Sample Answer for NURS 6512 CASE STUDY ASSIGNMENT ASSESSMENT OF NUTRITION IN CHILDREN Included After Question<\/strong><\/em><\/span><\/h2>\nMany experts predict that genetic testing for disease susceptibility is well on its way to becoming a routine part of clinical care. Yet many of the genetic tests currently being developed are, in the words of the World Health Organization (WHO), of \u201cquestionable prognostic value.<\/p>\n![\"NURS](\"http:\/\/nursingassignmentcrackers.com\/wp-content\/uploads\/2024\/02\/Capture-3-7-300x86.png\")
NURS 6512 CASE STUDY ASSIGNMENT ASSESSMENT OF NUTRITION IN CHILDREN<\/figcaption><\/figure>\n\u2014Leslie Pray, PhD<\/p>\n
Obesity remains one of the most common chronic diseases in the United States. As a leading cause of United States mortality, morbidity, disability, healthcare utilization and healthcare costs, the high prevalence of obesity continues to strain the United States healthcare system<\/a> (Obesity Society, 2016).<\/p>\nMore than one-third (39.8%) of U.S. adults have obesity (CDC, 2018). The estimated annual medical cost of obesity in the U.S. was $147 billion in 2008 U.S. dollars; the medical costs for people who are obese were $1,429 higher than those of normal weight (CDC, 2018).<\/p>\n
According to the Centers for Disease Control and Prevention (CDC), the rate of childhood obesity has tripled in the past 30 years, with an estimated 13.7 million children and adolescents considered obese (CDC, 2018). When seeking insights about a patient\u2019s overall health and nutritional state, body measurements can provide a valuable perspective. This is particularly important with pediatric patients.<\/p>\n
Measurements such as height and weight can provide clues to potential health problems<\/a> and help predict how children will respond to illness. Nurses need to be proficient at using assessment tools, such as the Body Mass Index (BMI) and growth charts, in order to assess nutrition-related health risks and pediatric development while being sensitive to other factors that may affect these measures. Body Mass Index is also used as a predictor for measurement of adult weight and health.<\/p>\nAssessments are constantly being conducted on patients, but they may not provide useful information. In order to ensure that health assessments provide relevant data, nurses should familiarize themselves with test-specific factors that may affect the validity, reliability, and value of these tools.<\/p>\n
This week, you will explore various assessment tools and diagnostic tests that are used to gather information about patients\u2019 conditions. You will examine the validity and reliability of these tests and tools. You will also examine assessment techniques, health risks and concerns, and recommendations for care related to patient growth, weight, and nutrition.<\/p>\n
Learning Objectives<\/h2>\n
Students will:<\/p>\n
\n- Evaluate validity and reliability of assessment tools and diagnostic tests<\/li>\n
- Analyze diversity considerations in health assessments<\/li>\n
- Apply concepts, theories, and principles related to examination techniques, functional assessments, and cultural and diversity awareness in health assessment<\/li>\n
- Apply assessment skills to collect patient health histories<\/li>\n<\/ul>\n
Week 3: Assignment 1<\/a>\u00a0\u2013 Case Study Assignment: Assessment of Nutrition in Children<\/h2>\nWhen seeking to identify a patient\u2019s health condition, advanced practice nurses can use a diverse selection of\u00a0diagnostic tests<\/a>\u00a0and assessment tools; however, different factors affect the validity and reliability of the results produced by these tests or tools. Nurses must be aware of these factors in order to select the most appropriate test or tool and to accurately interpret the results.<\/p>\nNot only do these diagnostic tests affect adults, body measurements can provide a general picture of whether a child is receiving adequate nutrition or is at risk for health issues. These data, however, are just one aspect to be considered. Lifestyle, family history, and culture\u2014among other factors\u2014are also relevant. That said, gathering and communicating this information can be a delicate process.<\/p>\n
For this Assignment, you will\u00a0 consider examples of children with various weight issues. You will explore how you could effectively gather information and encourage parents and caregivers to be proactive about their children\u2019s health and weight.<\/p>\n
RESOURCES<\/h2>\n
Be sure to review the Learning Resources before completing this activity.
\nClick the weekly resources link to access the resources.<\/p>\n
TO PREPARE<\/h2>\n\n- Review this week\u2019s Learning Resources and consider factors that impact the validity and reliability of various assessment tools and diagnostic tests. You also will review examples of pediatric patients and their families as it relates to BMI.<\/li>\n
- Based on the risks you might identify consider what further information you would need to gain a full understanding of the child\u2019s health. Think about how you could gather this information in a sensitive fashion.<\/li>\n
- Consider how you could encourage parents or caregivers to be proactive toward the child\u2019s health.<\/li>\n<\/ul>\n
THE ASSIGNMENT<\/h2>\n
Assignment (3\u20134 pages, not including title and reference pages):<\/p>\n
Assignment: Child Health Case:<\/p>\n
Include the following:<\/p>\n
\n- An explanation of the health issues and risks that are relevant to the child you were assigned.<\/li>\n
- Describe additional information you would need in order to further assess his or her weight-related health.<\/li>\n
- Identify and describe any risks and consider what further information you would need to gain a full understanding of the child\u2019s health. Think about how you could gather this information in a sensitive fashion.<\/li>\n
- Taking into account the parents\u2019 and caregivers\u2019 potential sensitivities, list at least three specific questions you would ask about the child to gather more information.<\/li>\n
- Provide at least two strategies you could employ to encourage the parents or caregivers to be proactive about their child\u2019s health and weight.<\/li>\n<\/ul>\n
Case 1: \u00a0 \u00a0 Acklin, Alvarez, Amama, Basco, Black, Bolivard, Brown & Colyer<\/p>\n
4-year-old overweight female with normal weight parents who are living with elderly grandparents in their home<\/p>\n
Case 2:\u00a0 \u00a0 Curry, Fobanjong, Garcia, Green, Hutcheson, Iskander, Jean & Johnson<\/p>\n
10-year-old severely underweight male in 3rd grade who lives with her normal weight mom on the weekends and her underweight father during the week.<\/p>\n
Case 3: Jordan, Moore, Parfait, Pina, Queija, Raymond & Russell<\/p>\n
5-year-old severely underweight male who lives with his normal weight adopted mother and father.<\/p>\n
LEARNING RESOURCES<\/h2>\n\n- \u00a0\u00a0Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2023). Seidel\u2019s guide to physical examination: An interprofessional approach (10th ed.). St. Louis, MO: Elsevier Mosby.<\/li>\n<\/ul>\n
o \u00a0 Chapter 3, \u201cExamination Techniques and Equipment\u201d
\nThis chapter explains the\u00a0physical examination<\/a>\u00a0techniques of inspection, palpation, percussion, and auscultation. This chapter also explores special issues and equipment relevant to the physical exam process.<\/p>\no \u00a0 Chapter 8, \u201cGrowth and Nutrition\u201d
\nIn this chapter, the authors explain examinations for growth, gestational age, and pubertal development. The authors also differentiate growth among the organ systems.<\/p>\n
\n- \u00a0\u00a0Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019).\u00a0Student checklist: Health history guide<\/a>\u00a0Download Student checklist: Health history guide<\/a>. In Seidel\u2019s guide to physical examination (9th ed.). St. Louis, MO: Elsevier Mosby.\u00a0Credit Line:\u00a0 Seidel\u2019s Guide to Physical Examination, 9th Edition by Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. Copyright 2019 by Elsevier Health Sciences. Reprinted by permission of Elsevier Health Sciences via the Copyright Clearance Center.<\/li>\n
- \u00a0Centers for Disease Control and Prevention. (2021, April 9).\u00a0Childhood overweight & obesity<\/a>.\u00a0http:\/\/www.cdc.gov\/obesity\/childhood\/
\n<\/a>This website provides information about overweight and obese children. Additionally, the website provides basic facts about obesity and strategies to counteracting obesity.<\/li>\n- \u00a0\u00a0Dains, J. E., Baumann, L. C., & Scheibel, P. (2019).\u00a0Advanced health assessment<\/a>\u00a0and clinical diagnosis in primary care (6th ed.). St. Louis, MO: Elsevier Mosby.
\nCredit Line:\u00a0Advanced Health Assessment<\/a>\u00a0and Clinical Diagnosis in Primary Care, 6th Edition by Dains, J.E., Baumann, L. C., & Scheibel, P. Copyright 2019 by Mosby. Reprinted by permission of Mosby via the Copyright Clearance Center.<\/li>\n<\/ul>\no \u00a0 Chapter 1, \u201cClinical Reasoning, Evidence-Based Practice, and Symptom Analysis<\/a>\u201d
\nThis chapter introduces the diagnostic process, which includes performing an analysis of the symptoms and then formulating and\u00a0testing a hypothesis<\/a>. The authors discuss how becoming an expert clinician takes time and practice in developing clinical judgment.<\/p>\n\n- \u00a0\u00a0Nyante, S. J., Benefield, T. S., Kuzmiak, C. M., Earnhardt, K., Pritchard, M., & Henderson, L. M. (2021).\u00a0Population\u2010level impact of coronavirus disease 2019 on breast cancer screening and diagnostic procedures<\/a>. Cancer, 127(12), 2111\u20132121.\u00a0https:\/\/doi.org\/10.1002\/cncr.33460<\/a><\/li>\n
- \u00a0\u00a0Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2011).\u00a0History subjective data checklist<\/a>. In Mosby\u2019s guide to physical examination (7th ed.). St. Louis, MO: Elsevier Mosby.
\nCredit Line: Mosby\u2019s Guide to Physical Examination, 7th Edition by Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. Copyright 2011 by Elsevier. Reprinted by permission of Elsevier via the Copyright Clearance Center.<\/li>\n- \u00a0\u00a0Sullivan, D. D. (2019). Guide to clinical documentation (3rd ed.). Philadelphia, PA: F. A. Davis.<\/li>\n<\/ul>\n
o \u00a0 Chapter 2, \u201cThe Comprehensive History and Physical Exam\u201d (Previously read in Week 1)<\/p>\n
o \u00a0 Chapter 5, \u201cPediatric Preventative Care Visits\u201d (pp. 91 101)<\/p>\n
Shadow Health Support and Orientation Resources<\/p>\n
Use the following resources to guide you through your Shadow Health orientation as well as other support resources:<\/p>\n
\n- \u00a0\u00a0Shadow Health. (2021).\u00a0Welcome to your introduction to Shadow Health<\/a>.\u00a0https:\/\/link.shadowhealth.com\/Student-Orientation-Video<\/a><\/li>\n
- \u00a0\u00a0Shadow Health. (n.d.).\u00a0Shadow Health help desk<\/a>. Retrieved from\u00a0https:\/\/support.shadowhealth.com\/hc\/en-us<\/a><\/li>\n
- \u00a0\u00a0Shadow Health. (2021).\u00a0Walden University quick start guide: NURS 6512 NP students.<\/a>\u00a0Download Walden University quick start guide: NURS 6512 NP students.<\/a>\u00a0https:\/\/link.shadowhealth.com\/Walden-NURS-6512-Student-Guide<\/a><\/li>\n
- \u00a0\u00a0Document:\u00a0Shadow Health Nursing Documentation Tutorial<\/a>\u00a0Download Shadow Health Nursing Documentation Tutorial<\/a>(Word document)<\/li>\n<\/ul>\n
Required Media<\/a><\/p>\nTaking a Health History
\nHow do nurses gather information and assess a patient\u2019s health? Consider the importance of conducting an in-depth health assessment interview and the strategies you might use as you watch. (16m)<\/p>\n
Assessment Tool, Diagnostics, Growth, Measurements, and Nutrition in Adults and\u00a0Children \u2013 Week<\/a>\u00a03 (11m)<\/p>\nOptional Resources<\/a><\/p>\n\n- \u00a0\u00a0LeBlond, R. F., Brown, D. D., & DeGowin, R. L. (2020). DeGowin\u2019s diagnostic examination (11th ed.). New York, NY: McGraw Hill Medical.<\/li>\n<\/ul>\n
o \u00a0 Chapter 3, \u201cThe Screening Physical Examination\u201d<\/p>\n
o \u00a0 Chapter 17, \u201cPrinciples of Diagnostic Testing\u201d<\/p>\n
o \u00a0 Chapter 18, \u201cCommon Laboratory Tests\u201d<\/p>\n
A Sample Answer For the Assignment: NURS 6512 CASE STUDY ASSIGNMENT ASSESSMENT OF NUTRITION IN CHILDREN<\/strong><\/h2>\nTitle: <\/strong> NURS 6512 CASE STUDY ASSIGNMENT ASSESSMENT OF NUTRITION IN CHILDREN<\/strong><\/h2>\nA seven-year-old Hispanic female who is in second grade is brought in severely underweight. On physical examination, she has a weak pulse, bilateral pedal edema, and is apathetic. However, she has an overweight mother who she lives with during the week and an average-weight father who she lives with during weekends. The purpose of this paper is to address the child’s health issues and risks and create strategies to make the parents more proactive with their child’s health.<\/p>\n
Health Issues and Risks That Are Relevant to the Child<\/strong><\/h2>\nUndernutrition directly causes micronutrient deficiencies such as iron, vitamins A and D, folate, thiamine, and zinc. As a result, the child has an increased risk of developing nutritional anemia, night blindness, rickets, poor growth, and poor muscle activity, deteriorating their quality of life (Dipasquale et al., 2020). Additionally, fat and muscle mass depletion is due to reductive adaptation, where the child\u2019s energy source is drawn from muscle, adipose, and bone. This results in reduced muscle function, fractures,and alteration in electrolyte balance.<\/p>\n
Malnutrition may also affect the child\u2019s cardiac function. Reductive adaptation causes cardiac muscle loss, resulting in decreased cardiac output and low blood pressure (De Sanctis et al., 2021). In addition, there is micronutrient deficiency and alterations in electrolyte balance which alter cardiac function. Decreased cardiac output leads to poor tissue perfusion, causing delayed wound healing. Reduced cardiac output and electrolyte imbalance may further worsen renal function by reducing renal blood flow and glomerular filtration rate.<\/p>\n
Malnutrition affects gastrointestinal function, resulting in changes in pancreatic exocrine function, intestinal blood flow, villous architecture, and intestinal permeability, reducing the gut’s ability to absorb nutrients. In addition, the colon loses its ability to reabsorb water and electrolytes, resulting in diarrhea and worsened nutritional losses. The liver is also affected, and all its metabolic, synthesis, detoxification, and excretory function are affected resulting in hypoglycemia and accumulation of toxic metabolites (Schuetz et al., 2021). Immune function is also affected, increasing the risk of infection due to innate and adaptive immunity predisposing the child to respiratory, gastrointestinal, and urinary tract infections (Fontane et al., 2023). However, due to a failed immune system, most signs of infection, such as fever, may be absent.<\/p>\n
Additional Information I Would Need to Further Assess Her Weight-Related Health<\/strong><\/h2>\nUndernutrition causes multisystem organ dysfunction. It is thus crucial to inquire whether the parents have noticed whether the child has had persistent vomiting or diarrhea. In addition, it is crucial to note any temperature changes, signs of shock, open skin lesions, edema, dehydration, tachypnea, and cyanosis (Brits et al., 2020). I may also need to look at her growth curve to check for any previous abnormalities and compare her growth versus the standard. I would also need a mid-upper arm circumference, Z-scores, and basal metabolic index. Laboratory tests are also essential for assessing malnutrition(Kabashneh et al., 2020). Necessary tests include complete blood count, hemogram, septic screen, liver and renal function tests, urinalysis, protein tests, urea-electrolytes and creatinine test, and tests for inflammatory markers. While performing a physical exam, I would need to look for any hair, nail, eye, skin, and mouth changes, such as fissures, cheilitis, and stomatitis (De Sanctis et al., 2021). I would also need to check for distended abdomen and hepatomegaly, observe for behavioral changes, and assess for development.<\/p>\n
Risks and Further Information I Would Need to Gain a Full Understanding of the Child\u2019s Health<\/strong><\/h2>\nUndernutrition occurs when one does not have an adequate diet or has malabsorption conditions. In assessment of the child’s weight-related health condition, it is essential to take note of the quality and quantity of the food she takes through a food diary history (Vassilakau, 2021). Inadequate diet and non-nutritious foods like processed juices predispose to micro and macronutrient deficiencies. Additionally, it is crucial to inquire whether she has any food allergies, fads, restrictions, and preferences, as they may predispose her to undernutrition.<\/p>\n
It is crucial to ask whether the child has any underlying medical condition that may affect the ability to swallow, digest, or absorb foods. It is crucial to assess whether they have nausea and anorexia or are taking medications that may be causing both. Additionally, it is vital to rule out any cause of dysphagia, which can limit oral intake of food (Schuetz et al., 2021). Medical conditions such as chronic diarrhea or childhood malignancies have been linked to undernutrition due to increased metabolic needs. One may also need to inquire about malabsorption disorders such as celiac disease and inflammatory bowel disease that may cause excessive nutritional loss.<\/p>\n
Undernutrition can also be caused due to mental health conditions and feeding environments. It is thus crucial to screen for eating disorders such as anorexia and bulimia that may have an impact on the child, considering that the mother is overweight. Additionally, one may need to consider behaviors that discourage eating, such as bullying at school and childhood depression and anxiety disorders. Additionally, one may need to inquire about parental involvement in meals to inquire whether there is a source of discouragement to feeding (Engidaye et al., 2022). Lastly, it is vital to inquire about the ability of the parents to access nutritional foods and their feeding habits.<\/p>\n
Specific Questions to Ask About the Child to Gather More Information<\/strong><\/h2>\n\n- What type of food do you occasionally give your child, and does she have any preferences?<\/li>\n
- How do both of you contribute and participate in your daughter’s feeding patterns?<\/li>\n
- Are there foods you prefer not to give your daughter, and why?<\/li>\n
- Has your child ever been diagnosed with health conditions that may have affected her nutrition?<\/li>\n
- Have you noticed any behavior change that may have affected your daughter\u2019s well-being or her relationship with food?<\/li>\n<\/ol>\n
Strategies to Encourage the Parents to Be Proactive about Their Child\u2019s Health and Weight<\/strong><\/h2>\nThe strategies I would employ to encourage the parents to be proactive about the child\u2019s health include educating them on child nutrition. I would provide them with resources and inform them of signs of child malnutrition to empower them with knowledge to make right decisions (Vassilakou, 2021). Secondly, I would encourage the parents to involve their daughter in discussions regarding nutrition and have a feedback session with her. I would also organize regular follow-ups to monitor for improvement and highlight positive changes.<\/p>\n
Conclusion<\/strong><\/h2>\nUndernutrition is a common malnutrition condition that affects children. It is crucial to note the effects it has on different organ systems. Causes of undernutrition are organic, inorganic, or both. It is thus crucial to identify the cause before initiating management. Active management of malnutrition in children requires parental and child\u2019s active participation to achieve necessary nutritional goals.<\/p>\n
References<\/strong><\/h2>\nBrits, H., Botha, L., Maakomane, W., Malefane, T., Luthfiya, T., Tsoeueamakwa, T., &Joubert, G. (2020). The profile and clinical picture of children with undernutrition admitted to National District Hospital. The Pan African medical journal, 37, 237. https:\/\/doi.org\/10.11604\/pamj.2020.37.237.25261<\/a><\/p>\nDe Sanctis, V., Soliman, A., Alaaraj, N., Ahmed, S., Alyafei, F., &Hamed, N. (2021). Early and Long-term Consequences of Nutritional Stunting: From Childhood to Adulthood. Acta bio-medica :AteneiParmensis, 92(1), e2021168. https:\/\/doi.org\/10.23750\/abm.v92i1.11346<\/a><\/p>\nDipasquale, V., Cucinotta, U., & Romano, C. (2020). Acute Malnutrition in Children: Pathophysiology, Clinical Effects and Treatment. Nutrients, 12(8), 2413. https:\/\/doi.org\/10.3390\/nu12082413<\/a><\/p>\nEngidaye, G., Aynalem, M., Adane, T., Gelaw, Y., Yalew, A., &Enawgaw, B. (2022). Undernutrition and its associated factors among children aged 6 to 59 months in Menz Gera Midir district, Northeast Ethiopia: A community-based cross-sectional study. PloS one, 17(12), e0278756. https:\/\/doi.org\/10.1371\/journal.pone.0278756<\/a><\/p>\nFontaine, F., Turjeman, S., Callens, K., &Koren, O. (2023). The intersection of undernutrition, microbiome, and child development in the first years of life. Nature communications, 14(1), 3554. https:\/\/doi.org\/10.1038\/s41467-023-39285-9<\/a><\/p>\nKabashneh, S., Alkassis, S., Shanah, L., & Ali, H. (2020). A Complete Guide to Identify and Manage Malnutrition in Hospitalized Patients. Cureus, 12(6), e8486. https:\/\/doi.org\/10.7759\/cureus.8486<\/a><\/p>\nSchuetz, P., Seres, D., Lobo, D. N., Gomes, F., Kaegi-Braun, N., &Stanga, Z. (2021). Management of disease-related malnutrition for patients being treated in hospital. Lancet (London, England), 398(10314), 1927\u20131938. https:\/\/doi.org\/10.1016\/S0140-6736(21)01451-3<\/a><\/p>\nVassilakou, T. (2021). Childhood Malnutrition: Time for Action. Children (Basel, Switzerland), 8(2), 103. https:\/\/doi.org\/10.3390\/children8020103<\/a><\/p>\nNURS_6512_Week_3_Assignment_1_Rubric<\/h2>\n
\n\n\nNURS_6512_Week_3_Assignment_1_Rubric<\/td>\n<\/tr>\n \nCriteria<\/td>\n Ratings<\/td>\n Pts<\/td>\n<\/tr>\n \nThis criterion is linked to a Learning Outcome In 3\u20134 pages, address the following: An explanation of the health issues and risks that are relevant to the child you were assigned.<\/td>\n \n\n\n\n25 to >24.0 ptsExcellentThe response clearly, accurately, and in detail explains the relevant health issues and risks for the assigned child.<\/td>\n 24 to >23.0 ptsGoodThe response accurately explains the relevant health issues and risks for the assigned child.<\/td>\n 23 to >17.0 ptsFairThe response vaguely and with some inaccuracy explains the relevant health issues and risks for the assigned child.<\/td>\n 17 to >0 ptsPoorThe response is inaccurate and\/or missing explanations of the relevant health issues and risks for the assigned child.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n 25 pts<\/td>\n<\/tr>\n \nThis criterion is linked to a Learning Outcome Describe additional information you would need in order to further assess his or her weight-related health.<\/td>\n \n\n\n\n25 to >24.0 ptsExcellentThe response clearly and accurately describes detailed additional information needed to further assess the child\u2019s weight-related health.<\/td>\n 24 to >23.0 ptsGoodThe response accurately describes additional information needed to further assess the child\u2019s weight-related health.<\/td>\n 23 to >17.0 ptsFairThe response vaguely and with some inaccuracy describes additional information needed to further assess the child\u2019s weight-related health.<\/td>\n 17 to >0 ptsPoorThe response is inaccurate and\/or missing a description of additional information needed to further assess the child\u2019s weight-related health.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n 25 pts<\/td>\n<\/tr>\n \nThis criterion is linked to a Learning Outcome Identify and describe any risks, and consider what further information you would need to gain a full understanding of the child\u2019s health. Think about how you could gather this information in a sensitive fashion.<\/td>\n \n\n\n\n20 to >17.0 ptsExcellentThe response clearly and accurately identifies and describes in detail any risks to the child\u2019s health. The response clearly and accurately identifies and describes in detail further information needed to gain a full understanding of the child\u2019s health, with a detailed explanation of how to gather that information in a way that is sensitive to the child.<\/td>\n 17 to >14.0 ptsGoodThe response accurately identifies and describes any risks to the child\u2019s health. The response accurately identifies and describes further information needed to gain a full understanding of the child\u2019s health, with a clear explanation of how to gather that information in a way that is sensitive to the child.<\/td>\n 14 to >13.0 ptsFairThe response vaguely and with some inaccuracy identifies and describes any risks to the child\u2019s health. The response vaguely identifies and describes further information needed to gain a full understanding of the child\u2019s health, with a vague explanation of how to gather that information in a way that is sensitive to the child.<\/td>\n 13 to >0 ptsPoorThe response identifies inaccurately and\/or is missing descriptions of any risks to the child\u2019s health. The response identifies inaccurately and\/or is missing descriptions of further information needed to gain a full understanding of the child\u2019s health, with an inadequate or missing explanation of how to gather that information in a way that is sensitive to the child.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n 20 pts<\/td>\n<\/tr>\n \nThis criterion is linked to a Learning Outcome Taking into account the parents\u2019 and caregivers\u2019 potential sensitivities, list at least three specific questions you would ask about the child to gather more information.<\/td>\n \n\n\n\n10 to >9.0 ptsExcellentThe response clearly and accurately lists three or more specific questions that would gather more information about the child. Specific questions are carefully worded to clearly demonstrate sensitivity to the parent(s) or caregiver(s) of the child.<\/td>\n 9 to >8.0 ptsGoodThe response lists three specific questions that would gather more information about the child. Specific questions are worded to demonstrate sensitivity to the parent(s) or caregiver(s) of the child.<\/td>\n 8 to >7.0 ptsFairThe response lists three questions with wording that is vague and lacking specificity for gathering more information about the child. Some wording of the questions lacks sensitivity to the parent(s) or caregiver(s) of the child.<\/td>\n 7 to >0 ptsPoorThe response lists two or fewer confusing or inadequate questions, or is missing questions, for gathering more information about the child. Wording of questions provided lacks sensitivity to the parent(s) or caregiver(s) of the child.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n 10 pts<\/td>\n<\/tr>\n \nThis criterion is linked to a Learning Outcome Provide at least two strategies you could employ to encourage the parents or caregivers to be proactive about their child\u2019s health and weight.<\/td>\n \n\n\n\n5 to >4.0 ptsExcellentThe response clearly describes two or more detailed strategies to encourage the parent(s) or caregiver(s) to be proactive about the child\u2019s health and weight.<\/td>\n 4 to >3.0 ptsGoodThe response describes at least two strategies to encourage the parent(s) or caregiver(s) to be proactive about the child\u2019s health and weight.<\/td>\n 3 to >2.0 ptsFairThe response vaguely describes two strategies to encourage the parent(s) or caregiver(s) to be proactive about the child\u2019s health and weight.<\/td>\n 2 to >0 ptsPoorThe response inadequately describes one strategy or is missing strategies to encourage the parent(s) or caregiver(s) to be proactive about the child\u2019s health and weight.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n 5 pts<\/td>\n<\/tr>\n \nThis criterion is linked to a Learning Outcome Written Expression and Formatting \u2013 Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused\u2013neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria.<\/td>\n \n\n\n\n5 to >4.0 ptsExcellentParagraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria.<\/td>\n 4 to >3.0 ptsGoodParagraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. Purpose, introduction, and conclusion of the assignment are stated, yet are brief and not descriptive.<\/td>\n 3 to >2.0 ptsFairParagraphs and sentences follow writing standards for flow, continuity, and clarity 60%\u201379% of the time. Purpose, introduction, and conclusion of the assignment are vague or off topic.<\/td>\n 2 to >0 ptsPoorParagraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. No purpose statement, introduction, or conclusion were provided.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n 5 pts<\/td>\n<\/tr>\n \nThis criterion is linked to a Learning Outcome Written Expression and Formatting \u2013 English writing standards: Correct grammar, mechanics, and proper punctuation<\/td>\n \n\n\n\n5 to >4.0 ptsExcellentUses correct grammar, spelling, and punctuation with no errors.<\/td>\n 4 to >3.0 ptsGoodContains a few (1 or 2) grammar, spelling, and punctuation errors.<\/td>\n 3 to >2.0 ptsFairContains several (3 or 4) grammar, spelling, and punctuation errors.<\/td>\n 2 to >0 ptsPoorContains many (\u2265 5) grammar, spelling, and punctuation errors that interfere with the reader\u2019s understanding.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n 5 pts<\/td>\n<\/tr>\n \nThis criterion is linked to a Learning Outcome Written Expression and Formatting \u2013 The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running heads, parenthetical\/in-text citations, and reference list.<\/td>\n \n\n\n\n5 to >4.0 ptsExcellentUses correct APA format with no errors.<\/td>\n 4 to >3.0 ptsGoodContains a few (1 or 2) APA format errors.<\/td>\n 3 to >2.0 ptsFairContains several (3 or 4) APA format errors.<\/td>\n 2 to >0 ptsPoorContains many (\u2265 5) APA format errors.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n 5 pts<\/td>\n<\/tr>\n \nTotal Points: 100<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\nA Sample Answer For the Assignment: NURS 6512 CASE STUDY ASSIGNMENT ASSESSMENT OF NUTRITION IN CHILDREN<\/strong><\/h2>\nTitle: NURS 6512 CASE STUDY ASSIGNMENT ASSESSMENT OF NUTRITION IN CHILDREN<\/strong><\/h2>\n\u00a0<\/span><\/p>\n\u00a0<\/span><\/p>\nCase Study Assignment: Assessment of Nutrition In Children<\/span><\/b>\u00a0<\/span><\/p>\n <\/p>\n
\u00a0<\/span><\/p>\nAssignment: Child Health Case<\/span><\/b>\u00a0<\/span><\/h3>\nThe assigned case study concerns an 8-year-old overweight male foster child. The child has normal-weight foster parents but overweight biological parents. The purpose of this paper is to describe the child\u2019s health issues, additional information needed, risks, and strategies to encourage the caregivers to be proactive about the child\u2019s health.\u00a0<\/span>\u00a0<\/span><\/p>\nAn explanation of the health issues and risks that are relevant to the child you were assigned.<\/span><\/b>\u00a0<\/span><\/p>\nThe health issue associated with this child is his overweight status. The child\u2019s overweight can be attributed to genetics since his biological parents are also overweight. Genetics is one of the main factors identified as a cause of obesity, with various studies establishing that BMI is 25\u201340% genetic (Kansra et al., 2021). An overweight child is at risk of being obese in adolescence and adulthood. He also has a high risk of developing non-communicable diseases (NCDs) like Type 2 diabetes, glucose intolerance, insulin resistance,\u00a0 hyperlipidemia, some types of cancer, fatty liver disease, sleep apnea, impaired balance, and cardiovascular diseases at a younger age (Sanyaolu et al., 2019).<\/span>\u00a0<\/span><\/p>\nDescribe additional information you would need in order to further assess his or her weight-related health.<\/span><\/b>\u00a0<\/span><\/p>\nIn assessing the child\u2019s weight-related health, I would require additional information about his lifestyle preferences, environment, and cultural environment, which play a fundamental role in the increasing prevalence of childhood obesity. I would need information on the child’s diet, emphasizing his daily caloric, sugar, and fat intake. I would inquire about the types of food the child takes at home and school, portion size, and the frequency of intake as well as his food preferences, fast food consumption, and snack foods. Most fast foods usually have a high number of calories but low nutritional values compared to home-prepared foods contributing to obesity. Furthermore, common snack foods like chips, baked items, and candy increase the overall caloric intake contributing to obesity. In addition, I would inquire about his physical activity level, including the child’s hobbies, the games he like playing, and the amount of screen time (Di Maglie et al., 2022). I need information on the sports the child participates in school and how often he engages in them. Physical inactivity and increased screen time are highly associated with childhood obesity.\u00a0<\/span>\u00a0<\/span><\/p>\nIdentify and describe any risks, and consider what further information you would need to gain a full understanding of the child\u2019s health. Think about how you could gather this information in a sensitive fashion.<\/span><\/b>\u00a0<\/span><\/p>\nThere is a need to assess the consequences of the child’s overweight on his physical health, psychological wellbeing, social wellbeing, and academic performance. Childhood obesity can significantly affect a child’s physical health, emotional and social wellbeing, and self-esteem. I will need to inquire if the child has any medical conditions linked to being overweight, like obstructive sleep apnea, dyspnea on exertion, hyperlipidemia, or hyperglycemia (Sanyaolu et al., 2019). Besides, I would inquire if the child is usually stigmatized by his peers by being teased or bullied for his weight. This is because childhood obesity is one of the most stigmatizing and least socially acceptable disorders in childhood (Kansra et al., 2021). As a result, overweight\/obese children are frequently excluded from activities, especially competitive activities requiring physical activity.<\/span>\u00a0<\/span><\/p>\nFurther information on the child\u2019s psychological wellbeing will include asking him about his self-esteem, self-confidence, and perception of his body image. Overweight\/obese children with low self-confidence, low self-esteem, and a negative body image often face difficulties in weight management (Kanellopoulou et al., 2022). Moreover, childhood overweight\/obesity negatively impacts children’s school performance. Therefore, I would inquire about the child’s school performance and if he has been lagging in his class or if his grades are dropping.\u00a0<\/span>\u00a0<\/span><\/p>\nThe information will be obtained by initiating the conversation with the parents in a responsive, non-blaming manner. Eli et al. (2022) explain that the providers\u2019 attitudes and tone during conversations about children\u2019s weight are fundamentally crucial. The nurse will invite the foster parents to reflect on the child\u2019s situation, and the nurse will make them feel more supported and empowered. Uy et al. (2019) assert that effective conversations about children’s weight should be non-judgmental. The provider should consider the parents’ needs and prior knowledge and offer concrete and tailored advice.<\/span>\u00a0<\/span><\/p>\nTaking into account the parents\u2019 and caregivers\u2019 potential sensitivities, list at least three specific questions you would ask about the child to gather more information.<\/span><\/b>\u00a0<\/span><\/p>\n\n- What types of food do you frequently consume as a family?<\/span>\u00a0<\/span><\/li>\n<\/ol>\n
\n- How often do you allow the child to go and play outside with his peers?<\/span>\u00a0<\/span><\/li>\n<\/ol>\n
\n- What measures have you taken to manage his weight as the child’s caregiver?<\/span>\u00a0<\/span><\/li>\n<\/ol>\n
Provide at least two strategies you could employ to encourage the parents or caregivers to be proactive about their child\u2019s health and weight.<\/span><\/b>\u00a0<\/span><\/p>\nThe conversation about the child\u2019s weight can offer a crucial chance of successfully encouraging the parents to be proactive in their child\u2019s health and taking initiatives to lower the child\u2019s weight and implement a healthier lifestyle. The nurse would encourage the parents to be proactive by inviting them to express their concerns and reflect on how to introduce lifestyle changes to the child (Ames et al., 2020). The nurse should discuss concerns about the child\u2019s weight and eating habits and explore with the parents how to address these concerns.\u00a0<\/span>\u00a0<\/span><\/p>\nThe second measure is by the nurse presenting relevant information to the caregivers and having a conversation. Besides, the nurse should explain the reason behind the concern and recommendations (Uy et al., 2019). The nurse should offer the parents practical suggestions to implement appropriate resources for the child\u2019s weight loss and allow them to decide on their interventions. Allowing the parents to decide is important since it encourages them to implement the interventions, thus promoting adherence.<\/span>\u00a0<\/span><\/p>\nConclusion<\/span><\/b>\u00a0<\/span><\/h3>\nThe child\u2019s overweight can be linked to genetics since his biological parents are overweight. Being overweight puts him at risk of NCDs like diabetes, sleep apnea, and cardiovascular diseases. Additional information that will be needed includes the child’s dietary patterns, food preferences, and physical activity levels. The nurse should allow the parents to express their concerns and propose measures to manage the child\u2019s weight.<\/span>\u00a0<\/span><\/p>\n\u00a0.<\/span>\u00a0<\/span><\/p>\n\u00a0<\/span><\/p>\nReferences<\/span><\/b>\u00a0<\/span><\/h3>\nAmes, H., Mosd\u00f8l, A., Blaasv\u00e6r, N., N\u00f8kleby, H., Berg, R. C., & Lang\u00f8ien, L. J. (2020). Communication of children’s weight status: what is effective, and what are the children’s and parents’ experiences and preferences? A mixed methods systematic review. <\/span>BMC Public Health<\/span><\/i>,\u202f<\/span>20<\/span><\/i>(1), 1-22.<\/span>\u00a0<\/span><\/p>\nDi Maglie, A., Marsigliante, S., My, G., Colazzo, S., & Muscella, A. (2022). Effects of a physical activity intervention on schoolchildren fitness. Physiological reports, 10(2), e15115. https:\/\/doi.org\/10.14814\/phy2.15115<\/span>\u00a0<\/span><\/p>\nEli, K., Neovius, C., Nordin, K., Brissman, M., & Ek, A. (2022). Parents\u2019 experiences following conversations about their young child\u2019s weight in the primary health care setting: a study within the STOP project.\u202f<\/span>BMC Public Health<\/span><\/i>,\u202f<\/span>22<\/span><\/i>(1), 1540.<\/span>\u00a0<\/span><\/p>\nKanellopoulou, A., Antonogeorgos, G., Douros, K., & Panagiotakos, D. B. (2022). The Association between Obesity and Depression among Children and the Role of Family: A Systematic Review.\u202f<\/span>Children (Basel, Switzerland)<\/span><\/i>,\u202f<\/span>9<\/span><\/i>(8), 1244. https:\/\/doi.org\/10.3390\/children9081244<\/span>\u00a0<\/span><\/p>\n\u00a0Kansra, A. R., Lakkunarajah, S., & Jay, M. S. (2021). Childhood and adolescent obesity: A review.\u202f<\/span>Frontiers in pediatrics<\/span><\/i>,\u202f<\/span>8<\/span><\/i>, 581461. https:\/\/doi.org\/10.3389\/fped.2020.581461<\/span>\u00a0<\/span><\/p>\nSanyaolu, A., Okorie, C., Qi, X., Locke, J., & Rehman, S. (2019). Childhood and Adolescent Obesity in the United States: A Public Health Concern.\u202f<\/span>Global pediatric health<\/span><\/i>,\u202f<\/span>6<\/span><\/i>, 2333794X19891305. https:\/\/doi.org\/10.1177\/2333794X19891305<\/span>
\u2014Leslie Pray, PhD<\/p>\n
Obesity remains one of the most common chronic diseases in the United States. As a leading cause of United States mortality, morbidity, disability, healthcare utilization and healthcare costs, the high prevalence of obesity continues to strain the United States healthcare system<\/a> (Obesity Society, 2016).<\/p>\n More than one-third (39.8%) of U.S. adults have obesity (CDC, 2018). The estimated annual medical cost of obesity in the U.S. was $147 billion in 2008 U.S. dollars; the medical costs for people who are obese were $1,429 higher than those of normal weight (CDC, 2018).<\/p>\n According to the Centers for Disease Control and Prevention (CDC), the rate of childhood obesity has tripled in the past 30 years, with an estimated 13.7 million children and adolescents considered obese (CDC, 2018). When seeking insights about a patient\u2019s overall health and nutritional state, body measurements can provide a valuable perspective. This is particularly important with pediatric patients.<\/p>\n Measurements such as height and weight can provide clues to potential health problems<\/a> and help predict how children will respond to illness. Nurses need to be proficient at using assessment tools, such as the Body Mass Index (BMI) and growth charts, in order to assess nutrition-related health risks and pediatric development while being sensitive to other factors that may affect these measures. Body Mass Index is also used as a predictor for measurement of adult weight and health.<\/p>\n Assessments are constantly being conducted on patients, but they may not provide useful information. In order to ensure that health assessments provide relevant data, nurses should familiarize themselves with test-specific factors that may affect the validity, reliability, and value of these tools.<\/p>\n This week, you will explore various assessment tools and diagnostic tests that are used to gather information about patients\u2019 conditions. You will examine the validity and reliability of these tests and tools. You will also examine assessment techniques, health risks and concerns, and recommendations for care related to patient growth, weight, and nutrition.<\/p>\n Students will:<\/p>\n When seeking to identify a patient\u2019s health condition, advanced practice nurses can use a diverse selection of\u00a0diagnostic tests<\/a>\u00a0and assessment tools; however, different factors affect the validity and reliability of the results produced by these tests or tools. Nurses must be aware of these factors in order to select the most appropriate test or tool and to accurately interpret the results.<\/p>\n Not only do these diagnostic tests affect adults, body measurements can provide a general picture of whether a child is receiving adequate nutrition or is at risk for health issues. These data, however, are just one aspect to be considered. Lifestyle, family history, and culture\u2014among other factors\u2014are also relevant. That said, gathering and communicating this information can be a delicate process.<\/p>\n For this Assignment, you will\u00a0 consider examples of children with various weight issues. You will explore how you could effectively gather information and encourage parents and caregivers to be proactive about their children\u2019s health and weight.<\/p>\n Be sure to review the Learning Resources before completing this activity. Assignment (3\u20134 pages, not including title and reference pages):<\/p>\n Assignment: Child Health Case:<\/p>\n Include the following:<\/p>\n Case 1: \u00a0 \u00a0 Acklin, Alvarez, Amama, Basco, Black, Bolivard, Brown & Colyer<\/p>\n 4-year-old overweight female with normal weight parents who are living with elderly grandparents in their home<\/p>\n Case 2:\u00a0 \u00a0 Curry, Fobanjong, Garcia, Green, Hutcheson, Iskander, Jean & Johnson<\/p>\n 10-year-old severely underweight male in 3rd grade who lives with her normal weight mom on the weekends and her underweight father during the week.<\/p>\n Case 3: Jordan, Moore, Parfait, Pina, Queija, Raymond & Russell<\/p>\n 5-year-old severely underweight male who lives with his normal weight adopted mother and father.<\/p>\n o \u00a0 Chapter 3, \u201cExamination Techniques and Equipment\u201d o \u00a0 Chapter 8, \u201cGrowth and Nutrition\u201d o \u00a0 Chapter 1, \u201cClinical Reasoning, Evidence-Based Practice, and Symptom Analysis<\/a>\u201d o \u00a0 Chapter 2, \u201cThe Comprehensive History and Physical Exam\u201d (Previously read in Week 1)<\/p>\n o \u00a0 Chapter 5, \u201cPediatric Preventative Care Visits\u201d (pp. 91 101)<\/p>\n Shadow Health Support and Orientation Resources<\/p>\n Use the following resources to guide you through your Shadow Health orientation as well as other support resources:<\/p>\n Required Media<\/a><\/p>\n Taking a Health History Assessment Tool, Diagnostics, Growth, Measurements, and Nutrition in Adults and\u00a0Children \u2013 Week<\/a>\u00a03 (11m)<\/p>\n Optional Resources<\/a><\/p>\n o \u00a0 Chapter 3, \u201cThe Screening Physical Examination\u201d<\/p>\n o \u00a0 Chapter 17, \u201cPrinciples of Diagnostic Testing\u201d<\/p>\n o \u00a0 Chapter 18, \u201cCommon Laboratory Tests\u201d<\/p>\n A seven-year-old Hispanic female who is in second grade is brought in severely underweight. On physical examination, she has a weak pulse, bilateral pedal edema, and is apathetic. However, she has an overweight mother who she lives with during the week and an average-weight father who she lives with during weekends. The purpose of this paper is to address the child’s health issues and risks and create strategies to make the parents more proactive with their child’s health.<\/p>\n Undernutrition directly causes micronutrient deficiencies such as iron, vitamins A and D, folate, thiamine, and zinc. As a result, the child has an increased risk of developing nutritional anemia, night blindness, rickets, poor growth, and poor muscle activity, deteriorating their quality of life (Dipasquale et al., 2020). Additionally, fat and muscle mass depletion is due to reductive adaptation, where the child\u2019s energy source is drawn from muscle, adipose, and bone. This results in reduced muscle function, fractures,and alteration in electrolyte balance.<\/p>\n Malnutrition may also affect the child\u2019s cardiac function. Reductive adaptation causes cardiac muscle loss, resulting in decreased cardiac output and low blood pressure (De Sanctis et al., 2021). In addition, there is micronutrient deficiency and alterations in electrolyte balance which alter cardiac function. Decreased cardiac output leads to poor tissue perfusion, causing delayed wound healing. Reduced cardiac output and electrolyte imbalance may further worsen renal function by reducing renal blood flow and glomerular filtration rate.<\/p>\n Malnutrition affects gastrointestinal function, resulting in changes in pancreatic exocrine function, intestinal blood flow, villous architecture, and intestinal permeability, reducing the gut’s ability to absorb nutrients. In addition, the colon loses its ability to reabsorb water and electrolytes, resulting in diarrhea and worsened nutritional losses. The liver is also affected, and all its metabolic, synthesis, detoxification, and excretory function are affected resulting in hypoglycemia and accumulation of toxic metabolites (Schuetz et al., 2021). Immune function is also affected, increasing the risk of infection due to innate and adaptive immunity predisposing the child to respiratory, gastrointestinal, and urinary tract infections (Fontane et al., 2023). However, due to a failed immune system, most signs of infection, such as fever, may be absent.<\/p>\n Undernutrition causes multisystem organ dysfunction. It is thus crucial to inquire whether the parents have noticed whether the child has had persistent vomiting or diarrhea. In addition, it is crucial to note any temperature changes, signs of shock, open skin lesions, edema, dehydration, tachypnea, and cyanosis (Brits et al., 2020). I may also need to look at her growth curve to check for any previous abnormalities and compare her growth versus the standard. I would also need a mid-upper arm circumference, Z-scores, and basal metabolic index. Laboratory tests are also essential for assessing malnutrition(Kabashneh et al., 2020). Necessary tests include complete blood count, hemogram, septic screen, liver and renal function tests, urinalysis, protein tests, urea-electrolytes and creatinine test, and tests for inflammatory markers. While performing a physical exam, I would need to look for any hair, nail, eye, skin, and mouth changes, such as fissures, cheilitis, and stomatitis (De Sanctis et al., 2021). I would also need to check for distended abdomen and hepatomegaly, observe for behavioral changes, and assess for development.<\/p>\n Undernutrition occurs when one does not have an adequate diet or has malabsorption conditions. In assessment of the child’s weight-related health condition, it is essential to take note of the quality and quantity of the food she takes through a food diary history (Vassilakau, 2021). Inadequate diet and non-nutritious foods like processed juices predispose to micro and macronutrient deficiencies. Additionally, it is crucial to inquire whether she has any food allergies, fads, restrictions, and preferences, as they may predispose her to undernutrition.<\/p>\n It is crucial to ask whether the child has any underlying medical condition that may affect the ability to swallow, digest, or absorb foods. It is crucial to assess whether they have nausea and anorexia or are taking medications that may be causing both. Additionally, it is vital to rule out any cause of dysphagia, which can limit oral intake of food (Schuetz et al., 2021). Medical conditions such as chronic diarrhea or childhood malignancies have been linked to undernutrition due to increased metabolic needs. One may also need to inquire about malabsorption disorders such as celiac disease and inflammatory bowel disease that may cause excessive nutritional loss.<\/p>\n Undernutrition can also be caused due to mental health conditions and feeding environments. It is thus crucial to screen for eating disorders such as anorexia and bulimia that may have an impact on the child, considering that the mother is overweight. Additionally, one may need to consider behaviors that discourage eating, such as bullying at school and childhood depression and anxiety disorders. Additionally, one may need to inquire about parental involvement in meals to inquire whether there is a source of discouragement to feeding (Engidaye et al., 2022). Lastly, it is vital to inquire about the ability of the parents to access nutritional foods and their feeding habits.<\/p>\n The strategies I would employ to encourage the parents to be proactive about the child\u2019s health include educating them on child nutrition. I would provide them with resources and inform them of signs of child malnutrition to empower them with knowledge to make right decisions (Vassilakou, 2021). Secondly, I would encourage the parents to involve their daughter in discussions regarding nutrition and have a feedback session with her. I would also organize regular follow-ups to monitor for improvement and highlight positive changes.<\/p>\n Undernutrition is a common malnutrition condition that affects children. It is crucial to note the effects it has on different organ systems. Causes of undernutrition are organic, inorganic, or both. It is thus crucial to identify the cause before initiating management. Active management of malnutrition in children requires parental and child\u2019s active participation to achieve necessary nutritional goals.<\/p>\n Brits, H., Botha, L., Maakomane, W., Malefane, T., Luthfiya, T., Tsoeueamakwa, T., &Joubert, G. (2020). The profile and clinical picture of children with undernutrition admitted to National District Hospital. The Pan African medical journal, 37, 237. https:\/\/doi.org\/10.11604\/pamj.2020.37.237.25261<\/a><\/p>\n De Sanctis, V., Soliman, A., Alaaraj, N., Ahmed, S., Alyafei, F., &Hamed, N. (2021). Early and Long-term Consequences of Nutritional Stunting: From Childhood to Adulthood. Acta bio-medica :AteneiParmensis, 92(1), e2021168. https:\/\/doi.org\/10.23750\/abm.v92i1.11346<\/a><\/p>\n Dipasquale, V., Cucinotta, U., & Romano, C. (2020). Acute Malnutrition in Children: Pathophysiology, Clinical Effects and Treatment. Nutrients, 12(8), 2413. https:\/\/doi.org\/10.3390\/nu12082413<\/a><\/p>\n Engidaye, G., Aynalem, M., Adane, T., Gelaw, Y., Yalew, A., &Enawgaw, B. (2022). Undernutrition and its associated factors among children aged 6 to 59 months in Menz Gera Midir district, Northeast Ethiopia: A community-based cross-sectional study. PloS one, 17(12), e0278756. https:\/\/doi.org\/10.1371\/journal.pone.0278756<\/a><\/p>\n Fontaine, F., Turjeman, S., Callens, K., &Koren, O. (2023). The intersection of undernutrition, microbiome, and child development in the first years of life. Nature communications, 14(1), 3554. https:\/\/doi.org\/10.1038\/s41467-023-39285-9<\/a><\/p>\n Kabashneh, S., Alkassis, S., Shanah, L., & Ali, H. (2020). A Complete Guide to Identify and Manage Malnutrition in Hospitalized Patients. Cureus, 12(6), e8486. https:\/\/doi.org\/10.7759\/cureus.8486<\/a><\/p>\n Schuetz, P., Seres, D., Lobo, D. N., Gomes, F., Kaegi-Braun, N., &Stanga, Z. (2021). Management of disease-related malnutrition for patients being treated in hospital. Lancet (London, England), 398(10314), 1927\u20131938. https:\/\/doi.org\/10.1016\/S0140-6736(21)01451-3<\/a><\/p>\n Vassilakou, T. (2021). Childhood Malnutrition: Time for Action. Children (Basel, Switzerland), 8(2), 103. https:\/\/doi.org\/10.3390\/children8020103<\/a><\/p>\n \u00a0<\/span><\/p>\n \u00a0<\/span><\/p>\n Case Study Assignment: Assessment of Nutrition In Children<\/span><\/b>\u00a0<\/span><\/p>\n <\/p>\n \u00a0<\/span><\/p>\n The assigned case study concerns an 8-year-old overweight male foster child. The child has normal-weight foster parents but overweight biological parents. The purpose of this paper is to describe the child\u2019s health issues, additional information needed, risks, and strategies to encourage the caregivers to be proactive about the child\u2019s health.\u00a0<\/span>\u00a0<\/span><\/p>\n An explanation of the health issues and risks that are relevant to the child you were assigned.<\/span><\/b>\u00a0<\/span><\/p>\n The health issue associated with this child is his overweight status. The child\u2019s overweight can be attributed to genetics since his biological parents are also overweight. Genetics is one of the main factors identified as a cause of obesity, with various studies establishing that BMI is 25\u201340% genetic (Kansra et al., 2021). An overweight child is at risk of being obese in adolescence and adulthood. He also has a high risk of developing non-communicable diseases (NCDs) like Type 2 diabetes, glucose intolerance, insulin resistance,\u00a0 hyperlipidemia, some types of cancer, fatty liver disease, sleep apnea, impaired balance, and cardiovascular diseases at a younger age (Sanyaolu et al., 2019).<\/span>\u00a0<\/span><\/p>\n Describe additional information you would need in order to further assess his or her weight-related health.<\/span><\/b>\u00a0<\/span><\/p>\n In assessing the child\u2019s weight-related health, I would require additional information about his lifestyle preferences, environment, and cultural environment, which play a fundamental role in the increasing prevalence of childhood obesity. I would need information on the child’s diet, emphasizing his daily caloric, sugar, and fat intake. I would inquire about the types of food the child takes at home and school, portion size, and the frequency of intake as well as his food preferences, fast food consumption, and snack foods. Most fast foods usually have a high number of calories but low nutritional values compared to home-prepared foods contributing to obesity. Furthermore, common snack foods like chips, baked items, and candy increase the overall caloric intake contributing to obesity. In addition, I would inquire about his physical activity level, including the child’s hobbies, the games he like playing, and the amount of screen time (Di Maglie et al., 2022). I need information on the sports the child participates in school and how often he engages in them. Physical inactivity and increased screen time are highly associated with childhood obesity.\u00a0<\/span>\u00a0<\/span><\/p>\n Identify and describe any risks, and consider what further information you would need to gain a full understanding of the child\u2019s health. Think about how you could gather this information in a sensitive fashion.<\/span><\/b>\u00a0<\/span><\/p>\n There is a need to assess the consequences of the child’s overweight on his physical health, psychological wellbeing, social wellbeing, and academic performance. Childhood obesity can significantly affect a child’s physical health, emotional and social wellbeing, and self-esteem. I will need to inquire if the child has any medical conditions linked to being overweight, like obstructive sleep apnea, dyspnea on exertion, hyperlipidemia, or hyperglycemia (Sanyaolu et al., 2019). Besides, I would inquire if the child is usually stigmatized by his peers by being teased or bullied for his weight. This is because childhood obesity is one of the most stigmatizing and least socially acceptable disorders in childhood (Kansra et al., 2021). As a result, overweight\/obese children are frequently excluded from activities, especially competitive activities requiring physical activity.<\/span>\u00a0<\/span><\/p>\n Further information on the child\u2019s psychological wellbeing will include asking him about his self-esteem, self-confidence, and perception of his body image. Overweight\/obese children with low self-confidence, low self-esteem, and a negative body image often face difficulties in weight management (Kanellopoulou et al., 2022). Moreover, childhood overweight\/obesity negatively impacts children’s school performance. Therefore, I would inquire about the child’s school performance and if he has been lagging in his class or if his grades are dropping.\u00a0<\/span>\u00a0<\/span><\/p>\n The information will be obtained by initiating the conversation with the parents in a responsive, non-blaming manner. Eli et al. (2022) explain that the providers\u2019 attitudes and tone during conversations about children\u2019s weight are fundamentally crucial. The nurse will invite the foster parents to reflect on the child\u2019s situation, and the nurse will make them feel more supported and empowered. Uy et al. (2019) assert that effective conversations about children’s weight should be non-judgmental. The provider should consider the parents’ needs and prior knowledge and offer concrete and tailored advice.<\/span>\u00a0<\/span><\/p>\n Taking into account the parents\u2019 and caregivers\u2019 potential sensitivities, list at least three specific questions you would ask about the child to gather more information.<\/span><\/b>\u00a0<\/span><\/p>\n Provide at least two strategies you could employ to encourage the parents or caregivers to be proactive about their child\u2019s health and weight.<\/span><\/b>\u00a0<\/span><\/p>\n The conversation about the child\u2019s weight can offer a crucial chance of successfully encouraging the parents to be proactive in their child\u2019s health and taking initiatives to lower the child\u2019s weight and implement a healthier lifestyle. The nurse would encourage the parents to be proactive by inviting them to express their concerns and reflect on how to introduce lifestyle changes to the child (Ames et al., 2020). The nurse should discuss concerns about the child\u2019s weight and eating habits and explore with the parents how to address these concerns.\u00a0<\/span>\u00a0<\/span><\/p>\n The second measure is by the nurse presenting relevant information to the caregivers and having a conversation. Besides, the nurse should explain the reason behind the concern and recommendations (Uy et al., 2019). The nurse should offer the parents practical suggestions to implement appropriate resources for the child\u2019s weight loss and allow them to decide on their interventions. Allowing the parents to decide is important since it encourages them to implement the interventions, thus promoting adherence.<\/span>\u00a0<\/span><\/p>\n The child\u2019s overweight can be linked to genetics since his biological parents are overweight. Being overweight puts him at risk of NCDs like diabetes, sleep apnea, and cardiovascular diseases. Additional information that will be needed includes the child’s dietary patterns, food preferences, and physical activity levels. The nurse should allow the parents to express their concerns and propose measures to manage the child\u2019s weight.<\/span>\u00a0<\/span><\/p>\n \u00a0.<\/span>\u00a0<\/span><\/p>\n \u00a0<\/span><\/p>\n Ames, H., Mosd\u00f8l, A., Blaasv\u00e6r, N., N\u00f8kleby, H., Berg, R. C., & Lang\u00f8ien, L. J. (2020). Communication of children’s weight status: what is effective, and what are the children’s and parents’ experiences and preferences? A mixed methods systematic review. <\/span>BMC Public Health<\/span><\/i>,\u202f<\/span>20<\/span><\/i>(1), 1-22.<\/span>\u00a0<\/span><\/p>\n Di Maglie, A., Marsigliante, S., My, G., Colazzo, S., & Muscella, A. (2022). Effects of a physical activity intervention on schoolchildren fitness. Physiological reports, 10(2), e15115. https:\/\/doi.org\/10.14814\/phy2.15115<\/span>\u00a0<\/span><\/p>\n Eli, K., Neovius, C., Nordin, K., Brissman, M., & Ek, A. (2022). Parents\u2019 experiences following conversations about their young child\u2019s weight in the primary health care setting: a study within the STOP project.\u202f<\/span>BMC Public Health<\/span><\/i>,\u202f<\/span>22<\/span><\/i>(1), 1540.<\/span>\u00a0<\/span><\/p>\n Kanellopoulou, A., Antonogeorgos, G., Douros, K., & Panagiotakos, D. B. (2022). The Association between Obesity and Depression among Children and the Role of Family: A Systematic Review.\u202f<\/span>Children (Basel, Switzerland)<\/span><\/i>,\u202f<\/span>9<\/span><\/i>(8), 1244. https:\/\/doi.org\/10.3390\/children9081244<\/span>\u00a0<\/span><\/p>\n \u00a0Kansra, A. R., Lakkunarajah, S., & Jay, M. S. (2021). Childhood and adolescent obesity: A review.\u202f<\/span>Frontiers in pediatrics<\/span><\/i>,\u202f<\/span>8<\/span><\/i>, 581461. https:\/\/doi.org\/10.3389\/fped.2020.581461<\/span>\u00a0<\/span><\/p>\n Sanyaolu, A., Okorie, C., Qi, X., Locke, J., & Rehman, S. (2019). Childhood and Adolescent Obesity in the United States: A Public Health Concern.\u202f<\/span>Global pediatric health<\/span><\/i>,\u202f<\/span>6<\/span><\/i>, 2333794X19891305. https:\/\/doi.org\/10.1177\/2333794X19891305<\/span>Learning Objectives<\/h2>\n
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Week 3: Assignment 1<\/a>\u00a0\u2013 Case Study Assignment: Assessment of Nutrition in Children<\/h2>\n
RESOURCES<\/h2>\n
\nClick the weekly resources link to access the resources.<\/p>\nTO PREPARE<\/h2>\n
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THE ASSIGNMENT<\/h2>\n
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LEARNING RESOURCES<\/h2>\n
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\nThis chapter explains the\u00a0physical examination<\/a>\u00a0techniques of inspection, palpation, percussion, and auscultation. This chapter also explores special issues and equipment relevant to the physical exam process.<\/p>\n
\nIn this chapter, the authors explain examinations for growth, gestational age, and pubertal development. The authors also differentiate growth among the organ systems.<\/p>\n\n
\n<\/a>This website provides information about overweight and obese children. Additionally, the website provides basic facts about obesity and strategies to counteracting obesity.<\/li>\n
\nCredit Line:\u00a0Advanced Health Assessment<\/a>\u00a0and Clinical Diagnosis in Primary Care, 6th Edition by Dains, J.E., Baumann, L. C., & Scheibel, P. Copyright 2019 by Mosby. Reprinted by permission of Mosby via the Copyright Clearance Center.<\/li>\n<\/ul>\n
\nThis chapter introduces the diagnostic process, which includes performing an analysis of the symptoms and then formulating and\u00a0testing a hypothesis<\/a>. The authors discuss how becoming an expert clinician takes time and practice in developing clinical judgment.<\/p>\n\n
\nCredit Line: Mosby\u2019s Guide to Physical Examination, 7th Edition by Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. Copyright 2011 by Elsevier. Reprinted by permission of Elsevier via the Copyright Clearance Center.<\/li>\n\n
\nHow do nurses gather information and assess a patient\u2019s health? Consider the importance of conducting an in-depth health assessment interview and the strategies you might use as you watch. (16m)<\/p>\n\n
A Sample Answer For the Assignment: NURS 6512 CASE STUDY ASSIGNMENT ASSESSMENT OF NUTRITION IN CHILDREN<\/strong><\/h2>\n
Title: <\/strong> NURS 6512 CASE STUDY ASSIGNMENT ASSESSMENT OF NUTRITION IN CHILDREN<\/strong><\/h2>\n
Health Issues and Risks That Are Relevant to the Child<\/strong><\/h2>\n
Additional Information I Would Need to Further Assess Her Weight-Related Health<\/strong><\/h2>\n
Risks and Further Information I Would Need to Gain a Full Understanding of the Child\u2019s Health<\/strong><\/h2>\n
Specific Questions to Ask About the Child to Gather More Information<\/strong><\/h2>\n
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Strategies to Encourage the Parents to Be Proactive about Their Child\u2019s Health and Weight<\/strong><\/h2>\n
Conclusion<\/strong><\/h2>\n
References<\/strong><\/h2>\n
NURS_6512_Week_3_Assignment_1_Rubric<\/h2>\n
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\n NURS_6512_Week_3_Assignment_1_Rubric<\/td>\n<\/tr>\n \n Criteria<\/td>\n Ratings<\/td>\n Pts<\/td>\n<\/tr>\n \n This criterion is linked to a Learning Outcome In 3\u20134 pages, address the following: An explanation of the health issues and risks that are relevant to the child you were assigned.<\/td>\n \n \n\n
\n 25 to >24.0 ptsExcellentThe response clearly, accurately, and in detail explains the relevant health issues and risks for the assigned child.<\/td>\n 24 to >23.0 ptsGoodThe response accurately explains the relevant health issues and risks for the assigned child.<\/td>\n 23 to >17.0 ptsFairThe response vaguely and with some inaccuracy explains the relevant health issues and risks for the assigned child.<\/td>\n 17 to >0 ptsPoorThe response is inaccurate and\/or missing explanations of the relevant health issues and risks for the assigned child.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n 25 pts<\/td>\n<\/tr>\n \n This criterion is linked to a Learning Outcome Describe additional information you would need in order to further assess his or her weight-related health.<\/td>\n \n \n\n
\n 25 to >24.0 ptsExcellentThe response clearly and accurately describes detailed additional information needed to further assess the child\u2019s weight-related health.<\/td>\n 24 to >23.0 ptsGoodThe response accurately describes additional information needed to further assess the child\u2019s weight-related health.<\/td>\n 23 to >17.0 ptsFairThe response vaguely and with some inaccuracy describes additional information needed to further assess the child\u2019s weight-related health.<\/td>\n 17 to >0 ptsPoorThe response is inaccurate and\/or missing a description of additional information needed to further assess the child\u2019s weight-related health.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n 25 pts<\/td>\n<\/tr>\n \n This criterion is linked to a Learning Outcome Identify and describe any risks, and consider what further information you would need to gain a full understanding of the child\u2019s health. Think about how you could gather this information in a sensitive fashion.<\/td>\n \n \n\n
\n 20 to >17.0 ptsExcellentThe response clearly and accurately identifies and describes in detail any risks to the child\u2019s health. The response clearly and accurately identifies and describes in detail further information needed to gain a full understanding of the child\u2019s health, with a detailed explanation of how to gather that information in a way that is sensitive to the child.<\/td>\n 17 to >14.0 ptsGoodThe response accurately identifies and describes any risks to the child\u2019s health. The response accurately identifies and describes further information needed to gain a full understanding of the child\u2019s health, with a clear explanation of how to gather that information in a way that is sensitive to the child.<\/td>\n 14 to >13.0 ptsFairThe response vaguely and with some inaccuracy identifies and describes any risks to the child\u2019s health. The response vaguely identifies and describes further information needed to gain a full understanding of the child\u2019s health, with a vague explanation of how to gather that information in a way that is sensitive to the child.<\/td>\n 13 to >0 ptsPoorThe response identifies inaccurately and\/or is missing descriptions of any risks to the child\u2019s health. The response identifies inaccurately and\/or is missing descriptions of further information needed to gain a full understanding of the child\u2019s health, with an inadequate or missing explanation of how to gather that information in a way that is sensitive to the child.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n 20 pts<\/td>\n<\/tr>\n \n This criterion is linked to a Learning Outcome Taking into account the parents\u2019 and caregivers\u2019 potential sensitivities, list at least three specific questions you would ask about the child to gather more information.<\/td>\n \n \n\n
\n 10 to >9.0 ptsExcellentThe response clearly and accurately lists three or more specific questions that would gather more information about the child. Specific questions are carefully worded to clearly demonstrate sensitivity to the parent(s) or caregiver(s) of the child.<\/td>\n 9 to >8.0 ptsGoodThe response lists three specific questions that would gather more information about the child. Specific questions are worded to demonstrate sensitivity to the parent(s) or caregiver(s) of the child.<\/td>\n 8 to >7.0 ptsFairThe response lists three questions with wording that is vague and lacking specificity for gathering more information about the child. Some wording of the questions lacks sensitivity to the parent(s) or caregiver(s) of the child.<\/td>\n 7 to >0 ptsPoorThe response lists two or fewer confusing or inadequate questions, or is missing questions, for gathering more information about the child. Wording of questions provided lacks sensitivity to the parent(s) or caregiver(s) of the child.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n 10 pts<\/td>\n<\/tr>\n \n This criterion is linked to a Learning Outcome Provide at least two strategies you could employ to encourage the parents or caregivers to be proactive about their child\u2019s health and weight.<\/td>\n \n \n\n
\n 5 to >4.0 ptsExcellentThe response clearly describes two or more detailed strategies to encourage the parent(s) or caregiver(s) to be proactive about the child\u2019s health and weight.<\/td>\n 4 to >3.0 ptsGoodThe response describes at least two strategies to encourage the parent(s) or caregiver(s) to be proactive about the child\u2019s health and weight.<\/td>\n 3 to >2.0 ptsFairThe response vaguely describes two strategies to encourage the parent(s) or caregiver(s) to be proactive about the child\u2019s health and weight.<\/td>\n 2 to >0 ptsPoorThe response inadequately describes one strategy or is missing strategies to encourage the parent(s) or caregiver(s) to be proactive about the child\u2019s health and weight.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n 5 pts<\/td>\n<\/tr>\n \n This criterion is linked to a Learning Outcome Written Expression and Formatting \u2013 Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused\u2013neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria.<\/td>\n \n \n\n
\n 5 to >4.0 ptsExcellentParagraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria.<\/td>\n 4 to >3.0 ptsGoodParagraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. Purpose, introduction, and conclusion of the assignment are stated, yet are brief and not descriptive.<\/td>\n 3 to >2.0 ptsFairParagraphs and sentences follow writing standards for flow, continuity, and clarity 60%\u201379% of the time. Purpose, introduction, and conclusion of the assignment are vague or off topic.<\/td>\n 2 to >0 ptsPoorParagraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. No purpose statement, introduction, or conclusion were provided.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n 5 pts<\/td>\n<\/tr>\n \n This criterion is linked to a Learning Outcome Written Expression and Formatting \u2013 English writing standards: Correct grammar, mechanics, and proper punctuation<\/td>\n \n \n\n
\n 5 to >4.0 ptsExcellentUses correct grammar, spelling, and punctuation with no errors.<\/td>\n 4 to >3.0 ptsGoodContains a few (1 or 2) grammar, spelling, and punctuation errors.<\/td>\n 3 to >2.0 ptsFairContains several (3 or 4) grammar, spelling, and punctuation errors.<\/td>\n 2 to >0 ptsPoorContains many (\u2265 5) grammar, spelling, and punctuation errors that interfere with the reader\u2019s understanding.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n 5 pts<\/td>\n<\/tr>\n \n This criterion is linked to a Learning Outcome Written Expression and Formatting \u2013 The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running heads, parenthetical\/in-text citations, and reference list.<\/td>\n \n \n\n
\n 5 to >4.0 ptsExcellentUses correct APA format with no errors.<\/td>\n 4 to >3.0 ptsGoodContains a few (1 or 2) APA format errors.<\/td>\n 3 to >2.0 ptsFairContains several (3 or 4) APA format errors.<\/td>\n 2 to >0 ptsPoorContains many (\u2265 5) APA format errors.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n 5 pts<\/td>\n<\/tr>\n \n Total Points: 100<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n A Sample Answer For the Assignment: NURS 6512 CASE STUDY ASSIGNMENT ASSESSMENT OF NUTRITION IN CHILDREN<\/strong><\/h2>\n
Title: NURS 6512 CASE STUDY ASSIGNMENT ASSESSMENT OF NUTRITION IN CHILDREN<\/strong><\/h2>\n
Assignment: Child Health Case<\/span><\/b>\u00a0<\/span><\/h3>\n
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Conclusion<\/span><\/b>\u00a0<\/span><\/h3>\n
References<\/span><\/b>\u00a0<\/span><\/h3>\n