*5.2.2 Home care for full-term newborn*

One of the characteristics of primary paediatric care in most of the countries is that home care for a healthy newborn starts after discharge with a follow-up medical visit taking place at the family home. The timing of follow-up visits is recommended to be done according to the duration of hospitalization, the discharge medical data and availability of the family and healthcare provider [33]. It is advisable for the healthcare provider to schedule it in such a way as to allow a generous amount of time. The durations of the visit must be appropriate to the complexity of the content of the follow-up visit.

According to the reproductive-maternal-newborn-and-child-health (RMNCH) indicators, alongside a complete physical examination, it is necessary

*Suggestions for Addressing Clinical and Non-Clinical Issues in Palliative Care*

by the GP and community nurse.

**4.2 Psycho-emotional domain**

**4.3 Social domain**

**5. Home care for children**

**5.2 Home care for healthy children**

*5.2.1 Planned home birth*

**5.1 Introduction**

values and spiritual beliefs should be respected.

the family caregivers. Warnings regarding late-release medications, which require administration at fixed times, and fast-release medications, which are administered when needed, are important. The family caregiver should record in a diary the problems they are experiencing, the side effects of the drugs and the presence of intestinal transit. Some medical interventions can be assigned to a certain family member as long as he/she is well trained and if a safe device is used (e.g. administration of the medication subcutaneously by a microperfuser) and will be supervised

The psycho-emotional aspect of the home care is burdensome for both the recipient and the family caregiver, affecting the formal home care team as well. Interventions delegated to the family caregiver imply discussions on pleasant topics, keeping in touch with the patient's friends and creating an enjoyable environment. Keeping honesty about the diagnosis, treatment and evolution is a desideratum of communication. Solving family conflicts, establishing good relations between its members and paying attention to people at risk especially for children will complete the care, keeping family members involved in the home care process. Cultural

The social support includes financial assistance, emotional support, information, companionship and self-esteem support. Inadequate social support and social isolation are associated with increased depression [25], cognitive decline, increased pain intensity and increased mortality [26]. The social needs are addressed by the social assistance specialist, and some can be delegated to the patient's family. The family caregiver will create a socially appropriate environment by avoiding isolation and participating in social or religious events and walks, depending on the degree of patient dependence.

Defining health like a human right, the United Nations Convention of the Right

The prevalence of home birth is variable by country, from 0.4% in Australia to 3.3%

in New Zeeland, with the highest percentage being in the Netherlands (20%) [28].

on the Child (UNCRC) ratifies the importance of the different aspects of child health in all types of care. In 2018 the global under-five mortality rate declines worldwide, but 5.3 million of children died under 5 years due the complications of prematurity, pneumonia or diarrhoea. The care of health especially on ill children is a permanent task for all health system, providers and caregivers. The World Health Organization (WHO) guide "Improving the quality of pediatric care -Operational guide for facility-based audit and review of pediatric mortality" provides data for the improvement, modifies the social, environmental and nutritional risk factors

and supports healthcare workers by learning their medical practice [27].

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to review some aspect of pregnancy, delivery and period from discharge [34]. It is also important to review the screening tests, to promote breastfeeding, to enhance the interest and to raise awareness regarding immunization. Involving the members of the family (father, grandparents) and observing the communications in the family allow the primary paediatric provider to coordinate a health plan, if needed.

For the newborn and mother, the WHO recommends the use of home-based records in order to improve some aspects of care. These include developing childcare knowledge, nurturing, involvement of the male in the child home care practices and communication between health providers and caregivers. There is not enough evidence in favour of a certain type of home-based record, the efficiency depending on the specific culturalism of a country [35].

The general practitioners' activity, especially the one with interest for child's care, is under a permanent challenge due to misinformation from online media. One of the most popular topics promoted in many countries by social media is the anti-vaccine movement linked to immunization of children and adults.

Social media platforms like Facebook and Instagram have become an important source of medical information for patients, caregivers, healthcare providers and policy-makers, and they must assume responsibility towards their users. The statement released in September 2019 by WHO Director-General Dr Tedros Adhanom Ghebreyesus raises awareness on the importance of social media platforms for spreading such information.

*The World Health Organization welcomes the commitment by Facebook to ensure that users find facts about vaccines across Instagram, Facebook Search, Groups, Pages and forums where people seek out information and advice.*

*Facebook will direct millions of its users to WHO's accurate and reliable vaccine information in several languages, to ensure that vital health messages reach people who need them the most [36]*
