NSG6435 Assessment and Treatment of Pediatric Patients

December 13, 2022

NSG6435 Assessment and Treatment of Pediatric Patients

Order Number	636738393092
Type of Project	ESSAY
Writer Level	PHD VERIFIED
Format	APA
Academic Sources	10
Page Count	3-12 PAGES

Instructions/Descriptions

NSG6435, Assessment, and, Treatment, of, Pediatric, Patients

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Please reply to the following discussion with one reference. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite resources in your responses to other classmates.

MC Discussion:

Week 6 Discussion

Which essential questions will you ask this pediatric patient or his/her caregiver during this well-child check? Why are these questions important? What lab tests or diagnostic studies will you order and why?

From his previous visit I would ask how Benjamin is doing with his temper tantrums, and how Mom is addressing them. I would ask Mom if he were doing well without his bottle, as using a bottle after 2 years pus him at risk for dental caries. Asking Mom if she is teaching him to brush his teeth in the morning and before bedtime should be done now also (Policy on Early Childhood Caries (Ecc): Unique Challenges and Treatment Options. Council on Clinical Affairs. Adopted 2000., 2016). Nutrition is important at this age, so I would ask Mom what type of foods he is eating now as he was noted to be a picky eater.

I would ask Mom how he is doing with his potty-training. In addition, I would ask her how he is doing socially in preschool. It is also important to ask about family dynamics and if there have been any family stressors at home. Assessing safety will include asking Mom if she has the proper car seat and placing it forward-facing in the middle of the back seat (“Child Passenger Safety,” 2011).

Talking to Mom about childproofing and storage of dangerous household chemicals is essential, as this is the most likely cause of child morbidity and mortality at this age. I would assess appropriate developmental milestones for Benjamin’s age at this time using the Bright Futures milestones guidelines (Hagan et al., 2017).

The only testing indicated today would be a fingerstick hemoglobin/hematocrit.

What diagnoses would you give the patient in this case? Include the findings that support the diagnoses.

Diagnosis 1: Atopic dermatitis, or eczema. After determining that no one else in the household has this rash, we can rule out scabies.

Diagnosis 2: Anemia, his Hgb is 10.5, which is low. This is most likely iron-deficient considering his picky eating habits and his age.

What is your treatment recommendation and education for the patient and family? Why? Include anticipatory guidance.

For Benjamin’s eczema I would recommend the use of a topical otc 1% hydrocortisone cream topically to affected areas twice a day as needed. If the itching is keeping him up at night, he can have children’s Benadryl at bedtime orally as needed. If this doesn’t improve, we can add children’s Claritin once daily orally as needed. I would educate his mother to look for triggers that cause a rash, such as certain foods, grass etc.

Benjamin’s anemia can be treated by diet initially. His excessive cow milk intake can cause anemia because of its low iron content. Also limiting his juice intake should make him hungrier to eat meals. Iron-enriched cereals and vegetable should be encouraged. An iron supplement trial of 7 mg/day should also be initiated. Flintstone’s Complete vitamin gummies with iron meets this requirement. We will recheck this at his next visit, and if his Hgb is still low we can then obtain a CBC, ferritin, B6 and 12 level and iron level for further work-up (Hay et al., 2014).

References

Child passenger safety. (2011). PEDIATRICS, 127(4), e1050–e1066. https://doi.org/10.1542/peds.2011-0215

Hagan, J. F., Shaw, J. S., & Duncan, P. M. (2017). Bright futures: Guidelines pocket guide (4th ed.). American Academy of Pediatrics.

Hay, Hay, & Hay. (2014). Current diagnosis and treatment pediatrics (22nd ed.). MCGRAW HILL.

Policy on early childhood caries (ecc): unique challenges and treatment options. council on clinical affairs. adopted 2000. (2016). American Academy of Pediatric Dentistry. Retrieved September 23, 2021, from http://www.aapd.org/media/Policies_Guidelines/P_ECCUniqueChallenges.pdf

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NSG6435 Assessment and Treatment of Pediatric Patients

RUBRIC

Excellent Quality

95-100%

Introduction

45-41 points

The context and relevance of the issue, as well as a clear description of the study aim, are presented. The history of searches is discussed.

Literature Support

91-84 points

The context and relevance of the issue, as well as a clear description of the study aim, are presented. The history of searches is discussed.

Methodology

58-53 points

With titles for each slide as well as bulleted sections to group relevant information as required, the content is well-organized. Excellent use of typeface, color, images, effects, and so on to improve readability and presenting content. The minimum length criterion of 10 slides/pages is reached.

Average Score

50-85%

40-38 points

More depth/information is required for the context and importance, otherwise the study detail will be unclear. There is no search history information supplied.

83-76 points

There is a review of important theoretical literature, however there is limited integration of research into problem-related ideas. The review is just partly focused and arranged. There is research that both supports and opposes. A summary of the material given is provided. The conclusion may or may not include a biblical integration.

52-49 points

The content is somewhat ordered, but there is no discernible organization. The use of typeface, color, graphics, effects, and so on may sometimes distract from the presenting substance. It is possible that the length criteria will not be reached.

Poor Quality

0-45%

37-1 points

The context and/or importance are lacking. There is no search history information supplied.

75-1 points

There has been an examination of relevant theoretical literature, but still no research concerning problem-related concepts has been synthesized. The review is just somewhat focused and organized. The provided overview of content does not include any supporting or opposing research. The conclusion has no scriptural references.

48-1 points

There is no logical or apparent organizational structure. There is no discernible logical sequence. The use of typeface, color, graphics, effects, and so on often detracts from the presenting substance. It is possible that the length criteria will not be reached.