NR602 Week 4 Pediatric Clinical Pearl Case Study Assignment
NR602 Week 4 Pediatric Clinical Pearl Case Study Assignment
Purpose
The assignment’s goal is to help students recognize the behaviors and interactions that frequently take place during the well-child exam’s health history section. By employing efficient, impartial, and nonjudgmental communication, students may create plans to enhance anticipatory advice and health education NR602 Week 4: Pediatric Clinical Pearl Case Study Assignment.
Activity Learning Outcomes
Through this assignment, the student will demonstrate the ability to:
Synthesize information in which addresses child health promotion, developmental surveillance, observation of parent-child interaction, anticipatory guidance, social determinants of health and/or cultural competence.
ORDER COMPREHSIVE SOLUTION PAPERS
Due Date: Sunday of week 4 by 11:59pm MT
This assignment will follow the late assignment policy specified in the course syllabus.
Late penalty deductions
Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment. NR602 Week 4: Pediatric Clinical Pearl Case Study Assignment
Students may ask their teacher for a waiver of the late submission grade decrease if a circumstance prohibits timely submission of an assignment. The teacher will go at the student’s justification for the request and make a decision based on the appeal’s merits. The determination will take into account the student’s overall course performance up to that point. While the appeal is being considered, students should keep coming to class, participating in discussions, and doing other projects. NR602 Week 4: Pediatric Clinical Pearl Case Study Assignment
Total Points Possible: 100
NR602 Week 4: Pediatric Clinical Pearl Case Study Assignment Requirements
- Start by watching the following video: Transcipt: [NOISE] >> [INAUDIBLE] >> Well, Hello, good morning to you. My name is Jim. >> All right. >> And I’m your nurse for today. Stacy will be your nurse practitioner, but she just wants me to go over some simple things, just to ask you all about your son. Is that okay? >> Uh-huh. >> All right, well, let’s get started. Since your last visit, has there been any major illnesses, hospitalizations, changes, or stresses for your family or child? >> I was in a car accident a couple of months ago, and the pain is really bad, so I haven’t been to work for a couple of months, yeah. NR602 Week 4: Pediatric Clinical Pearl Case Study Assignment
- That’s about it. >> Okay, is your child taking a vitamin supplement? >> Yeah. >> Has your child ever had a reaction to a vaccine? >> No but he has all his shots, they’re all up to date. I make sure I track of that. >> Is your child still on a bottle? >> Yeah, like about he can [INAUDIBLE] at the hospital he has exciting ones, I just give him meds. And then he’s kind of keeps him occupied because it has like some kind of like mountain view or so I could catch them all day and then you don’t want to. >> Very well. NR602 Week 4: Pediatric Clinical Pearl Case Study Assignment
- Does your child sleep through the night? >> Sometimes he sleeps for 10 hours, and I have to get him up. I have to push and push and get him up, and it’s rough. I think, I feel like I need some Xanax. Because my anxiety just gets up and sometimes I can’t get him to sleep. So if he could get some Xanax or some Benadryl or something to put him to sleep, that would be great. >> Does your child drink or eat food prepared with tap water? >> Yeah. >>
- Do you have any questions or concerns about your child’s bowel movements? >> No. [INAUDIBLE] >> Okay, do you brush your child’s teeth with water every day? >> I brush it in the morning and at night. >> Does your child hear and see well? Is there a TV in your child’s bedroom? >> [INAUDIBLE] I have to say [INAUDIBLE] [LAUGH]. Okay I’m sorry, what was that? >> Yeah, is there a television in your child’s bedroom? >> Yeah, he watches TV every night.
- That’s how he goes to sleep. >> Do you play and read with your child every day? >> I’ve been trying to play with him, to make sure- [MUSIC] Things is he’s always on my phone. No, don’t do that. No, don’t touch my phone. NR602 Week 4: Pediatric Clinical Pearl Case Study Assignment
- He’s always on my phone. I try to like even like these puzzles, I got him these, and it’s like a jigsaw. And he loves cars, so I don’t understand why he can’t do it. And see, I’ll give him the puzzle, look, he don’t even know how to put it together. So that’s what we’re here today at the doctors office, to make sure everything right. >> Okay, we get some nice question. Do you have any concerns about tantrums or disciplining your child? >> No, I tell him no all the time. Like no, no, don’t touch that. See, he still touched it. No. >> How about choking?
- Do you know what to do if your child is choking? >> Do you always cook on the back burners of your stove? Okay, what about the pothead was he keep those pointed away? >> Yeah, he can’t get burnt, >> Okay. >> He can’t reach out there. >> If you have stairs in your home, do you have a safety gate at the bottom and the top of the stairs? >> Yeah, it’s at the bottom and top.
- We got it too at the basement doors, too, at the top and the bottom. >> Do you keep all medications, household cleaning products, poisons, in a cabinet and kind of out of reach from him? >> Yeah, but, so like sometimes I forget where I put my cigarettes.
- I have a cigarette and on the floor I’m gonna have one table here around because one time he grabbed a cigarette and he started chewing on it and I was okay because you [INAUDIBLE] he wants to get swallowed up and he almost swallowed it. I think he swallowed it I’m not really sure. I thought he was in control because I got that phone number in my phone. NR602 Week 4: Pediatric Clinical Pearl Case Study Assignment
- That’s what got me last time. So, yeah, we try to make sure we keep [INAUDIBLE] my cigarette. Sometimes I smoke in the living room, or the kitchen, or the bedroom. But I made sure that I don’t smoke in his bedroom. But I smoke everywhere else but just not in his bedroom, because that’s where he is. >> Okay. And you said you have the poison controls number in your phone. >> Yeah. >> Okay, so you get it readily available in your house, in other places as well too? >> Yeah, I got that. >> Do you place your baby in the car seat, facing backwards in the backseat? >> No, he faces forward, just like everybody else in the car. NR602 Week 4: Pediatric Clinical Pearl Case Study Assignment
- When I turn around, when I’m driving, I need to be able to see him. >> Do you watch your child at all times around water, like in a bathtub, pools, the ocean? >> Yeah, >> Does your child show affection by hugging or kissing you? >> Yeah, all the time, watch.
- Hey, bud, give mom a kiss. Give mom a kiss. Give mom a kiss. Give mom a kiss. [SOUND] Yeah, give mom a kiss. >> Yeah buddy. Does your child walk well? >> Yes. >> Does he say two to three words at a time? >> Yeah. [INAUDIBLE] >> What about things that you do? Does he imitate you or does he imitate activities? >> Yeah, he [INAUDIBLE] >> Does he try to feed himself with a spoon or fork? Does he follow simple directions? >> Yeah, he does. NR602 Week 4: Pediatric Clinical Pearl Case Study Assignment
- The phone ringing, hold on one second I probably. A text another. >> Okay I have a couple more questions for you. >> Okay. >> Then I’ll be out your way all right. >> All right, okay. >> Does your child listen to a story? >> Yeah, we love stories. I just have to read? >> Yeah. >> Watch. Read. Read. Yeah. Iguana baby. NR602 Week 4: Pediatric Clinical Pearl Case Study Assignment
- Turn the page. Turn the page. Good job. >> All right, big man, and final question, does your child indicate what he wants about pulling or tugging or groaning, pointing no draw some kind of action? >> Sometimes I get appointed was a male male or something, you know. He’ll be like [INAUDIBLE], so I’ll be [INAUDIBLE]. What’s the better. >> Okay, wow. >> [INAUDIBLE], stuff like that. You don’t throw that to my anxiety pills. Always throwing my pills away. They gave them to me after my car accident because my nerves was bad. Here, put that right there. Pills everywhere. Yeah, put it back in the, put them back where you got in from. >> Okay, well, that’s my phone press. NR602 Week 4: Pediatric Clinical Pearl Case Study Assignment
- That’s my final question. That’s all the info I need from you right now. Like I said, a follow on me Stacy will be right in and she’s gonna follow up everything else. Okay. All right, so she’ll be right in just a few minutes are thank you so much for your time.
As you view the video, observe the parent-child and the parent-provider interactions. Pay particular attention to the parent’s responses to the provider’s questions making note of inappropriate and appropriate responses. NR602 Week 4: Pediatric Clinical Pearl Case Study Assignment - Choose five (5) topics from the following categories to complete the assignment:
- Cognitive Developmental Milestones
- Physical Developmental Milestones
- Social-Emotional Developmental Milestones
- Safety
- Alcohol/Substance Use
- Environmental Health Risks
- Temper Tantrums and Discipline
- Sleep Routines
- Car Seat Safety
- Healthy Teeth
- You will develop and complete a table for each one of the five (5) categories using the example below as a guide. (Note: There are at least 10 categories addressed in the video, you must choose five (5) and create a separate table for each one).
- For each of the tables, complete each section:
- Issue: Category name
- Negative interaction/behavior: What did you see or hear that was inappropriate?
- Positive interaction/behavior: What did you see that was appropriate?
- Guidelines/recommendation: What does the research recommend?
- Scholarly reference: Must be in APA format within the table.
- Professional/Ethical Communication: How will provide non-judgmental and non-bias education regarding issue identified? Needs to be at least 3 sentences. Helpful Hints: Acknowledge how they feel, state the facts and provide education or re-frame the approach.
- Scholarly references should be peer-reviewed, preferably a Clinical Practice Guideline (CPG), intended for providers (MDs, NPs) and no more than 5 years old (unless it is a clinical practice guideline’s most recent update).
Preparing the Paper – NR602 Week 4: Pediatric Clinical Pearl Case Study Assignment
- The table provided below is an example only. It cannot be used to satisfy the requirements for any part of the assignment.
- You may format your tables according to your preference, but APA format is required for the reference column.
- Submit your paper to the assignment page by Sunday at 11:59pm MT.
You must complete tables for 5 categories/issues
EXAMPLE: Clinical Pearl Issue # 1
| Category | NUTRITION |
|---|---|
| Issue – Pertinent Negative What did you see that was inappropriate? | Mom stated she feeds her son a McDonald’s happy meal every night for dinner and makes sure he gets fruit punch soda, so that he can have his fruit for the day.NR602 Week 4: Pediatric Clinical Pearl Case Study Assignment |
| Pertinent Positive What did you see that was appropriate? | Mom’s awareness of the importance of fruit in her child’s diet.NR602 Week 4: Pediatric Clinical Pearl Case Study Assignment |
| Guidelines or Recommendations | Offer variety of healthy foods such as whole-grain breads, cheese, yogurt, cooked lean meat, poultry, fish, eggs, fruits and vegetables. Give 2 cups (16 oz.) of milk per day. Use whole milk to help with growth and development. NR602 Week 4: Pediatric Clinical Pearl Case Study Assignment |
| Reference | Hagan, Jr, J.F., Shaw, J.S., & Duncan, P.M. (2017). Bright futures: Guidelines for health supervision of infants, children, and adolescents. (4th ed.). https://brightfutures.aap.org/Bright%20Futures%20Documents/BF4_POCKETGUIDE.pdf |
Professional/Ethical Communication by Nurse Practitioner to Parent How will you provide non-judgmental and non-bias education regarding issue identified? Needs to be at least 3 sentences. Helpful Hints:
|
“I see that you are trying to give your son fruit within his diet. For his age, fruit is very important for his growth and development. McDonald’s has the option to substitute French-fries for apple slices or you can provide your son with milk instead of fruit punch or soda. Those are a few ways that you can help to introduce fruit and limit soda.NR602 Week 4: Pediatric Clinical Pearl Case Study Assignment |
Holistic Child Health Assessment Example
According to CDC (2023), the early years of a child’s life play a crucial role in shaping their health and development. Optimal development is evidence that a child, irrespective of their abilities or special health care needs, can thrive in environments that cater to their social, emotional, and educational requirements. A secure and loving home, a family engaging in activities such as play, singing, reading, and communication, proper nutrition, regular exercise, and adequate sleep are important to a child’s well-being, fostering happiness, health, and optimal growth and development. In the given clinical scenario, the nurse engages with a parent to discuss various aspects of the child’s health and development: Cognitive Developmental Milestones, Physical Developmental Milestones, Social-Emotional Developmental Milestones, Safety, and Environmental Health Risks.
Cognitive Developmental Milestones
Cognitive development is pivotal in a child’s overall growth, influencing their ability to perceive, learn, and interact with the world. In the clinical scenario, the parent expresses concern over the child’s struggles with completing a puzzle, indicating a potential gap in cognitive milestones. The positive interaction of attempting to engage the child in cognitive activities reflects a proactive approach to addressing developmental concerns. However, it shows the importance of anticipatory guidance in cognitive development. The American Academy of Pediatrics (AAP) emphasizes the significance of providing age-appropriate cognitive stimulation to foster a child’s cognitive abilities (Yogman et al., 2021).
To address this, the nurse plays a crucial role in acknowledging the parent’s concerns, which validates the parent’s observations and establishes a foundation of trust and collaboration. By recognizing the developmental milestones, the nurse can recognize the variability of cognitive milestones among children. This helps alleviate the parent’s doubts, assuring them that every child progresses uniquely. Moreover, offering alternative activities is a principle of anticipatory guidance. Suggesting activities that cater to the child’s developmental stage fosters a sense of accomplishment in the child and showcases the nurse’s commitment to providing practical solutions.
Physical Developmental Milestones
Physical development is a fundamental component of a child’s holistic well-being, encompassing nutrition, exercise, and oral health. In the clinical context, the parent’s practices regarding the child’s consumption of sugary drinks and dental hygiene are evidence of a negative interaction, allowing the child to consume sugary drinks throughout the day, which raises concerns about its effects on oral health. Excessive sugar intake is associated with an increased risk of dental cavities and gum problems. This negative behavior underscores the need for guidance to promote healthier habits.
Conversely, the positive interaction of the parent brushing the child’s teeth twice a day is a demonstration of commitment to dental hygiene. Establishing good oral care habits at an early age is crucial for preventing dental problems and ensuring a child’s overall health. To address the negative behavior and enhance positive practices, anticipatory guidance is essential. The World Health Organization (WHO) provides recommendations on oral health, emphasizing the importance of limiting sugary food and drink consumption (Loveren, 2020). In providing anticipatory guidance, the nurse should acknowledge the existing routine of brushing the child’s teeth. Recognition of positive behaviors fosters a collaborative and supportive environment.
Professional and ethical communication is integral to guiding parents effectively. The nurse must acknowledge the existing routine, recognizing the efforts the parent is already making. By doing so, the nurse establishes a foundation of respect and understanding. State the importance of oral health, linking it to broader physical well-being, and offer alternatives to sugary drinks. This ensures that the communication is not only professional but also ethical. It avoids a judgmental tone, recognizing that parents may have varying levels of knowledge and resources. Providing alternatives rather than criticism empowers parents to make informed decisions about their child’s health.
Social-Emotional Developmental Milestones
Social-emotional development is a cornerstone in molding a child’s personality, influencing their ability to form relationships, express emotions, and interact with the social world. In the scenario, the parent shows concerns regarding the child’s reluctance to exhibit affectionate behaviors. The positive interaction where the parent attempts to engage the child in affectionate activities, is a commendable effort to address and understand the child’s social-emotional needs.
However, this interaction also shows the importance of providing guidance and support in fostering healthy social-emotional development. To address the parent’s worry, the nurse should have a conversation that involves discussing normal variations in child behavior and refer the parent to resources such as the Centers for Disease Control and Prevention (CDC) to learn developmental milestones. This allows parents to contextualize their child’s behaviors in a broader framework, helping them understand the social-emotional development of different children.
Safety
Ensuring the safety of a child is a responsibility that encompasses various aspects of the environment and parental practices. The negative interaction involves inconsistent storage of cigarettes, which poses a potential risk to the child. Cigarettes contain nicotine, and their accessibility to a child can result in accidental ingestion, posing severe health risks. This behavior shows the need for anticipatory guidance to address potential dangers in the child’s environment. On the positive side, the parent demonstrates awareness of the need for safety gates, indicating an approach to creating a secure living space for the child. This positive behavior is a commendable step towards preventing accidents where the child might be exposed to potential hazards.
To address the negative interaction and enhance positive safety practices, anticipatory guidance should be provided. Emphasis should be placed on consistent storage of harmful substances, such as cigarettes, in a secure and inaccessible location. Acknowledging the challenge faced by the parent in consistently storing cigarettes is crucial. This recognition ensures a non-judgmental approach, acknowledging the complexities of daily life and potential lapses in safety measures. The nurse should clearly state the risks associated with inconsistent storage of harmful substances, providing education on the importance of maintaining a safe environment for the child.
The non-judgmental approach is vital in fostering effective communication. Parents, when confronted with safety concerns, may feel defensive or overwhelmed. By acknowledging the challenge and providing education in a supportive manner, the nurse encourages a collaborative relationship with the parent, promoting a shared commitment to the child’s safety.
Environmental Health Risk
Understanding and mitigating environmental health risks are crucial for a child’s well-being. The negative interaction involves the child’s potential access to medication. On the positive side, the parent has the Poison Control number readily available. Anticipatory guidance should emphasize secure medication storage, referencing resources like the Consumer Product Safety Commission (CPSC). The nurse should acknowledge the challenge, state the risks, and provide solutions, ensuring an ethical and professional communication approach.
Conclusion
Holistic child health assessment involves addressing cognitive, physical, and social-emotional milestones, ensuring safety, and mitigating environmental health risks. Utilizing evidence-based guidelines and maintaining a professional and ethical communication strategy are essential for providing comprehensive and effective care. The nurse’s role is not only to address immediate concerns but also to empower parents with the knowledge and skills necessary for their child’s optimal development and well-being.
References
CDC. (2023, June 19). Child development basics. Centers for Disease Control and Prevention. https://www.cdc.gov/ncbddd/childdevelopment/facts.html
Loveren. (2020). Sugar restriction for caries prevention: Amount and frequency. Which is more important? Caries Research, 53(2), 168–175. https://doi.org/10.1159/000489571
Yogman, M., Garner, A., Hutchinson, J., Hirsh-Pasek, K., Golinkoff, R. M., Baum, R., Gambon, T., Lavin, A., Mattson, G., Wissow, L., Hill, D. L., Ameenuddin, N., Chassiakos, Y. (Linda) R., Cross, C., Boyd, R., Mendelson, R., Moreno, M. A., Radesky, J., Swanson, W. S., … MBE. (2021). The power of play: A pediatric role in enhancing development in young children. Pediatrics, 142(3), e20182058. https://doi.org/10.1542/peds.2018-2058
Rubric Clinical Pearl Case Study Assignment
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Table #1 The student includes all of the required elements:
1. A single issue or topic is chosen and identified by the category name. 2. The student notes one negative interaction or behavior for the chosen issue (i.e., what was seen or heard that was inappropriate). 3. The student notes one positive interaction or behavior for the chosen issue (i.e., what was seen or heard that was appropriate). 4. The student provides the current recommendation for the identified issue. 5. Reference is listed in APA format and is a scholarly source (peer reviewed, intended for providers and within the last 5 years unless it is the latest edition of a CPG). 6. Professional/ Ethical Communication: The student demonstrates how to provide non-judgmental and non-bias education regarding the issue identified (which is at least 3 sentences). (6 required elements) NR602 Week 4: Pediatric Clinical Pearl Case Study Assignment
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Table #2 The student includes all of the required elements:
1. A single issue or topic is chosen and identified by the category name. 2. The student notes one negative interaction or behavior for the chosen issue (i.e., what was seen or heard that was inappropriate). 3. The student notes one positive interaction or behavior for the chosen issue (i.e., what was seen or heard that was appropriate). 4. The student provides the current recommendation for the identified issue. 5. Reference is listed in APA format and is a scholarly source (peer reviewed, intended for providers and within the last 5 years unless it is the latest edition of a CPG). 6. Professional/ Ethical Communication: The student demonstrates how to provide non-judgmental and non-bias education regarding the issue identified (which is at least 3 sentences). (6 required elements) |
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Table #3 The student includes all of the required elements:
1. A single issue or topic is chosen and identified by the category name. 2. The student notes one negative interaction or behavior for the chosen issue (i.e., what was seen or heard that was inappropriate). 3. The student notes one positive interaction or behavior for the chosen issue (i.e., what was seen or heard that was appropriate). 4. The student provides the current recommendation for the identified issue. 5. Reference is listed in APA format and is a scholarly source (peer reviewed, intended for providers and within the last 5 years unless it is the latest edition of a CPG). 6. Professional/ Ethical Communication: The student demonstrates how to provide non-judgmental and non-bias education regarding the issue identified (which is at least 3 sentences). (6 required elements) NR602 Week 4: Pediatric Clinical Pearl Case Study Assignment
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Table #4 The student includes all of the required elements:
1. A single issue or topic is chosen and identified by the category name. 2. The student notes one negative interaction or behavior for the chosen issue (i.e., what was seen or heard that was inappropriate). 3. The student notes one positive interaction or behavior for the chosen issue (i.e., what was seen or heard that was appropriate). 4. The student provides the current recommendation for the identified issue. 5. Reference is listed in APA format and is a scholarly source (peer reviewed, intended for providers and within the last 5 years unless it is the latest edition of a CPG). 6. Professional/ Ethical Communication: The student demonstrates how to provide non-judgmental and non-bias education regarding the issue identified (which is at least 3 sentences). (6 required elements) NR602 Week 4: Pediatric Clinical Pearl Case Study Assignment
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Table #5 The student includes all of the required elements:
1. A single issue or topic is chosen and identified by the category name. 2. The student notes one negative interaction or behavior for the chosen issue (i.e., what was seen or heard that was inappropriate). 3. The student notes one positive interaction or behavior for the chosen issue (i.e., what was seen or heard that was appropriate). 4. The student provides the current recommendation for the identified issue. 5. Reference is listed in APA format and is a scholarly source (peer reviewed, intended for providers and within the last 5 years unless it is the latest edition of a CPG). 6. Professional/ Ethical Communication: The student demonstrates how to provide non-judgmental and non-bias education regarding the issue identified (which is at least 3 sentences). (6 required elements) NR602 Week 4: Pediatric Clinical Pearl Case Study Assignment
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Late penalty deductions Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment. Quizzes and discussions are not considered assignments and are not part of the late assignment policy.
NR602 Week 4: Pediatric Clinical Pearl Case Study Assignment
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Total Points: 100.0
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