Care plan for follow-up for a child with Down syndrome

Birth to 12 years

Child’s name: DOB:

Father’s name: Mother’s name:

Before
Assessment/ Investigation 6 mth 1 yr 2 yr 3 yr 4 yr 5 yr
discharge
Karyotype

Thyroid function tests

Counts and smear

Hemoglobin

Hearing check

Eye check Cataract Squint, Squint, Squint, Squint, Squint,

Refraction Refraction Refraction Refraction Refraction

Dental check

ECHO If cardiac defects present, appropriate follow up.

Look for features of GIT

anomalies

History of Constipation

Growth monitoring W, L, HC W, L, HC W, L, HC W, L, HC W, H, HC W, H, HC W, H, HC

Developmental support
Any snoring, restless sleep,
what is the sleep position?
If yes, overnight pulse ox
Neurological examination C spine
screening

Additional Vaccines PCV Flu Flu Flu Flu Flu

Alert:

• Watch for unexplained prolonged fever, bruisability, anemia, bony pain- report to doctor at the earliest
• If you are worried that your child may have a serious infection, please seek medical advice. Children with Down
syndrome are more vulnerable to serious infections and may present atypically
 Care plan for follow-up for a child with Down syndrome
Birth to 12 years

Child’s name: DOB:

Father’s name: Mother’s name:

Assessment/ Investigation 6 yr 7 yr 8 yr 9 yr 10 yr 11 yr 12 yr

Thyroid function tests

Hemoglobin

Hearing screen

Ophthal examination Refraction Refraction Refraction Refraction

Dental check

Clinical examination Look for

Cardiac MVP, AR

History of Constipation

Growth monitoring H, BMI H, BMI H, BMI H, BMI H, BMI H, BMI H, BMI

Developmental support

Behavioural problems
screening
Any snoring, restless sleep,
what is the sleep position?
If yes, overnight pulse ox
and screen for pulmonary
hypertension
Neurological examination

Additional Vaccines Flu Flu Flu Flu Flu Flu Flu

Alert:

• Watch for unexplained prolonged fever, bruisability, anemia, bony pain- report to doctor at the earliest