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Pediatrics Well-Child Visit ( 11 to 19 Year Visit)

Ryan Sadeghian, Reza Sadeghian

11 and 12 Year Visit

Your child's eleventh and twelfth years are pivotal ones, signaling their transition into the 'tween' years or early adolescence. This phase is marked by significant emotional, social, physical, and cognitive shifts. While these changes come with their own set of challenges, they also present golden opportunities for growth, both for your child and for you as a parent.

Body Image and Self-perception: These years can be taxing for pre-adolescents as they grapple with bodily changes and become increasingly conscious of peer perceptions. It's not uncommon to find some trying to modify their appearance through diets or excessive exercise. As parents, it's crucial to reinforce that their developmental journey is completely normal. Remember that societal pressures, amplified by media and peers, can distort their understanding of a 'normal' body. Promote healthy eating habits, emphasizing on the importance of nutritious snacks and meals while limiting high fat and sugar content. Also, encourage them to engage in enjoyable, moderate exercises.

Vitamin D Supplementation: The American Academy of Pediatrics (AAP) endorses vitamin D supplementation for all infants, children, and adolescents. Many children could benefit from vitamin D, though not all might need it. Be especially watchful if your child has dark skin, spends most of their time indoors, consumes less than 16 oz of milk daily, or is obese. The daily recommended dosage is 400 IU, available over the counter in various forms. A multivitamin like Flintstones Gummies Complete can also be considered. But always remember, read the dosage instructions diligently.

The Quest for Independence: In these formative years, your child is inching towards greater autonomy and a sense of individual identity. Their peer group plays a paramount role in shaping their decisions and activities. While this natural inclination towards freedom is essential for honing their decision-making skills, it's equally vital to have candid conversations about potential pitfalls like drugs, alcohol, smoking, and premature sexual activities.

The Trappings of Modern Life: Two major risks that adolescents face today are violence and motor vehicle mishaps. Educate them on the long-term implications of their present choices. Monitor their habits, especially those concerning smoking, screen time, sports, extracurricular activities, and internet usage. Engage in open dialogues, avoiding any sermonizing tones. Limit their screen time to promote physical activities and shield them from detrimental influences.

Challenging Authority: Don't be surprised if your child begins to question or defy your authority. This is a standard part of growing up, with peer influence often taking precedence. While giving them the space to grow and form their own beliefs, it's also imperative to set clear boundaries. Collaborate with your child to draft these 'ground rules', ensuring smoother decision-making processes for both.

Your Continuing Role: Despite their growing independence, it's essential not to sideline your role as their guide and protector. Honor their increasing need for privacy, moderate criticism, and always be generous with praise for their positive actions. By ensuring open channels of communication, you can facilitate a smoother transition for your child and the entire family.

Remember, these 'tween' years, though challenging, can be a beautiful journey of growth, understanding, and mutual respect. Embrace the changes, support your child, and cherish every moment!


The ages of 11 and 12 are significant in the world of vaccinations. Some vaccines are specifically recommended for this age group, and others may be suggested based on individual risk factors. Here's what you might expect:

  1. Tdap Vaccine (Tetanus, Diphtheria, and Pertussis): This is an updated booster shot that protects against tetanus, diphtheria, and pertussis (whooping cough). It's generally given at age 11 or 12.

  2. Meningococcal Conjugate Vaccine (MenACWY): This vaccine protects against certain strains of meningococcal disease, which can be severe or even fatal. It's typically given around age 11 with a booster dose at 16.

  3. Human Papillomavirus (HPV) Vaccine: This vaccine is recommended for both boys and girls and protects against the strains of HPV that most commonly cause genital warts and cancers. The vaccine is typically initiated between the ages of 11-12 and is given in a series of shots.

  4. Yearly Flu Shot: Continuing the recommendation from earlier years, a yearly flu shot is still advised to protect against seasonal influenza.

  5. Catch-Up Immunizations: If there were any vaccines missed in the past, this visit could be an opportunity to get caught up. Consult your pediatrician's records to ensure that all recommended vaccines have been administered.

  6. Risk-based Vaccines: Some vaccines might be recommended based on certain risk factors or individual health conditions. Always discuss any travel plans, health conditions, or other special circumstances with your pediatrician.

Regular check-ups and open communication with your healthcare provider are essential. As your child transitions into adolescence, it's crucial to ensure they are protected against preventable diseases. It's also a great time to reinforce healthy behaviors, discuss potential risks they might face, and set the foundation for a healthy teen and adult life.

13 and 14 Year Visit

15 and 16 Year Visit

16 to 19 Year Visit

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