Practicum: Journal Entry week 2
Reflect on a patient who presented with a growth and development or psychosocial issue during your Practicum experience. Describe your experience in assessing and managing the patient and his or her family. Include details of your “aha” moment in identifying the patient’s growth and development or psychosocial issue. Then, explain how the experience connected your classroom studies to the real-world clinical setting. If you have not yet been placed at a Practicum site, please contact the course Instructor.
Please use this case study to complete this assignment:
Case Study 2:
You see a 30-month-old named Brian for a well-child visit. His mother reports the following development:
• Physical: Walks independently, runs, able to climb stairs alternating feet, makes a tower of nine cubes, and is able to button his pants.
• Social: Follows one-step commands, uses one-word sentences, and has a vocabulary of approximately six words. He is resistant to nighttime and feeding routines, he has marked temper tantrums, and Mom states he does not calm when she tries to comfort him.
Readings
• Burns, C. E., Dunn, A. M., Brady, M. A., Starr, N. B., &Blosser, C. G. (2013). Pediatric primary care (5th ed.). Philadelphia, PA: Elsevier.
o Chapter 5, “Developmental Management of Infants” (pp. 59–75)
This chapter explores aspects of normal development of infants including milestones and identifies developmental red flags.
o Chapter 6, “Developmental Management of Toddlers and Preschoolers” (pp. 76–91)
This chapter examines aspects of normal development of toddlers and preschoolers and identifies common developmental issues for patients in this age group.
o Chapter 10, “Nutrition” (pp. 166-185)
This chapter describes nutrition-related health problems in pediatric patients. It also provides guidelines for diagnosing and managing different types of nutrition disorders.
o Chapter 11, “Breastfeeding” (pp. 186-201)
This chapter examines the benefits, contraindications, and dynamics of breastfeeding. It also identifies common breastfeeding problems.
o Chapter 12, “Elimination Patterns” (pp. 202–217)
This chapter explores normal and abnormal patterns of bowel and urinary elimination. It also describes strategies for diagnosing and managing dysfunctional elimination syndrome.
o Chapter 14, “Sleep and Rest” (pp. 263–272)
This chapter provides strategies for the prevention and management of sleep problems in pediatric patients. It also identifies special considerations for children with chronic disorders.
o Chapter 17, “Role Relationships” (pp. 334–344)
This chapter explores circumstances that create role-relationship problems in family units such as violence, neglect, maltreatment, and physical and sexual abuse. It also presents strategies for assessing and managing families presenting with these circumstances.
Hagan, J. F., Jr., Shaw, J. S., Duncan, P. M. (Eds.). (2008). Bright futures: Guidelines for health supervision of infants, children, and adolescents (3rd ed.). Elk Grove Village, IL: American Academy of Pediatrics.
o Review: “Promoting Healthy Nutrition” (pp. 121–145)
This chapter examines the impact of environment and culture on patient behaviors related to food and nutrition. It also explores essential components of nutrition for children from preconception through adolescence.
o Review: “Promoting Physical Activity” (pp. 147–154)
This chapter describes physical activity as a growing problem. It also identifies strategies for promoting physical activity, including age-appropriate activities for infants, children, and adolescents.
o Review: “Promoting Safety and Injury Prevention” (pp. 177–191)
This chapter explores two categories of issues relating to safety and injury prevention and examines strategies for promoting safety among infants, children, and adolescents.
o “Infancy” (pp. 253–380)
This chapter examines the care of infants. It focuses on wellness visits from prenatal to 11 months, identifying specific health issues, common parental concerns, and anticipatory guidance for parents.
o “Early Childhood” (pp. 381–461)
This chapter explores the care of children from ages one to four. It identifies issues related to their health, behavior, nutrition, and safety, as well as anticipatory guidance for family support.
American Academy of Pediatrics. (2013). Immunization. Retrieved fromhttp://www2.aap.org/immunization/
This website provides information related to vaccines and diseases. It also presents strategies for helping families make immunization-related decisions.
Centers for Disease Control and Prevention. (2013). Vaccines & immunizations. Retrieved fromhttp://www.cdc.gov/vaccines/
This website presents information related to immunizations including recommendations, requirements, preventable diseases, and side effects. It also provides updated policy statements regarding immunizations.
Objectives
Students will:
• Assess patients for developmental red flags of abnormal development
• Analyze the stages of physical, social, and cognitive development for infants, toddlers, and preschoolers
• Differentiate between normal and abnormal growth and development of infants, toddlers, and preschoolers
• Evaluate assessment and management tools, guidelines, and strategies for infants, toddlers, and preschoolers
• Understand and apply key terms, principles, and concepts related to growth and developmental issues for infants, toddlers, and preschoolers
• Assess pediatric patients with signs of growth and development and/or psychosocial issues
