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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Neurodevelopmental and behavioural paediatrics
1Child Development Network, Brisbane, Queensland, Australia; Neurodevelopmental and Behavioural Paediatric Society of Australasia, Australia; Department of Paediatrics and Child Health, University of Queensland, Brisbane, Queensland, Australia.
Insights
Paediatrics now addresses chronic childhood disorders impacting development and wellbeing. This requires integrating psychological and social factors alongside traditional biological approaches for comprehensive care.
Area of Science:
- Child Health
- Developmental Paediatrics
- Behavioural Science
Background:
- Paediatrics has evolved over 50 years, increasingly focusing on chronic and qualitative childhood disorders.
- These conditions affect physical health, child development, behaviour, and overall wellbeing.
- Management necessitates expanding beyond traditional biological models to include psychological and social contexts.
Observation:
- Community Paediatrics has emerged as a sub-specialty in Australasia.
- Neurodevelopmental and Behavioural Paediatrics is a key component of this evolving field.
- The scope of paediatric practice now encompasses complex psychosocial factors.
Findings:
- The shift towards chronic, qualitative disorders requires a multidisciplinary approach.
- Integrating psychological and social considerations is crucial for effective paediatric care.
- Community Paediatrics and its sub-specialties represent a professional response to these complex needs.
Implications:
- Future paediatric care must embrace a holistic model addressing the whole child.
- Further development of specialized paediatric services is essential.
- Continued research and training are needed to manage complex developmental and behavioural issues.
Abstract:
One of the notable shifts in Paediatrics across the last 50 years has been towards disorders that are chronic and qualitative in nature. In addition to physical health, these impact on childhood development, behaviour and wellbeing. Understanding and management of these problems extends the traditional biological toolkit of paediatrics into the complexities of uncertainties of psychological and social context. In Australasia, the profession has responded with the development of Community Paediatrics as a recognised sub-specialty, of which Neurodevelopmental and Behavioural Paediatrics is an important component. These developments are reviewed along with consideration of future challenges for this field of health care.
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