NSG 6435 Developmental Evaluation and Screening Case Study
Sample Answer for NSG 6435 Developmental Evaluation and Screening Case Study Included
A Sample Answer For the Assignment: NSG 6435 Developmental Evaluation and Screening Case Study
Title: NSG 6435 Developmental Evaluation and Screening Case Study
NSG 6435 Developmental Evaluation and Screening Case Study
Nursing: Aquifer Case Study for Pediatrics
Aquifer Pediatrics are highly interactive and dynamic ways that help students to develop clinical reasoning skills for future successful practice. Besides, a nurse uses Aquifer Pediatrics to assess, diagnose and develop patient care plans that are based on the latest evidence-based practice as well as follow the recommended clinical guidelines. The following description is based on a response to questions from the Aquifer Case titled Pediatrics 02. It seeks to analyze nursing skills in the assessment, diagnosis, and formulation of a care plan for a patient named Asia.
History to Be Taken From Asia in Preparation for a Well-Child Visit
Interval history is one of the pertinent questions to be concerned with as a health care provider. This entails probing the guardian about a detailed birth history and asking if the child has ever had any health problems. In case the mother has medical records, laboratory investigation results and review visits, such information is used to assess the past medical history of the child (Burns et al., 2016). The interval history also provides information on growth and development of the child. This can be achieved through the use of developmental screening tools suitable for Asia.
Diet history serves to offer information on the feeding practices of the child. The history also provides a profile of the tolerable and intolerable foods for the child, which can help health providers recommend alternative feeding practices (Quitadamo, Ummarino, & Staiano, 2015). Family history is an essential component of the well-baby visit as it unravels the genetic and behavioral as well as environmental vulnerabilities that might cause potential illness to the child. Nonetheless, social history also serves as an important aspect in the preparation for the well-baby visits. It delves into the livelihoods of the primary caretakers and the environmental risks that might influence the health status of the child. However, questions regarding growth and development of the child appropriate to her age include the following:
- What was Asia’s weight and height in the previous visit?
- Do you notice a change in the child’s growth?
- Does the child feed properly?
The Developmental Tool to be used for Asia
The Ages and Stages Parent Report Questionnaire (ASQ) is the most suitable tool to assess the developmental score for the child. ASQ is a developmental as well as a social-emotional screening device that yields results that are highly reliable and valid for every stage of growth of the child. The parents can readily monitor and report the growth of the child at every developmental stage. According to Burns et al. (2016), the tool is important in assessing stunting in children since it looks at the strengths as well as the trouble spots as children achieve growth. With this, it monitors height developmental of the child and compares it with reference standards to ensure that the growth of Asia is in line with her recommended age. In this assessment, parents are informed about Asia’s developmental milestones for a healthy living (De Onis, 2015). Expert opinion on the growth schedule of the child is also provided based on primary screening. Guided by the argument, the ASQ tool increases specificity in child screening and therefore can be used to provide a targeted intervention as per the diagnosis of the child.
As at 9 months, Asia’s developmental stages was appropriate for her age. In the ASQ tool, several developmental scores were identified. Her gross motor scores were normal since she could stand alone and attempt walking. Most specifically, Asia crawled on the exam table, sat well and could pull herself (Susman, Feagans, & Ray, 2014). Her fine motor was also developing well since she could attempt pincer grasp. Her language indicates frequent babbles but not specific to particular words which affirms a recommended developmental age as per the ASQ tool (Moeschler & Shevell, 2014). She is also social and adaptive as she could quietly sleep on the exam table to allow the doctor to make a diagnosis. These scores affirm that Asia was developing based on the requirement of her age.
Immunization Schedules, Patient Education and Follow-up for Asia
On the first visit, Asia should receive DTaP for diphtheria, tetanus, and pertussis. IPV should be administered against polio. Moreover, Asia needs to receive the Hib vaccine for Haemophilus influenza type B and PCV13 for pneumococcus (13 strains). MMR should be administered against measles, mumps, and rubella while varicella needs to be used against the immunization of varicella. Asia should receive Rotav vaccines against the rotavirus on the first visit. HepA and HepB should be administered to Asia to protect her against Hepatitis A and B respectively.
Patient education focuses on encouraging the mother to continue providing complementary feeds to the child. De Onis (2015) illustrates that attention should be given to blunt diets and provide soluble fiber diets to avoid the irritation of the gastrointestinal tube. The mother also needs to identify foods preferred by the child to improve oral intake. Food service to the child should also be done with love to encourage recommended intake. Follow-ups should be done after one month for the baby to receive her immunization schedules, complete blood count tests and for further examination on her condition. However, in case the mother recognizes negative changes in her health before one month elapses, then the child should be presented to a health facility immediately for medical assessment.
NSG 6435 Developmental Evaluation and Screening Case Study References
Burns, C. E., Dunn, A. M., Brady, M. A., Starr, N. B., Blosser, C. G., & Maaks, D. L. G. (2016). Pediatric Primary Care-E-Book. Elsevier Health Sciences.
De Onis, M. (2015). World Health Organization Reference Curves. The ECOG’s eBook on Child and Adolescent Obesity, 19.
Moeschler, J. B., & Shevell, M. (2014). Comprehensive evaluation of the child with intellectual disability or global developmental delays. Pediatrics, 134(3), e903-e918.
Quitadamo, P., Ummarino, D., & Staiano, A. (2015). GER and GERD in children: to treat or not to treat?. Minerva pediatrica, 67(2), 187-197.
Susman, E. J., Feagans, L. V., & Ray, W. J. (2014). Emotion, Cognition, Health, and Development in Children and Adolescents (PLE: Emotion). London, UK: Psychology Press.
Description
For this assignment, you will complete a Aquifer case study based on the course objectives and weekly content. Aquifer cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your Nurse Practitioner program you will use the Aquifer case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.
The Aquifer assignments are highly interactive and a dynamic way to enhance your learning. Material from the Aquifer cases may be present in the quizzes, the midterm exam, and the final exam.
Click here for information on how to access and navigate Aquifer.
This week, complete the Aquifer Case titled Pediatrics 02: Infant female well-child visits (2, 6, and 9 months).
Lopes Write Policy
For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy
The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
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Communication
Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.
Important information for writing discussion questions and participation
Welcome to class
Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to
I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.
Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.
If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.
Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.
Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.
I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!
Hi Class,
Please read through the following information on writing a Discussion question response and participation posts.
Contact me if you have any questions.
Important information on Writing a Discussion Question
- Your response needs to be a minimum of 150 words (not including your list of references)
- There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
- Include in-text citations in your response
- Do not include quotes—instead summarize and paraphrase the information
- Follow APA-7th edition
- Points will be deducted if the above is not followed
Participation –replies to your classmates or instructor
- A minimum of 6 responses per week, on at least 3 days of the week.
- Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
- Each response needs to be at least 75 words in length (does not include your list of references)
- Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
- Follow APA 7th edition
- Points will be deducted if the above is not followed
- Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
- Here are some helpful links
- Student paper example
- Citing Sources
- The Writing Center is a great resource