NURS416 Prince Georges Community Well Child Developmental Assessment Paper

NURS416 Prince Georges Community Well Child Developmental Assessment Paper NURS416 Prince Georges Community Well Child Developmental Assessment Paper Paper need to be done on either a one year old or two years old should be APA format with 5 references :Use the example on World Child developmental assessment I send to you to do the paper the other two are rubric for the paper Ricci, Susan Scott, and Terry Kyle, Maternity and Pediatric Nursing, 2nd edition, Lippincott Williams & Wilkins, Philadelphia, 2013 Study Guide for Ricci and Kyle’s Maternity and Pediatric Nursing, 2nd edition , Lippincott Williams & Wilkins, Philadelphia, Use the NURS416 Prince Georges Community Well Child Developmental Assessment Paper well_child_developmental_assessment_paper_guidelines_and_rubrics.docx world_child_developmental_assessment_paper.docx nurs_416_syllabus_rubr Bowie State University Bowie, MD 20715 College of Professional Studies Department of Nursing Well Child Developmental Assessment Paper Guidelines Students will conduct a developmental assessment met in a home setting to identify factors influencing a child’s development. WELL CHILD DEVELOPMENTAL ASSESSMENT PAPER (20%) Each student will conduct a pediatric developmental assessment in order to facilitate his/her learning of the multiple, predictable aspects of a child’s growth and development. The student will also assess the child’s home environment to identify some of the factors influencing the child’s development. Following the visit, a written paper will be due which will include physiologic and psychosocial assessment data, goals for the child and family, interventions, and recommendations. I. PROCEDURE FOR THE VISIT Identify a well child (1 month – 10 years of age) either in a home or school environment. The child should not be a member of the student’s immediate family. For home visits, you will be conducting a developmental and a home assessment for a child birth to 10 years of age. For school students, you may conduct a systematic assessment of their developmental status and identify environmental factors located in the school which are aimed at stimulating their development. Some suggested parameters to include: a) birth date, age, and gender b) growth parameters – use growth charts based on the ? For children < 2 years, use the Birth to 36 months 3rd-97th percentile forms and plot the following on the chart: o length for age o weight for age o head circumference for age o weight for length ? For children > 2 years, use the 2-20 years 3rd-97th percentile forms and plot the following on the chart: o stature for age o weight for age o BMI for age c) nutritional status d) development – remember the different aspects of development e) family ? Who lives in the home and what are their roles with the child? ? What influences do they have on the child’s development? ? Is the child cared for outside of the home and what impact does that have on the child and his/her family? f) home environment or school assessment– ? include safety issues that may not be covered by this tool, i.e.: guns in home, helmets w/ bikes, harmful chemicals within reach, etc. 2) ANALYSIS OF DATA Bowie State University Bowie, MD 20715 College of Professional Studies Department of Nursing a) Interpret the child’s growth percentiles. b) Describe and interpret child developmental findings. Select at least two developmental theorists and compare the child’s development. c) Assess the child’s environment in the areas of cognitive and social emotional support, safety, nutrition, and list factors that facilitate or inhibit the child’s growth and development. Or, if school based, describe environmental factors you have identified that are stimulating the child’s development d) Discuss problems to be addressed, nursing diagnoses, and needs. If there are no problems, discuss anticipatory guidance needs. 3) GOALS – for child and family 4) INTERVENTIONS OR RECOMMENDATIONS – to maintain and promote growth, development and health of the child. Include documented rationale. 5) REFERENCE LIST – Use APA format.NURS416 Prince Georges Community Well Child Developmental Assessment Paper Bowie State University Bowie, MD 20715 College of Professional Studies Department of Nursing SECTION POSSIBLE POINTS ASSESSMENT: Collection of Subjective and Objective Data 1. Growth Chart 2. Nutritional Status (24-hour food diary) 3. Family Assessment 5. Pediatric Home Environment 5pts 5pts 5pts 5pts Total points 20pts ANALYSIS OF DATA 1. Child’s Growth and Development (must reference two developmental theorist) 2. Child’s Home Environment 10pts 3. Factors that facilitate/inhibit G&D 4. Discussion of identified problems 15pts 10pts 15pts Total Points 50pts GOALS: 1. 2. 2 for Child 2 for Family 4pts 4pts Total Points 8pts INTERVENTIONS/RECOMMENDATIONS: 1. 2. Maintenance of current Health Practices Promotion of health, growth & development 10pts 10pts Total Points 20pts APA FORMATING: 2pts TOTAL POSSIBLE POINTS: 100pts Running head: WELL CHILD DEVELOPMENTAL ASSESSMENT PAPER Stella Landoh Professor Zorica Bowie State University July 21, 2019 1 WELL CHILD DEVELOPMENTAL ASSESSMENT PAPER 2 1. PROCEDURE FOR THE VISIT a) Birth Date, Age, And Gender My initial goal was to conduct an assessment on a three years old boy. However, this was not possible, and I had to settle on a four-year-old boy. Initially, I thought the whole exercise would take less than a month since I never anticipated any hurdles along the way. As time progressed, however, I discovered that most parents were protective of their kids, and would never allow me to conduct an assessment without proper authorization. Most of the parents whom I came along were either too busy or unwilling to cooperate in any way. Luckily, a friend who works as a nurse in a nearby hospital came to my rescue and assisted me in getting an authorization from the area authority. On top of that, she accompanied me to a nearby home with three kids aged 4,14 and 25. Most of the parents in the locality knew her, as she had worked for over five years in that area. With her help, I was able to get permission to conduct an assessment on the 4 years old boy by name M.T. b) Birth Date: 4th July 2015 c) Age: 4 years d) Weight: 17.2 Kg e) Height: 43 Inches f) Head Circumference: 53.5 g). Growth Parameters WELL CHILD DEVELOPMENTAL ASSESSMENT PAPER Stature for Age For this assessment, I used 2-20 years, 3rd to 97th percentile forms. 3 WELL CHILD DEVELOPMENTAL ASSESSMENT PAPER From the diagram above, the stature for age of the child is in the 95th percentile. Weight for age The weight for age of the child is in the 75th percentile. BMI for age 4 WELL CHILD DEVELOPMENTAL ASSESSMENT PAPER 5 C) Nutritional Status During my first visit to the family, the mother provided me with a feeding routine, which she uses to keep her last born healthy. Each day, the family ensures that the kids sleep for at WELL CHILD DEVELOPMENTAL ASSESSMENT PAPER 6 least 12 hours, which is in line with the recommendations by the American Academy of Pediatrics. Each day, the boy wakes up at 7:00 am, takes a glass of warm water, before sitting down for breakfast. On a typical day, he takes breakfast between 7:15 am and 7:45 am. The breakfast is not the same for each day; rather, the family provides him with a different set of breakfast for each day. However, the mother ensures that each breakfast has proteins, carbohydrates, vitamins, and roughages. Most of the times, M.T takes milk, eggs, and a piece of doughnut for breakfast. Afterward, he goes to play with his friends until noon when he takes his lunch. Most of the times, the lunch consists of meat, rice, greens, and a piece of fruits. Between 1 and 2 pm, he takes a nap, a bath, before proceeding to join his friend to play. In the afternoon, the family usually takes supper at 7 pm. The super comprises of proteins, carbohydrates, vegetables, and vitamins. Since the mother is not always around to check on M.T, it is the grandparents who normally prepare food for the M.T. D) Family Assessment. NURS416 Prince Georges Community Well Child Developmental Assessment Paperb M.T comes from a single parent family since his father died two years ago. The mother, who is of Hispanic origin is the sole provider in that family. Luckily, she lives with her three children in the same compound with her mother. Since the mother works as a cashier in a retail store nearby, M.T spends most of his time with his elder siblings and her grandparents, who are both retired civil servants. During the weekends and in the evening, however, the mother spends time a few hours with his son. Overall, M.T is in safe hands as his siblings and grandparents take good care of her. The family is highly religious and attends a church service each Sunday. This helps to strengthen the faith of M.T, and to assist all members to grow emotionally, and spiritually. WELL CHILD DEVELOPMENTAL ASSESSMENT PAPER 7 The family does not see the need to hire a nun, as the grandparents are always at home to take care of the kid. During the day, they prepare the food for the boy and ensure that he takes his portion as required. The mother, who is of generation X prefers buying things locally, to ordering them online. Each Sunday, after the church, she drives her old car into a nearby center where she purchases all the things which the family will need for a week. In some instances, although rarely, the firstborn assists the mother to buy a few products online. The child is happy around the mother, siblings, and grandparents but is slightly uncomfortable around strangers. Overall, there is great cohesion between the family members, and the death of the father does not seem to affect the child negatively, in any way. E) Home Environment The family lives in an old but well-maintained house that belongs to the Grandparents. After the death of the child’s father who was the breadwinner, they were forced to relocate to this old house, as they could not sustain the affluent life in the city. The house has three bedrooms, which are well lit and connected to the internet. The child shares a room with his elder brother, who is 14, while the mother and the elder sister occupies the other two rooms. The grandparents live in the same compound but have their own house. The entire compound has a huge backyard where the child plays with kids from a neighboring home. The family has a computer and a small television which the child uses to watch cartoons and other programs. There are an uncleared bush and a pool of stagnant across the road which poses a high risk to the child. The stagnant water could cause mosquito bites, which could lead to Malaria. The uncleared bush could host snakes and other animals that might pose a risk to the child. 2). DATA ANALYSIS WELL CHILD DEVELOPMENTAL ASSESSMENT PAPER 8 Stature for age The stature for the age of the child is in the 95th percentile. This means that the boy is taller than 95% of boys of her age. He is, however, shorter than the remaining 5%. If he can maintain this trend throughout his life, it shows that he is growing normally, and as expected. However, if his height stagnates at a certain point, while that of his peer continues to increase, it shows that something undesirable might be happening to the child. Weight for age The child’s weight for age of the child is in the 75th percentile. This is an indication that he weighs more than 75% of boys aged four years and less than the remaining 25 %. If the boy can maintain this trend throughout his life, there it is a clear indication that they are growing normally. NURS416 Prince Georges Community Well Child Developmental Assessment Paper ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS However, if the weight for age drift drastically to let’s say 95 % or 30%, it is an indication that their growth is not normal, and something undesirable might be happening to the child. BMI for age BMI for this child is 14.4, which is at the 11th percentile. This shows that the child’s BMI is large than 11% of the boys at her age and lower than 89%. This figure shows that the child is healthy and should maintain a healthy lifestyle. According to the center for disease control (CDC), the child should avoid going below the 5th percentile, as they will be considered underweight. Also, they should avoid going over 85% percentile, as they will become overweight and risk being obese. Developmental Theorists WELL CHILD DEVELOPMENTAL ASSESSMENT PAPER 9 The growth and development of this child can be explored using two developmental theories. These theories are Bowlby’s Attachment Theory and Piaget’s cognitive development theory. Bowlby’s Attachment Theory is based on the premise that even before birth, kids are preprogrammed to relate with and to form bonds with other people (Fonagy, 2018). Bowlby suggested that once a child is born, they establish their first attachment with the mother or caregiver who will act as the foundation for all future relationships (Holmes, 2014). For instance, when the kid feels insecure, hungry, or uncomfortable, they always signal the caregiver through locomotion or crying. According to Bowlby, the quality and strength of the attachment between a caregiver and a child have a strong impact on the growth, development, and overall wellbeing of the child. Another theory that can be used to explore the growth and development of the child is the Piaget’s theory of cognitive development theory. Piaget’s theory is based on the premise that each child is born with a basic mental structure that enables them to learn and to acquire knowledge. Piaget classified a child’s life into four stages, namely: Sensorimotor, Preoperational, Concrete Operational, and Formal operational (Bjorklund, & Causey, 2017). The child under assessment falls under the pre-operational stage, which is characterized by strong imagination and intuitive skills. He posited that growth and development are a progressive process that results from both environmental experience and biological maturation. As a child grows and interacts with the environment around him, their mental processes are reshaped. Factors That Facilitate Growth The child is growing normally, as indicated by the BMI for age, weight for age, and Stature for age. However, the mother needs to spend more time with the child, as this will help to establish a long-lasting bond between the two. Since the grandparents are over 70 years old, they WELL CHILD DEVELOPMENTAL ASSESSMENT PAPER 10 might not provide the child with a good environment for growth, as the mother would. Spending time with the child will help the mother to identify inconsistencies in the child’s feeding or sleeping habits, which might signal an impending health issue. The child’s home environment possesses a threat to the growth of the child. For instance, the stagnant water in a nearby pool might act as a breeding ground for Mosquitos, which might transmit Malaria to them. On top of this, the surrounding environment is bushy and might attract snakes and other animals that might inflict injuries to the child. The parents need to clear the bush and drain away from the stagnant water so that the threat to the child’s growth is eradicated. Also, the parents should also buy the child protective gears, so that he does not get injured when playing outside. The child’s sleeping and feeding habits are healthy, and in line with the recommendations by the American Academy of Pediatrics. NURS416 Prince Georges Community Well Child Developmental Assessment Paper The mother and grandparents should ensure that the kid maintains a healthy feeding habit and provide him with a balanced diet. On top of this, the mother should strive to establish a close emotional connection with the child, by accompanying him to play once in a while. This will help the child to feel more secure and to establish a longlasting bond with the mother. Problems to Be Addressed The major problem that needs to be addressed is poor hygiene. During the assessment, I noted that the house and compound are generally untidy, due to poor maintenance. This might leave the kid susceptible to diseases such as Cholera and Amoebic dysentery. It is not uncommon for the kid to skip bathing for a day, especially when the mother comes late. Poor hygiene might impact the growth of the child negatively and leave them prone to infectious diseases. Another WELL CHILD DEVELOPMENTAL ASSESSMENT PAPER 11 issue that also needs to be addressed is the failure to adhere to medication. Though the child is generally healthy, he gets sick once in a while. Sadly, he never completes his medication and throws away the drugs as soon as he feels better. This could have an adverse effect on the overall health of the child. 3). GOALS. The family informed me that they have several goals for the 4-year-old boy: These goals include: ? Improve his interpersonal skills so that he can relate well with people outside his family. ? Nurture him into a responsible and disciplined who observes hygiene always. ? Support him emotionally, socially, and help him to develop excellent communication skills. For the family: ? Pray together and spend more time together as a family. ? Support each other in undertaking household chores. ? Establish a peaceful environment where the needs of each member can be addressed. 4) INTERVENTIONS OR RECOMMENDATIONS There are several things that the family should do to ensure that the child lives a healthy and safe life. They include: ? Ensure that the child adheres to medication and complete the dosage appropriately. ? Ensure that the child puts on appropriate sports gear when playing with his friend. ? Ensure that the child is always clean, has an ample sleep, and takes a balanced diet. ? Eliminate bushes and stagnant water that might pose a threat to the child’s life. WELL CHILD DEVELOPMENTAL ASSESSMENT PAPER References Bjorklund, D. F., & Causey, K. B. (2017). Children’s thinking: Cognitive development and individual differences. Sage Publications. Fonagy, P. (2018). Attachment theory and psychoanalysis. Routledge. Holmes, J. (2014). John Bowlby and attachment theory. Routledge. NURS416 Prince Georges Community Well Child Developmental Assessment Paper 12 Bowie State University Bowie, MD 20715 College of Professional Studies Department of Nursing Course No. and Name: NURS 416 Nursing Care of the Child and Family Clinical Number of Credits: 02 (2 credits lecture: 8 clock hours) Name of Instructor: Office Location: Office Telephone#: Office Fax#: Office Email: Office Hours: By Appointment only I. Course Prerequisites: Successful completion of NURS 380/381, NURS 385/386, NURS 400 SOWK 300, and all general education courses of the freshmen, sophomore and junior year of the progression plan. II. Course Description: This clinical course focuses on the nursing care of children and adolescents within the family system. Applying the concepts of caring behaviors, communication, critical thinking, clinical reasoning, leadership, nursing process in the professional nursing role. Students will implement therapeutic nursing interventions specific for selected children and adolescents in acute and community- based health care settings. III. Role Specific Graduate Competencies (SLO-Student Learning Outcomes): 1. Caring Behaviors- SLO 2 2. Culturally Congruent Care SLO 4 3. Ethical and Legal Framework SLO 7, 8 4. Critical Thinking- SLO 2 5. Communication – SLO 3 6. Professional Nursing Role- SLO 1 7. Evidence Based Practice SLO 6 8. Leadership SLO 5 IV. Student Learning Outcomes, the student will be able to: 1. Apply the nursing process as it relates to theoretical principles in the nursing management of children and adolescents within the family system. 2. Integrate caring behaviors, critical thinking and clinical reasoning in the therapeutic management of the pediatric client and family. 3. Implement effective, age appropriate, therapeutic communication skills in the care of children and adolescents within the family system. Bowie State University Bowie, MD 20715 College of Professional Studies Department of Nursing 4. Evaluate the effectiveness of interventions that are congruent with the cultural beliefs, traditions, and behaviors of families. 5. Demonstrate leadership skills to serve as a member of the health care team in the clinical setting. 6. Incorporate research findings in care planning. 7. Appraise health policies and laws that impact pediatric nursing practice. 8. Integrate health policies from legislative and governing bodies into nursing practice. 9. Debate the outcomes of ethical dilemmas that arise in the care of the pediatric client. V. Required Texts: Ricci, Susan Scott, and Terry Kyle, Maternity and Pediatric Nursing, 2nd edition, Lippincott Williams & Wilkins, Philadelphia, 2013 Study Guide for Ricci and Kyle’s Maternity and Pediatric Nursing, 2nd edition, Lippincott Williams & Wilkins, Philadelphia, 2013 VI. Recommended/Supplemental Text or Reference Material Gulanick, M. and Myers, J. (2010). Nursing Care Plans: Diagnoses, Interventions and … Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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