can also be experienced.
• Triggers include viral illnesses, exercise, weather, smoke exposure, allergens, irritants, and stress
Program Goals
• To identify children at any encounter that are at risk for having asthma
• To further assess those children identified as being at risk
• To assist those with asthma to appropriately manage symptoms through:

- Initiation of controller medications when necessary
- Management of exacerbations when they occur
- To monitor progress on medications, assess for side effects, and manage dosing as appropriate
- Coordinate specialist care when appropriate (Allergists, Pulmonologists)
Diagnosis Assessment for asthma is based on:
• History
• Physical Examination
• Demonstration that obstruction (what causes symptoms) is reversible
• Excluding other diagnosis where appropriate
Management • Standardized Assessment Questionnaires such as the Asthma Control Test to assess recent symptoms
• Spirometry to assess amount of airway obstruction present at time of visit
• Laboratory studies to assess for allergies, immune deficiencies, cystic fibrosis where appropriate
• Referrals to allergists, immunologists, pulmonologists where appropriate
• Adjustments and Education on which medications to use and when based on assessment
Additional Information Asthma and Allergy Foundation of America American Lung Association American Academy of Allergy, Asthma, and Immunology Healthy Children

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Baby getting listened to PREVENTATIVE HEALTH CARE VISITS Preventative Health Care

Preventative Health Care encompasses a wide variety of services to both promote good health and prevent diseases. We provide preventative health care based on the American Academy of Pediatrics Bright Futures Guidelines for Health Supervision.
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SAME DAY SICK APPOINTMENTS Same Day Sick Appointments

Peds First Pediatrics is available 7 days a week to provide care for when your child is ill. We limit booking for acute illnesses such as fever, ear pain, sore throat to the day you call for the appointment. We kindly request that you call as early in the day as you recognize that you wish to have your child evaluated.
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breastfeeding baby BREASTFEEDING SUPPORT Breast Feeding Support

We aim to educate families and encourage breastfeeding. We provide access to an International Board Certified Lactation Consultant to support all families that are attempting to breastfeed. Peds First also seeks to identify and assist mothers who are suffering with post-partum depression.
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Helmets and Lacrosse Sticks CONCUSSION MANAGEMENT Concussion Management
Peds First provides evaluations for concussions in the event an injury is sustained. If concussion is of concern, we provide monitoring of symptom progression and establish appropriate limits on return to activity. When available we utilize individualized baseline performance measurements of physical and cognitive skills to assist with post concussion management.
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Support Sign CARE COORDINATION Care Coordination

Our Care Coordination Team is constantly evolving in an attempt to minimize "Gaps in Care." We seek to identify the barriers that families face in receiving proper care and assist them in clearing those barriers.
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Food, Stethoscope and Heart NUTRITION SUPPORT Nutrition Support

The old adage states “You are what you eat.” To a large extent, this is accurate – optimal nutrition is one factor to help you live a longer and healthier life. However, what is optimal depends on the individual, and this is the focus of our nutrition department.
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Chest x-ray ASTHMA MANAGEMENT Asthma Management

Asthma is a chronic inflammatory condition affecting the smaller airways in the lungs of nearly 1 in 10 children. We actively seek to identify children that are at risk for having asthma so that we may provide the proper education, monitoring, and therapy as needed to minimize both short and long term consequences of poorly controlled asthma.
Click here to learn more about Asthma Management
Unhappy to Smiley Face MENTAL HEALTH SERVICES MENTAL HEALTH SERVICES

A 2018 study in The Journal of Pediatrics demonstrated that among children ages 3 to 17 years, about 3% suffer from depression and 7% from anxiety. Of great concern is that more than 1 in 5 of these children went untreated for their condition. We seek to identify those children at risk for mental health conditions so that we can provide assistance where appropriate.
Click here to learn about our Mental Health Services.
Kids writing ADHD MANAGEMENT ADHD Management

ADHD is a common condition that affects children more than just academically. It can cause difficulty in all avenues of life, and when severe can contribute to the development of other mental health concerns such as depression and low self esteem. We seek to identify and manage this condition to maximize the success of those affected.
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Asthma Basics

  • Nearly 1 in 10 children have asthma
  • Most children who develop asthma (80%) develop symptoms prior to 5 years of age
  • Cough and wheeze are the most common symptoms; breathlessness, chest tightness, chest pain can also be experienced.
  • Triggers include viral illnesses, exercise, weather, smoke exposure, allergens, irritants, and stress

Program Goals

  • To identify children at any encounter that are at risk for having asthma
  • To further assess those children identified as being at risk
  • To assist those with asthma to appropriately manage symptoms through:
    • Education
    • Initiation of controller medications when necessary
    • Management of exacerbations when they occur
    • To monitor progress on medications, assess for side effects, and manage dosing as appropriate
    • Coordinate specialist care when appropriate (Allergists, Pulmonologists)

Diagnosis

Assessment for asthma is based on:

  • History
  • Physical Examination
  • Demonstration that obstruction (what causes symptoms) is reversible
  • Excluding other diagnosis where appropriate

Management

  • Standardized Assessment Questionnaires such as the Asthma Control Test to assess recent symptoms
  • Spirometry to assess amount of airway obstruction present at time of visit
  • Laboratory studies to assess for allergies, immune deficiencies, cystic fibrosis where appropriate
  • Referrals to allergists, immunologists, pulmonologists where appropriate
  • Adjustments and Education on which medications to use and when based on assessment