U11 examination

definition

The U11 examination is the eleventh preventive examination for the child and is carried out between the ages of 9 and 10 years.

Read more on the subject at: U examinations

introduction

The children's supplies U1 to U7 have been an important part of paediatrics for several decades. It is carried out by the pediatrician to ensure a healthy, age-appropriate physical and mental development of the child by identifying diseases of newborns, toddlers and children as early as possible. At the same time, the Checkups identifying and preventing neglect, neglect, mistreatment or abuse of any kind.

However, since the examinations U1 to U7 only cover ages from 1 to 24 months of age, further preventive examinations have been introduced for which an additional preventive booklet is available. As part of these new examinations, the U11 is carried out on a voluntary basis between the ages of 9 and 10. The focus of this preventive medical check-up is on School performance disorders, the Social behavior and Exercise and diet of the child. This is also viewed critically Media behavior.

Contents of the U11 examination

At the age of 9 or 10, children are increasingly confronted with new challenges. This is also reflected in the U11 preventive medical check-up. The main focus is therefore on recognizing and planning the treatment of School performance disorders, Socialization- and Behavior disorders as well as eventual tooth-, mouth- and Jaw abnormalities. The U11 is also used to identify and prevent problematic handling of Addictive substances or harmful to health Media consumption. Based on Questionnaires and the direct questioning of the child and the parents, the doctor can find out whether the child may show addictive behavior when using a computer, television, smartphone or other media or whether he has already had contact with drugs, possibly indirectly.

Furthermore there is also a Advice to parents and the child's health-conscious behavior. Depending on requirements, the nutrition, Sport and coping with stress received.

The content of every preventive examination is also general physical examination. On the one hand, body size and body weight are measured and from this the BMI (Body mass index) calculated. By default, the Control of the various abdominal and chest organssuch as the heart, lungs, kidneys, and liver. Likewise one finds Control of sight and hearingas well as the Motor skills and skill instead of.

Vaccinations

The U11 is a good opportunity to have vaccinations or booster vaccinations that have not yet taken place. Typically done on the recommendation of STIKO (Standing Vaccination Commission of the Federal Republic of Germany) at the age of 9-14 years about a refresher DTP vaccination against diphtheria, tetanus and whooping cough (Pertussis). Likewise the first Poliomyelitis booster vaccination be made and on request against the Human papillomavirus (HPV), the trigger for a variety of cervical cancerMolds to be vaccinated.

Questionnaire and interview

By talking to the child, the doctor can get a rough overview of any disturbances in the child. Above all, play here Concentration- and Attention deficit, for example as part of a Attention deficit-/Hyperactivity disorder (ADHD), but also a wide variety fears, general Behavioral problems or Problems in social behavior a role. In addition, parents are usually asked about these topics in order to find out about delays in development or problems in the child's behavior. If there are any abnormalities, the doctor can advise the parents on how to proceed or initiate appropriate therapy.

In order to simplify the investigation and the discussion within the framework of this and make it more effective, various Questionnaires developed. One of the most famous questionnaires for the U11 is the "Mannheim questionnaire for 6 - 12 year olds", which is available for download on various Internet sites. This can be printed out before the examination and filled out by parents and child together and brought to the preventive examination. This gives the doctor a good overview of whether the child is doing well and where Parents problems in the Development of your child see.

Costs of an investigation

The cost of preventive medical check-ups for infants and toddlers have been covered by health insurance companies as mandatory benefits since 1971. For the more recent preventive examinations, the procedure of the health insurance companies is not yet quite as uniform. However, most health insurance companies now cover the full cost of the U11. If further examinations or treatment steps are necessary as part of the U11, these will also be covered by the health insurance.

If the health insurance company does not cover the costs, around € 50 will be charged for the examination. You can inquire with the respective health insurance company whether the U11 is included as a compulsory service in the health insurance company's catalog of services and whether it is reimbursed in full, in part or not at all.

It continues with the U12 examination. Find out more in good time at: U12 examination - you should know that!