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Assignment NRS 434VN Week 2 Child Assessment

Assignment: NRS 434VN Week 2 Child Assessment

When considering comparing physical assessments of a child versus an adult, the nurse must recognize that there are key differences between the two examinations. A physical assessment (PA) with an adult starts with assessing vitals, mood, hygiene, demeanor, and level of consciousness. The nurse has an opportunity to observe non-verbal forms of responses to questions to incorporate subjective and objective observations. Assessment of a child, however, relies heavily on objective observation from the patient and the parent’s input. The nurse must remain familiar with stages of development to better identify behavior outside of the norm and to properly educate the parent to know when to seek assistance upon noticing abnormalities. While both children and adults have targeted milestones, milestones among adults may vary depending on societal norms. Reaching milestones for children have a heavy dependence on their environment, family history, and cultural and traditional influences. The text mentions many factors to consider when assessing a child. One of which is nutrition. This aspect is often influenced by culture and family traditions. According to the CDC, more than 12 million children are obese (Falkner, 2018) and are at risk of co-morbidities such as heart disease, malnourishment despite being overweight, and chronic diseases. The nurse has an opportunity to provide patient education to the parent, with the child being a passive listener. In doing so, it is critical that the nurse put aside biases and present options and information as opposed to judgement (Falkner, 2018).

When involving the pediatric patient, therapeutic communication is key. The nurse will observe body language and pick up on ques in instances where the child may begin to withdraw or be uncomfortable. Allowing the child to participate in the assessment process may help them become more comfortable. Perhaps allow child to hold and use stethoscope, therapeutic touch and vivid interaction like asking the patient to say “aaaww”, positive reinforcement such as saying “good job”, and the use of comfort objects to demonstrating what will take place in the PA on a teddy bear are all methods that encourage engagement of a child patient.

 

Reference

 

Falkner, A. (2018). Grand Canyon University (E.D). Age-Appropriate Approach to Pediatric Health Care Assessment. Retrieved from https://lc.gcumedia.com/nrs434vn/health-assessment-foundations-for-effective-practice/v1.1/#/chapter/2.

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Children can have a lot of reservations when it comes to a visit to the health care provider. After all, what isn’t there to be afraid of. Strange new surroundings, noises, people, and of course the dreaded shots. In fact, one in twenty-five parents has canceled doctor’s appointments for their child due to the fear of shots alone (Michigan Medicine – University of Michigan, 2018). Children’s fears and anxiety also interfere with the parent’s ability to ask questions and provide information to the health care staff (Michigan Medicine – University of Michigan, 2018). However, regular checkups and vaccinations are critical during early childhood. The fundamental element with children is building trust. There are three recommendations that I was able to find.

First, get to know the child. This starts with greeting the patient first (the child) then the parent(s). This will show the child that they are the important one and starts the building of trust. Get down to their level, or have a parent hold them when speaking to them. Talk to the child and find out about them and what it is that they like to do (J & D Ultracare, 2019). Secondly, Create a comfortable environment for the child. Make the examination room look less like a medical office. Have an area for them to play with toys, books, and drawing boards. These items can be used as distraction tools to help calm the child during the visit. Even ask them to help get ready for the exam if possible (J & D Ultracare, 2019). And thirdly, just slow down and take your time. Try not to just jump right into the exam. Explain what you are doing and why. Allow them to touch and try things out. If the child’s anxiety is still too great, let them return to playing for a little bit. This will build a sense of trust for them (J & D Ultracare, 2019).

 

References

J & D Ultracare. (2019, December 17). 3 ways for pediatric nurses to build trust with child patients.

connect2local.com. https://connect2local.com/l/289432/c/778496/3-ways-for-pediatric-nurses-to-build

   trust-with-child-patients

Michigan Medicine – University of Michigan. (2018). Half of parents say their preschooler fears doctor’s visits.

   Science Daily. Retrieved October 15, 2018, from

   https://doi.org/https://www.sciencedaily.com/releases/2018/10/181015084624.htm

(NRS 434VN Topic 2 Assignment)

The needs of the pediatric patient differ depending on age, as do the stages of development and the expected assessment findings for each stage. In a 500-750-word paper, examine the needs of a school-aged child between the ages of 5 and 12 years old and discuss the following:

  1. Compare the physical assessments among school-aged children. Describe how you would modify assessment techniques to match the age and developmental stage of the child.
  2. Choose a child between the ages of 5 and 12 years old. Identify the age of the child and describe the typical developmental stages of children that age.
  3. Applying developmental theory based on Erickson, Piaget, or Kohlberg, explain how you would
    developmentally assess the child. Include how you would offer explanations during the assessment, strategies you would use to gain cooperation, and potential findings from the assessment.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success
Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Assignment NRS 434VN Week 2 Child Assessment

Assignment NRS 434VN Week 2 Child Assessment

Compare the physical assessment of a child to that of an adult. In addition to describing the similar/different aspects of the physical assessment, explain how the nurse would offer instruction during the assessment, how communication would be adapted to offer explanations, and what strategies the nurse would use to encourage engagement.

 

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Physical assessment of the child and that of an adult is done similarly yet differently. The act of auscultation, palpation, taking the vital signs to get the objective data are done the same but the normal range limits are different. For example, the healthy adult blood pressure normal range is from 90/60 mmHg – 120/80 mmHg, pulse rate 60-100 beats per minute and temperature of 97.8 ‘F to 98.6″F whereas to a 1-11-year-old child has a heart rate of 70-120 bpm, blood pressure of 90-110 systolic and 55-75 diastolic.

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In using Erikson’s theory, an adult’s stage of development is focused on the fear of loneliness if there is no long-lasting relationship and adult contemplates their contribution to society with their achievements or lack of, and for a school-aged child, the focus is more on establishing trust and self-esteem (Grand Canyon University, 2018).

Communication and approach with these two different age groups also differ. A caring and comfortable environment is needed for a school-aged child in order to extend their trust from their parents to the healthcare provider. The questions are also formulated so that the child is able to answer. Whereas for the adult, a more factual and straightforward questioning is done. Utilizing the evidence-based practice tools provided to the health care team, a thorough and effective assessment is done to promote health and have an effective nursing process.

References:

 

Grand Canyon University (Ed). (2018). Health assessment: Foundations for effective practice. Retrieved from https://lc.gcumedia.com/nrs434vn/health-assessment-foundations-for-effective-practice/v1.1/

 

Medline Plus. Retrieved from: Vital signs: MedlinePlus Medical Encyclopedia

 

C.S.Mott Children’s Hospital .Retrieved from: Vital Signs in Children | CS Mott ChilVital Signs in Children | CS Mott Children’s Hospital | Michigan Medicinedren’s Hospital | Michigan Medicine

SO

Stanley Ogbo

Posted Date

Feb 5, 2022, 11:56 PM

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Replies to Rizalina Orencia

Stanley Ogbo

College Name, Grand Canyon University

Course Number: NRS-434VN

Topic 2 DQ 2

Dr. Lily Polsky

4 February 2022.

Introduction

Child development assessment is defined as a process of getting data about their growth and development. The Nurse aims at getting a record growth in all areas while collecting the information. The data being collected include language, cognitive and social-emotional and approaches to learning. Child assessments is important in ascertaining children with special needs that may require extra support (Kaufman, 2018).

Comparing physical assessments of a child to an adult

Obtaining data is different at each age because human needs vary with age. In addition, the mode of assessment used is dynamic. For example, piece of information is obtained from the parent or care giver in a 5-year-old compared to the nineteen-year-old that can express themselves coherently. The Nurse uses Observation as one of the techniques used in the assessment. Here, the care provider interacts with the child and concludes based on their conduct. The other methods include standard test, portfolios, care provider ratings and parent ratings. However, all methods are best applicable for different ages. There is need to modify the techniques in some situation. For example, reading out questions on a standardized test for a five-year-old and writing out the answers for them. However, when the same approach is used on a twelve-year-old, they are left to read, interpret, and even answer the questions on the test with minimal assistance,

Communication strategies a nurse would use to encourage engagement

Nine-year-old Ben was born at 37 weeks with 2600grams via safe vaginal delivery and was admitted for 2 weeks due to birth asphyxia. He had gained 300grams on discharge. He was breastfed exclusively for the first 6 months and was weaned with different soft foods. He could roll over at 4 months and began sitting at 6. He was hospitalized for severe malnutrition for a month while he was 9 months old. This delayed his milestone and he only crawled when he was 16 months. He could say four-letter words at 6 months and could say complete simple sentences at 24 months. He has good relationship with his family members. He started school at 4 years, is obedient, has average performance, loved by teacher and friends at school. Ben fits into the 4th stage of Erikson developmental theory, known as Industry vs. Inferiority. The basic virtue at this stage is competency (Cherry, 2018). Based on Erikson`s theory, the nurse should focus on his ability to read, do simple sums, and write. The assessor will obtain information on Ben`s friends and this assessment done with he is with his friends. The friends he does not like will make him feel inferior.

Conclusion

Child development assessment is important because it provides opportunity for the care provider to establish any special needs that the child may require. Moreover, the assessment provides a ground where both the care provider and the parents can provide support for the child. However, the needs of the child change with time and hence the mechanisms used in assessing as well as the results (Kaufman, 2018).

 

 

References

Cherry, K. (2018). Erik Erikson`s Stages of Psychosocial Development. Retrieved June 5, 2018.

Kaufman, A. S. (2018). Contemporary intellectual assessment: Theories, tests, and issues. Guilford Publications.

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