Items to Include in a Growth and Puberty Care Plan

The following is a list of common elements for a guideline-based care plan for growth-related disorders. This list can be adapted for your practice’s 2 or 3 most common specific conditions, and a general growth disorder care plan can be used for other growth-related concerns.

• Growth or puberty-related diagnosis(es)
• Treatment plan
• Coexisting diagnosis(es)
• Medications, supplements, vitamins, dosages
• Other therapies
• Allergies
• Recent clinical exam results (measurements, blood pressure, etc)
• Recent diagnostic test results
• Hospitalizations
• Sleep habits
• Extracurricular activity involvement
• Educational status (school, homeschooling, individualized education plan, etc)
• Patient or family concerns
• Educational materials provided to patient and family, including information on the disorder and benefits and side effects of treatment
• Psychosocial issues or limitations to following the plan
• Recommended physical activity, with any needed adaptations
• Recommended dietary adaptations or changes
• A medical summary with condition-specific action plans
• Identify team members with roles, responsibilities, and contact information; consider including patient, family, general pediatrician, pediatric endocrinologist, other subspecialists, school staff, mental health professional, social worker, nurse specialist
• Transition plan to adult care (as appropriate) in accordance with the 2011 transition guidelines, Supporting the Health Care Transition from Adolescence to Adulthood in the Medical Home. For resources to help with transition planning, see AAP Medical Home Resources and click on the tab for Transition to Adult Care.