Introduction In 2008, the American Academy of Pediatrics (AAP) revised and updated Dr. Robert Hoekelman’s venerable Primary Pediatric Care to create a new, comprehensive resource centered around th e concept of the medical home. The fi rst edition of the AAP Textbook of Pediatric Care applied the principles of evidence-based medicine to a diverse range of practice settings, including community health clinics, solo and private group practices, and hospitals, and to pediatricians practicing in urban, suburban, and rural areas. The nearly eight years since that fi rst publication have seen enormous changes in the practice of pe- diatric medicine in our understanding of the rela- tionships between mental and physiologic health and between early childhood adversity and long- term health outcomes and, not the least, in the ways in which medical information can be orga- nized, distributed, and accessed. This new, fully revised second edition has been created in re- sponse to these important challenges. Refl ecting the importance of incorporating men- tal health care into routine primary pediatric care, we have reorganized the book’s content so that mental health screening, surveillance, promotion, symptoms, and conditions are now fully integrated throughout, rather than being divided into a sepa- rate section. New chapters have been added, in- cluding several based directly on the work of the AAP Task Force on Mental Health. In addition to the enhanced coverage of mental health topics, new chapters have been developed that cover more than 25 new diseases and condi- tions and more than a dozen new signs and symp- toms. Furthermore, each chapter’s selection of Tools for Practice has been fully updated. Two dedicated tools editors have undertaken the task of reviewing and curating these tools for patient engagement, medical decision support, community advocacy, and practice management throughout the book. The AAP recognizes that physicians need not only in-depth educational and resource materials for learning but also point-of-care decision support and tools to engage patients. To meet these needs, the Textbook is now seamlessly integrated within Pediatric Care Online, the essential AAP resource for trusted pediatric information. The Textbook, linked with the other components of Pediatric Care Online—namely, Red Book Online and Pediatric Patient Education—provides a single point-of-care resource for child health professionals as we con- tinue to move into an increasingly digital world. In addition, Pediatric Care Online provides a more- than-complete version of the Textbook, including full reference lists, interactive tools and forms, new and updated Point-of-Care Quick Reference topics, and exclusive online-only chapters, beginning with an important chapter on Disaster Prepared- ness and Response, which is available now. In addition to these exciting electronic develop- ments, we think you will fi nd the core content of the Textbook more valuable and relevant than ever. Part 1, Delivering Pediatric Health Care, dis- cusses health care delivery and organizational issues for pediatric practices, including the use of electronic health records, digital resources, evidence-based medicine, and methodologies for quality improvement. This new edition highlights the importance of patient- and family-centered care. Part 2, Principles of Care, has been reorganized to encompass the full range of traditional pediatric practice as well as emerging issues that pediatri- cians now deal with day to day. Section One covers physical, behavioral, and social assessment. Sec- tion Two features a greatly expanded discussion of health promotion based on the Bright Futures guidelines, including environmental health, com- munity pediatrics, surveillance and screening, and, crucially, emerging issues such as obesity, physical activity, healthy use of media, and violence preven- tion. Section Three covers the general management of children with health and behavioral problems, including communication strategies, the provision of culturally effective care, pain management, psy- chosocial and psychopharmacologic therapies, transitions to adulthood, and palliative, end-of-life, and bereavement care. Section Four highlights the unique challenges to the pediatrician in caring for special populations, such as children exposed to adverse childhood experiences, in foster or kinship care, in the juvenile justice system, and in military families, as well as lesbian, gay, and bisexual youth. ix Introduction
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