Nursing Well Child Developmental Assessment Paper
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. Nursing Well Child Developmental Assessment Paper
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. 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 PAPER 1 Kiara Hooker Well Child Paper Bowie State University Professor Danielle Artis December 8, 2017 WELL CHILD PAPER 2 Introduction M. B., the initials of the young lady, who became the focus of this paper. M. B. is a 5year-old African-American child, who comes from a single parent home. My paper take a look into her growth and development, with assessments based on the influences of her home environment, nutrition, health, and family. In response to the information gathered, my goal is to plan a course of action to promote the overall health and development for M. B. and other children in her age range. Well Child Home Visit M.B is a 5-year-old African American female. She was born on December 3, 2012. She lives with her mother along with her roommate, boyfriend and son in District Heights Maryland. M.B is the only child from both her mother and father. Her mother who is now 21 is a new police officer for Washington DC, and her father works in retail. She sees her father about 10 times a year. On weekends, she stays with her grandparents, they live 20 minutes away. Her aunt who is 9 years old lives at her grandparents’ house. Assessment M.B was born vaginally at 38 weeks gestation. She weighed 6 pounds 8 ounces and was 19.3 inches long. She did not have any complications when she was born. She was breastfeeding until she was 1 years old. She is allergic to penicillin and she has mild eczema. She has been to the doctor for her eczema and now uses Eczema Therapy Aveeno moisture cream. This has been very helpful in managing her eczema. Nursing Well Child Developmental Assessment Paper
When first entering the home, I observed the environment. M.B lived in an apartment on the fifth floor. It was a two bedroom. M.B stays in the room with her mother where they share a WELL CHILD PAPER 3 bed. The television in the room is a flat screen placed on a folding table. It is not secured and wires are hanging off the side. In the bathroom, the cleaning supplied in in cabinet under the sink easily accessible to the children. Also, the kitchen has cleaning supplies under the sink with no lock and knives are in a drawer that M.B can reach. The apartment has carpet all throughout except for in the kitchen and bathroom. The living room and dining room is furnished. In the bathroom, there were medications in the mirror cabinet where M.B would not be able to reach. There are windows throughout the home. They have screens in them and they were all locked. Due to M.B’s mother being a police officer there is a gun in the home. Her mother hand a talk with her letting her know that she is never to touch the gun or show anyone the gun. The gun is also locked in a safe at the top of a closet. While doing a home visit I was able to observe and discuss her eating habits and nutritional status. For lunch M.B had a chicken nugget happy meal from McDonalds. The meal included chicken nuggets, french fries, sliced apples and a chocolate milk. She did not sit in one place while eating. She would take a bite of food go play and come back for another bite. She never finished her meal completely. While with her mother most of her meals consist of fast food. There are times where she eats fruits and vegetables but it is rare. When she does she eats broccoli and apples. When she is with her grandparents she eats more nutritious meals but she does not finish her food.
As we progress in age there are milestones that are accomplished dealing with growth and development. M.B has been successful through her first four years of life. By 1 years old she was able to sit up on her own, crawl, pull up on furniture to stand, make a few steps without holding on to things, respond to simple request, say mama and dada, shake, bang and grow things, put things in a container and play games like peek-a-boo. At the age of 2 M.B was able to WELL CHILD PAPER 4 play make believe games, repeat words that she overheard, copy others, throw balls over hand, walk up the stairs holding onto rails, build block towers, run, kick balls, name things that she saw such as different animals and she was showing more independence. By 3 she could say her name and age, follow instructions more, play make believe with toys, climb well, show different emotions, walk up and down stairs one foot at a time, name her friends and have conversations with 2 to 3 sentences. Because M.B is now 5 years old she expected to speak clearly, want to please and be like friends, count 10 or more things, stand on one foot for 10 seconds or longer, swing and climb, print some letters and numbers, copy geometric shapes, say her name and address, show more independence along with several other things. According to the CDC these are the milestones children should meet by that specific age. While in her home and her grandparents’ home M.B I taught about right from wrong. She is disciplined by using time outs, taking away tv and phone privileges as well as spankings. Nursing Well Child Developmental Assessment Paper