Instructions
Purpose
The purpose of the assignment is to guide students in identifying behaviors and interactions that commonly occur during the health history portion of a well-child exam. In doing so, students can develop strategies to improve anticipatory guidance and health education by using effective, non-biased, and non-judgmental communication.
Activity Learning Outcomes
Through this assignment, the student will demonstrate the ability to:
Synthesize information in which addresses child health promotion, developmental surveillance, observation of parent-child interaction, anticipatory guidance, social determinants of health, and/or cultural competence. As you view the video, observe the parent-child and the parent-provider interactions. Pay particular attention to the parent’s responses to the provider’s questions making note of inappropriate and appropriate responses. Choose five (5) topics from the following categories to complete the assignment:
- Cognitive Developmental Milestones
- Physical Developmental Milestones
- Social-Emotional Developmental Milestones
- Safety (Chosen Topic)
- Alcohol/Substance Use
- Environmental Health Risks
- Temper Tantrums and Discipline (Chosen Topic)
- Sleep Routines (Chosen Topic)
- Car Seat Safety (Chosen Topic)
- Healthy Teeth (Chosen Topic)
You will develop and complete a table for each one of the five (5) categories using the example below as a guide. (Note: There are at least 10 categories addressed in the video, you must choose five (5) and create a separate table for each one). For each of the tables, complete each section:
Issue: Category name
- Negative interaction/behavior: What did you see or hear that was inappropriate?
- Positive interaction/behavior: What did you see that was appropriate?
- Guidelines/recommendation: What does the research recommend?
- Scholarly reference: Must be in APA format within the table.
Professional/Ethical Communication: How will provide non-judgmental and non-bias education regarding the issue identified? Needs to be at least 3 sentences. Helpful Hints: Acknowledge how they feel, state the facts, and provide education or re-frame the approach.
Scholarly references should be peer-reviewed, preferably a Clinical Practice Guideline (CPG), intended for providers (MDs, NPs) and no more than 5 years old (unless it is a clinical practice guideline’s most recent update).
SOLUTION
Pediatric Clinical Pearl Case Study
- Issue: Cognitive Development Milestones
| Category | Cognitive Development Milestones |
| Issue-Pertinent Negative | Mother says, “I try to like give him puzzles, I got him these, and it’s like a jigsaw. And he loves cars, so I don’t understand why he can’t do it. And see I give him the puzzle, look, he doesn’t even know how to put it together. So that’s why we are here today at the doctor’s office to make sure everything is right.” Observations:
• The child is playing on the mother’s phone and she has no age-appropriate toys for him.
• Mother is not holding the child, he is sitting on the table unattended at times when she is looking at her phone. • The child is wearing a small tank top, shorts, and no shoes and mom has a long-sleeved shirt, matching pants, and new tennis shoes on and she reports that child is walking. • Mother gives jigsaw puzzle to the child and expects him to solve it and expresses, “that’s why we are here today at the doctor’s office, to make sure everything right.” |
| Pertinent Positive | Observations:
• The child has not been sick or had reactions to vaccines. • Vaccines up to date. • Mother is attempting to play and read with child when she tells him to turn the pages in the book. • Mother is concerned about child’s development and is seeking help. |
| Guidelines or | Jean Piaget’s theory of cognitive development at 1-2 years old are |
…….please click the purchase button below to access the entire solution at $15