Advanced Pediatric Assessment by Ellen M. Chiocca MSN CPNP APN RNC-NIC

By Ellen M. Chiocca MSN CPNP APN RNC-NIC

Complicated Pediatric evaluation offers a close and complete method of acquiring the background and actual exam of youngsters, beginning via formative years. The textbook ways the overall healthiness review of the pediatric purchaser by utilizing a physique platforms framework within the context of developmental and cultural facets of kid evaluation. as well as actual evaluate, emphasis is put on put on the child’s psychosocial future health, with chapters on verbal exchange, relatives evaluate, psychological future health evaluation and evaluation of abuse and forget. well-being upkeep and well being is usually emphasised, with separate chapters on pediatric overall healthiness supervision, nutrients and security.

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The social history 2 6 • S e c t i o n 1 GR O W T H AN D DEV ELO PM ENT assessments are varied, and the focus depends largely on the child’s age and particular situation. Primary Caregiver. The health care provider must first identify the child’s parent or primary caregiver. This primary relationship greatly impacts the child’s growth and development. Some specific characteristics of the parent or primary caregiver, such as young parental age, low level of education; high parental stress levels, maternal depression, and parental addiction, increase a child’s risk for developmental delay.

Because Kohlberg’s research just involved boys, Gilligan (1982) postulated that Kohlberg’s theory would not hold true for girls and developed her theory of moral development in girls. Table 2-1 summarizes these developmental theories. In 1995, Chess and Thomas published their work regarding the effect of temperament, in which they explain how children, as young as infants, have innate tendencies to react to their environment in certain ways. The temperamental characteristics and C H A P T E R 2 A s s e s s m e n t o f Ch ild De ve lo p m e n t and Behavior • 21 TABLE 2-1 Developmental Theorists AGE AND DEVELOPMENTAL STAGE ERIKSON (PSYCHOSOCIAL DEVELOPMENT) PIAGET (COGNITIVE DEVELOPMENT) FREUD (PSYCHOSEXUAL DEVELOPMENT) KOHLBERG (MORAL DEVELOPMENT) GILLIGAN (MORAL DEVELOPMENT) Infant (birth to 1 year) Trust vs.

If parents feel supported and validated by the health care provider, they are more likely to feel comfortable asking questions that will enhance their child’s emotional and physical health. This can be achieved by creating a partnership with the child and family in promoting health and preventing illness (Hagan, Shaw, & Duncan, 2008). , 2002): 1. Model and encourage open, respectful, nonjudgmental communication, building trust and empathy. 2. Identify health issues through effective listening and by asking open-ended questions.

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