Nursing Care of the Child and Family Pediatric Nursing Paper I will upload all the instructions for this paper to be follow for every step of the paper. Al

Nursing Care of the Child and Family Pediatric Nursing Paper I will upload all the instructions for this paper to be follow for every step of the paper. Also, I will upload an example how the paper is suppose to look like. Please follow all the instructions including the Rubic. 1
Running Head: PEDIATRIC WELLNESS PAPER
Pediatric Wellness Paper
Student’s Name
Institution
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PEDIATRIC WELLNESS PAPER
Pediatric Wellness Paper
1. PROCEDURE FOR THE VISIT
a) Birth Date, Age, And Gender
Primarily, it was hard to convince people to carry out an assessment for their children
especially when I tried to do it from their home. First I had to get a letter with a signature and
stamp from the area authority to show that there was an assessment I was carrying out.
Although the letter explained everything I had to approach my reach from the hospitals
around, I had to approach one of the doctors in one of the hospitals and explained what I was
doing. The doctor was able to understand because one time or another he had to carry out the
assessment too. Then the doctor gave me an appointment to attend one of the clinic days so
that he could help me talk to one of the mothers bringing their child for a check-up. I was
lucky to have one of them who had 18 months baby girl to accept the assessment which I was
supposed to do from her home. The child had the following parameters:
Birth Date: April 3rd 2017
Age-18 months
Weight-11.79 kg
Height=33 inches
Head circumference= 48cm
b) Growth Parameters
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PEDIATRIC WELLNESS PAPER
I used Birth to 36 months 3rd-97th percentile forms to plot my charts.
Weight for Age
From the picture, the child’s weight for age is in the 75th percentile
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Length for Age
Looking at the chart the length for age is slightly below 95th percentile which is estimated to be
85th percentile.
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Weight for length
From the chart above, the child’s weight for length is situated slightly below the 75th percentile
and thus estimated to be 65th percentile.
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PEDIATRIC WELLNESS PAPER
Head Circumference for Age
From the chart head circumference for age is in the 85th percentile.
C) Nutritional Status
On pay a visit to the home of the child, the mother informed me that she always
plans for a child’s feeding routine for the whole day so that she takes a balanced diet. She gave
me a food diary for a typical day. From 7:30- 8:00 AM 15-30 minutes breakfast; the child takes a
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cup of milk, carbohydrate, protein and a fruit. From 10:30 AM, the child, takes a nap. 12:00
noon 15-30 minutes lunch: a cup of milk, carbohydrate, protein and veggie. 2:30 PM, the child,
takes some snack: a cup of milk, fruit, protein and carbohydrate. The child takes another nap at
3:00 PM. At 5:30 – 6:00 PM dinner time for the child; she takes some milk, veggie, carbohydrate
and protein.
d. Family Assessment
The family consists of one Kid 18 months, the mother and father. It was the first
family because none of the parents was in another marriage. They have a dog and a cat which
they adopted recently. Nobody else lives at that home. Both parents are breadwinners because
they both work online. They help each other in house chores, cooking and babysitting. The
parents are religious people and every Sabbath they go to church with their daughter who will
help the child to develop spiritually. Both parents contribute to the dressing and buying of toys
for their daughter.
Most of the time they purchase those things online. With this, the child will grow
knowing both parents love her and that is why they contribute to buying here things that make
her happy and thus she will not discriminate here parents. With both parents babysitting her
shows that she will be open to both parents because of the bond created with both parents.
The parents take care of the child themselves from home. The parents said they
wouldn’t like their child to be left with nuns and that why they chose to venture into online work
to be available for their daughter all the time. The child seems to be so happy to be with her both
parents throughout her childhood. Parental care is always the best, and thus the child will be
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happy and social with her parents if she finds any difficulty it would be easy to approach her
parents and tell them.
e. Home Environment
The family lives in an apartment, the parents have their room, and the kid has her
room as well. There is one room which acts as the office equipped with computers and internet
connection. The kid has enough space to play around the house with her toys and the pets. She
would sit and stare at the cartoon. The environment is cool; the home is located near hospital,
daycare and school. Although the home environment is nice for the growing child, there are
some safety issues. One of the safety concerns is the issue of exposing the child to pets;
sometimes the pets transmit some diseases to the kid if they not well take care of. Another issue
is the issue of exposing the child to the internet and computers would be dangers because
cyberbullying and watching adult stuff. Last, there are so many cables in the house which is not
well installed which could cause an accident to the child.
2. DATA ANALYSIS
Weight for age for the child is at 75th percentile which shows that the girl weighs more than
about 75% of the girls of her age, and less than 25% of other 18 months old girls. If the child
follows this trend throughout, it shows she is growing normally, but if she gradually drops from
75th percentile to like 40th percentile, it indicates the child is growth is not normal.
The Length for the age of the girl is 95th percentile which means that the girl is taller than
about 95% of the girls of her age, and less than 5% of other 18 months old girls. The girl needs
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to maintain the percentile, but if there is a gradual fall in the percentile to 50th percentile, it
shows the growth and development is not normal.
Weight for the length of the girl is 65th percentile which shows the girl weighs more than
about 65% of the girls of her height, and less than 35% of other 33 inches tall girls. For normal
growth and development the child is expected to maintain the percentile, but if it drops
gradually, it will show that the child is not growing normally.
Head circumference for age for the girl is 85th percentile which means her head
circumference bigger than about 85% of the girls of her age, and less than 15% of other 18
months old girls. Consistency is also needed in growth and development of the head
circumference of the girl for normal growth.
Developmental Theorists
Erik Erikson’s psychosocial theory reviews development of a child throughout his or her
life. Erik shows that development occurs in stages and there is always a development crisis that
children and adults face which lead to their turning point (CRAIN, 2017). Looking at this case
the 18 months girl’s development crisis would take place which would be shown in the charts
and thus making her parents seek medical advice. After seeking the advice, the parents will be
able to deal with the crisis and the child be able to grow in a normal way.
Behavioural child development theories which state that behaviours of all humans are
affected by the environment that they live in. They theorists that children and adults learn
through association processes. Mostly by observing what is around them (Newman, &
Newman, 2016). This applies to our case in which the actions of the parents of the 18 months old
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daughter would influence her behaviour later because she can observe what her parents do.
Although the parents are controlling the child’s diet, she might reach a point where she wants to
eat like her parents which later translates to her growth and development.
Factors That Facilitate Growth
The 18 months old girl gets the necessary social-emotional and cognitive support from
her both parents because they are always around her most of the time (Delahooke, 2017). The
parents have learnt some of the expressions that her daughter makes when she is emotional and
react to them. This will help the girl to acquire skills that will help her to interact with other
people and how to control and express her emotions.
Her parents always protect the 18 months old daughter from physical injuries which
might affect her development and growth. As the child moves around trying to interact with the
world around them, the parents are always on the watch to prevent the daughter from getting
injured. Some physical injuries especially severe head injuries would lead to difficulty in brain
development.
After reviewing the food diary given by the mother of the child, the child takes a
balanced diet. This has also translated to the growth of the child’s body. Looking at all the
assessments done there is no assessment that is below the 50th percentile. This is an indication
that the child eats healthy food.
Problems to Be Addressed
I had to check the clinic attendance of the child and saw that sometimes she postpones her
attendance. The parents don’t adhere to the doctor’s appointments; most of the times they take
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the child after a week although the mother states they sometimes get so busy. The parents need to
be serious with the child’s healthcare because some of the immunizations if given at a late age,
would affect the growth and development of their daughter.
3. GOALS
However, with an interactive talk with the child’s parents, they told me they had a lot of goals
for their daughter and them as parents. Goals for their child:
a. Interact with other children who live around their home
b. Develop self-control as she grows up
c. Be all-round child; develop socially, physically, intellectually and emotionally
d. Develop appropriate language and pre-reading skills
The parents wanted to achieve the following family goals:
a. Develop new family friends
b. Pray and attend church services together
c. Get together as a family while they join their child for lunch at school
d. Hug their child every day to strengthen their bond as a family.
4) INTERVENTIONS OR RECOMMENDATIONS
Lastly, to maintain and promote the development, health and growth of a child various issues
must be addressed including:
i.
Provision of a balanced diet to the child- a child must eat a balanced diet to ensure
normal growth and development and live a healthy life.
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ii.
Sleep- Ensuring that your child gets proper sleep also ensure the health of the child
and growth and development as well
iii.
Engaging in physical activities- parents should ensure they engage their child in
various physical activities to he help to develop and grow physically.
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References
CRAIN, W. I. (2017). THEORIES OF DEVELOPMENT: Concepts and applications. S.l.:
ROUTLEDGE.
Delahooke, M. (2017). Social and Emotional Development in Early Intervention. Eau Claire,
Wisc: Pesi Publishing & Media.
Newman, B. M., & Newman, P. R. (2016). Theories of human development.
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Well Child Developmental Assessment Paper Guidelines
Students will conduct a developmental assessment met in a home serting 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.
O
O
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 head circumference for age weight for length ? For children > 2 years, use the 2-20 years 3rd-97th percentile forms and plot the following on the
chart:
stature for age
o weight for age
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
STOL
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.
GOALS – for child and family
) INTERVENTIONS OR RECOMMENDATIONS – to maintain and promote growth, development and
health of the child. Include documented rationale.
5) REFERENCE LIST – Use APA format.
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
5 pts
5 pts
5pts
Spts
20pts
Total points
ANALYSIS OF DATA
15 pts
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
10pts
15 pts
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

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