Pediatric Clinical Assignment #1 Solution
Pediatric Clinical Assignment
- Complete the first section questions on your child
- Compete the second section: Decide if you have an ill or well child and complete that section (not both)
Part One:
| 1)Â Â Â Â Â Use 1 developmental theorist in your text (Piaget, Freud, etc.) to discuss the identified stage of development of the patient you chose to complete this assignment on. Provide specific examples of growth & development during your experience. Compare and contrast the expected from your resources verses actual findings on the patient. | Â |
| 2)Â Â Â Â Â Psychosocial/Cultural Information: Discuss psychosocial/cultural information for your patient. How does this affect the needs of the family? Does it put your family or the child at risk for any health disparities? Describe. (There are always considerations for these questions.) | Â |
| 3)Â Â Â Â Â Atraumatic Care-Comfort Measures:Â What was the role of play, comfort measures and distraction? Were the interventions developmentally appropriate? Why or why not? If none were observed or implemented, please explain appropriate play and distraction interventions in detail that would be appropriate for this age range you observed. | Â |
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Part Two:
Well-Child
| 1)     Note your well child’s vital signs (BP, RR, HR, temperature, pain and O2 sats), height, weight, OFC. |  |
| 2)Â Â Â Â Â Compare to the norms for their age. If out of the normal range, discuss the possibilities of why they could be abnormal. | Â |
| 3)Â Â Â Â Â How did you modify your technique to accommodate the needs of your patient while you obtained their vitals? Why? | Â |
| 4)     Growth Measurements: Provide growth measurements including length, height, weight, and head circumference on your patient. Provide findings on the growth chart (%). What do your findings indicate? (If any section not completed, Why?) |  |
| 5)Â Â Â Â Â Nutritional Considerations: What are the age appropriate nutrition and feeding considerations of your well child patient? How is this affected by development? Did they have any special dietary needs? If so, please describe and give rationale. | Â |
| 6)Â Â Â Â Â Safety Factors: What safety factors and injury prevention measures must be considered in the care of your patient? Include the immediate (home) and extended (daycare etc.) environment for the child. How is this related to their developmental stage? Why? | Â |
| 7)     Immunizations: Review the recommended immunizations by the CDC for your patient. Which one(s) were given during your care? When would the child receive their next vaccine(s) and what would they be? Did any of your families have an alternative vaccine schedule or following a catch up schedule? If any, what were their concerns about giving their child vaccines? |  |
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OR
Ill Child:
| 1)     Identify the medical history and current medical problem/complaint. Define the medical diagnosis in your own words. Identify the resource in which you used to define this. |  |
| 2)     Discuss any newly prescribed medications and abnormal labs related to your patient’s current illness. |  |
| 3)     Compare and Contrast: Compare and contrast the differences of your patient’s pathophysiology, clinical manifestations, etiology, diagnostics, and expected treatment/medical management with the text book description. Provide examples and rationale if the patient data differs from the textbook and why it would be different from child to child. |  |
| 4)     What assessments (may include VS) are important in relation to your patient’s clinical condition? (ex. If your patient has pneumonia-assessing lung sounds would be important) |  |
| 5)Â Â Â Â Â Compare to the developmental norms for their age. If out of the normal range, discuss the possibilities of why they could be abnormal. | Â |
| 6)Â Â Â Â Â How did you modify your technique to accommodate the needs of your patient while you obtained their vitals? Why? | Â |
| 7)Â Â Â Â Â Review the medication list for your ill child patient. Discuss any medication that were administered or prescribed, include the classification, safe dose range, route, and teaching required for the parent. | Â |
