NSG6435 Assessment and Treatment of Pediatric Patients
Order ID |
53563633773 |
Type |
Essay |
Writer Level |
Masters |
Style |
APA |
Sources/References |
4 |
Perfect Number of Pages to Order |
5-10 Pages |
Description/Paper Instructions
NSG6435 Assessment and Treatment of Pediatric Patients
NSG6435, Assessment, Treatment, Pediatric, Patients
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
RUBRIC
QUALITY OF RESPONSE |
NO RESPONSE |
POOR / UNSATISFACTORY |
SATISFACTORY |
GOOD |
EXCELLENT |
Content (worth a maximum of 50% of the total points) |
Zero points: Student failed to submit the final paper. |
20 points out of 50: The essay illustrates poor understanding of the relevant material by failing to address or incorrectly addressing the relevant content; failing to identify or inaccurately explaining/defining key concepts/ideas; ignoring or incorrectly explaining key points/claims and the reasoning behind them; and/or incorrectly or inappropriately using terminology; and elements of the response are lacking. |
30 points out of 50: The essay illustrates a rudimentary understanding of the relevant material by mentioning but not full explaining the relevant content; identifying some of the key concepts/ideas though failing to fully or accurately explain many of them; using terminology, though sometimes inaccurately or inappropriately; and/or incorporating some key claims/points but failing to explain the reasoning behind them or doing so inaccurately. Elements of the required response may also be lacking. |
40 points out of 50: The essay illustrates solid understanding of the relevant material by correctly addressing most of the relevant content; identifying and explaining most of the key concepts/ideas; using correct terminology; explaining the reasoning behind most of the key points/claims; and/or where necessary or useful, substantiating some points with accurate examples. The answer is complete. |
50 points: The essay illustrates exemplary understanding of the relevant material by thoroughly and correctly addressing the relevant content; identifying and explaining all of the key concepts/ideas; using correct terminology explaining the reasoning behind key points/claims and substantiating, as necessary/useful, points with several accurate and illuminating examples. No aspects of the required answer are missing. |
Use of Sources (worth a maximum of 20% of the total points). |
Zero points: Student failed to include citations and/or references. Or the student failed to submit a final paper. |
5 out 20 points: Sources are seldom cited to support statements and/or format of citations are not recognizable as APA 6th Edition format. There are major errors in the formation of the references and citations. And/or there is a major reliance on highly questionable. The Student fails to provide an adequate synthesis of research collected for the paper. |
10 out 20 points: References to scholarly sources are occasionally given; many statements seem unsubstantiated. Frequent errors in APA 6th Edition format, leaving the reader confused about the source of the information. There are significant errors of the formation in the references and citations. And/or there is a significant use of highly questionable sources. |
15 out 20 points: Credible Scholarly sources are used effectively support claims and are, for the most part, clear and fairly represented. APA 6th Edition is used with only a few minor errors. There are minor errors in reference and/or citations. And/or there is some use of questionable sources. |
20 points: Credible scholarly sources are used to give compelling evidence to support claims and are clearly and fairly represented. APA 6th Edition format is used accurately and consistently. The student uses above the maximum required references in the development of the assignment. |
Grammar (worth maximum of 20% of total points) |
Zero points: Student failed to submit the final paper. |
5 points out of 20: The paper does not communicate ideas/points clearly due to inappropriate use of terminology and vague language; thoughts and sentences are disjointed or incomprehensible; organization lacking; and/or numerous grammatical, spelling/punctuation errors |
10 points out 20: The paper is often unclear and difficult to follow due to some inappropriate terminology and/or vague language; ideas may be fragmented, wandering and/or repetitive; poor organization; and/or some grammatical, spelling, punctuation errors |
15 points out of 20: The paper is mostly clear as a result of appropriate use of terminology and minimal vagueness; no tangents and no repetition; fairly good organization; almost perfect grammar, spelling, punctuation, and word usage. |
20 points: The paper is clear, concise, and a pleasure to read as a result of appropriate and precise use of terminology; total coherence of thoughts and presentation and logical organization; and the essay is error free. |
Structure of the Paper (worth 10% of total points) |
Zero points: Student failed to submit the final paper. |
3 points out of 10: Student needs to develop better formatting skills. The paper omits significant structural elements required for and APA 6th edition paper. Formatting of the paper has major flaws. The paper does not conform to APA 6th edition requirements whatsoever. |
5 points out of 10: Appearance of final paper demonstrates the student’s limited ability to format the paper. There are significant errors in formatting and/or the total omission of major components of an APA 6th edition paper. They can include the omission of the cover page, abstract, and page numbers. Additionally the page has major formatting issues with spacing or paragraph formation. Font size might not conform to size requirements. The student also significantly writes too large or too short of and paper |
7 points out of 10: Research paper presents an above-average use of formatting skills. The paper has slight errors within the paper. This can include small errors or omissions with the cover page, abstract, page number, and headers. There could be also slight formatting issues with the document spacing or the font Additionally the paper might slightly exceed or undershoot the specific number of required written pages for the assignment. |
10 points: Student provides a high-caliber, formatted paper. This includes an APA 6th edition cover page, abstract, page number, headers and is double spaced in 12’ Times Roman Font. Additionally, the paper conforms to the specific number of required written pages and neither goes over or under the specified length of the paper. |
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