Growth and Development



Bright Futures Patient Handout: 18 to 21 Year Visits

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Physical Growth and Development

Your Daily Life

  • Visit the dentist at least twice a year.

  • Protect your hearing at work, home, and concerts.

  • Eat a variety of healthy foods.

  • Eat breakfast every morning.

  • Drink plenty of water.

  • Make sure to get enough calcium.

    • Have 3 or more servings of low-fat (1%) or fat-free milk and other low-fat dairy products each day.

  • Aim for 1 hour of vigorous physical activity.

  • Be proud of yourself when you do something well.

Risk Reduction

Healthy Behavior Choices

  • Support friends who choose not to use drugs, alcohol, tobacco, steroids, or diet pills.

  • If you use drugs or alcohol, you can talk to us about it. We can help you with quitting or cutting down on your use.

  • Make healthy decisions about your sexual behavior.

  • If you are sexually active, always practice safe sex. Always use a condom to prevent STIs.

  • All sexual activity should be something you want. No one should ever force or try to convince you.

  • Find safe activities at school and in the community.

Violence and Injury Prevention

Violence and Injuries

  • Do not drink and drive or ride in a vehicle with someone who has been using drugs or alcohol.

    • If you feel unsafe driving or riding with someone, call someone you trust to drive you.

  • Always wear a seat belt in the car.

  • Know the rules for safe driving.

  • Never allow physical harm of yourself or others at home or school.

  • Always deal with conflict using nonviolence.

  • Remember that healthy dating relationships are built on respect and that saying “no” is OK.

  • Fighting and carrying weapons can be dangerous.

Emotional Well-Being

Your Feelings

  • Figure out healthy ways to deal with stress.

  • Try your best to solve problems and make decisions on your own.

  • Most people have daily ups and downs. But if you are feeling sad, depressed, nervous, irritable, hopeless, or angry, talk with me or another health professional.

  • We understand sexuality is an important part of your development. If you have any questions or concerns, we are here for you.

Social and Academic Competence

School and Friends

  • Take responsibility for being organized enough to succeed in work or school.

  • Find new activities you enjoy.

  • Consider volunteering and helping others in the community on an issue that interests or concerns you.

  • Form healthy friendships and find fun, safe things to do with friends.

  • As you get older, making and keeping friends is important. You may find that you drift away from some of your old friends—that's normal.

  • Evaluate your friendships and keep those that are healthy.

  • It is still important to stay connected with your family.

© 2010 American Academy of Pediatrics

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    Please take the time to contact us to schedule your child’s well visit. This will help to ensure that your child’s visit will occur in a timely fashion, and that any necessary forms for school or sports will be completed well ahead of deadlines. Please note: Delaware Interscholastic Athletic Association (DIAA) forms must be completed on or after April 1st in order to participate. These forms may be based on a physical examination conducted within 12 months of the signature. The clearance is valid through June 30 of the following school year. Please let our staff know at the time of your child’s visit that you need a form completed.
     
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  • Getting Kids to Eat More Fruits and Veggies

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    We are available on both Saturday and Sunday mornings, by appointment, for urgent sick visits. Please call in the morning, between 8:00 a.m. and 11:00 a.m., if you are interested in a sick appointment on a weekend.  Please leave a message, and one of our staff will return your call within a reasonable period of time.   Please avoid 'walking in' without an appointment.
     

North Wilmington Office
1409 Foulk Rd | Wilmington , DE 19803
Phone: 302-762-6222 | Fax: 302-764-6058
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Appoquinimink Office
3920 South DuPont Pkwy | Townsend, DE 19734
Phone: 302-449-2570 | Fax: 302-449-2573
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