Aquifer Case Study Assignment: Infant Female Well-Child Visits
Aquifer Case Study Assignment: Infant Female Well-Child Visits
The aquifer case studies play an integral role in the acquisition of clinical reasoning skills for posterity when it comes to nursing students. The aquifer case study app gives a nurse student a virtual clinical environment wherein they make assessment, diagnose and formulate patient care plans that are founded on latest evidence based practices. All these play an integral role in the future practice role for student nurses. However, before a student nurse develops these skills, they need to practice and understand how the aquifer case studies work. By doing that, they will not only develop the skills but also learn how to handle different situations in a clinical setting. One of the most delicate assessments involves pediatric diagnosis. In order to achieve skills in the same, the present author conducted a pediatric assessment based on Aquifer Case Pediatric 0.2. Herein, a patient called Asia was assessed and their subjective and objective data taken. Thus, the present paper will utilize the assessment to determine their assessment skills, diagnostic skills, and care plan formulation skills.
Well-Child Visit Subjective History
The role of interval history in the assessment of pediatrics cannot be overstated. During the acquisition of interval history, a nurse will seek to acquire a comprehensive birth history from a pediatric client’s parent in order to identify the existence of any health problems. Usually, a health care provider will be interested in the pediatrics health records, laboratory results, as well as review visits (Cangialose & Allen, 2018). The import of the above records is found in their role in the assessment of the previous history as presented by the pediatric client. Moreover, the interval history can also reveal the developmental and growth patterns of a child that is acquired via the usage of various developmental screening tools that are pertinent to Asia’s age.
Moreover, the acquisition of the diet history of Asia will also be an important part in the preparation of her wellness visit. During the assessment of the feeding patterns and culture of Asia, a nurse would be interested in her tolerable and intolerable food profiles. The availability of such information will enable them to recommend different feeding practices for the pediatric client (van Grieken et al., 2017). In addition, getting information regarding the family history from the guardian will also allow a nurse to get insight into the genetic, environmental, and behavioral vulnerabilities that my expose the baby to diseases. Further, gaining information concerning the social history of the baby will also play an important role in the preparation of the wellness visit by Asia. During the assessment of the social history, Asia’s guardian will offer information concerning their livelihoods while also allowing the nurse to glean data concerning the environmental exposures that may be affecting Asia’s health. Therefore, in order to get some of the information discussed above, the following questions should be posted to her guardian:
- How can you describe the child’s feeding pattern?
- Has Asia increased or decreased her weight since the previous visit?
- How can you describe the child’s growth pattern?
Pertinent Development Tools
Whereas multifarious development tools exists that could be utilized in assessing Asia, using the Ages and Stages Parent Report Questionnaire (ASQ) forms the most apt decision. The tool possess both socio-emotional and developmental parameters with supporting reliability and validity at all the developmental phases. Importantly, the ASQ gives the parents the latitude to monitor and report the developmental progress of their child. One of the most important aspects that the ASQ reports involves stunting. During such assessment, the strengths and trouble sports demonstrated by a child as they grow are considered (Bian, Xie, Squires, & Chen, 2017). As such, Asia’s parents can employ the tool to monitor her height development vis-à-vis reference standards. The parents will then be educated about the right developmental milestones to examine during the assessment. In addition, a pediatrician will offer their expert opinion on Asia’s growth schedule in relation to the primary screening. As a result of this, the tool shows remarkable specificity and validity due to the existence of expert opinion. Hence, the ASQ can play a role in creating targeted interventions based on diagnostic results.
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According to the information acquired, Asia is 9 months old. Based on the results of the assessment, her developmental milestones were apt for this age. The gross motor score as demonstrated by the assessment revealed that she could stand unaided as
well as try to walk (Susman, Feagans, & Ray, 2014). Indeed, in addition to the above, she could pull herself up, sit properly and crawl on the exam table. Further, she demonstrated ability to undertake pincer grasp, which indicated that her fine motor skills were apt. Moreover, Asia’s language milestone was also appropriate to her age since she could babble frequently without being coherent. Further, Asia is social and adaptive as demonstrated by her ability to sleep on the exam table during the assessment. Therefore, these scores reveal that Asia is developing appropriately.
Immunization Schedules, PE and Follow-Up Visits
Given Asia’s age, immunization is very crucial in order to prevent her from acquiring certain preventable diseases. During the maiden visit, she should be immunized against pertussis, tetanus, and diphtheria by being given DTaP vaccine. In addition, she is susceptible to polio so IPV should be administered, Hib vaccine for type B Haemophilus influenza, PCV 13 for 13 strains of pneumococcus, MMR for measles, mumps, and rubella, varicella against varicella, Rotav vaccine against rotavirus, and HepA and HepB against hepatitis (“Birth-18 years”, n.d).
After the assessment and immunization, it becomes important for the guardian to be educated regarding healthy practices. The mother should be encouraged to continue offering Asia complementary diet by highlighting blunt diets while offering soluble fiber foods to prevent gastrointestinal tube irritation. Moreover, Asia must have her preferences when it comes to feeding and the mother will be encouraged to identity these foods so as to ensure that oral intake is optimized. Additionally, it is important for food service to be undertaken with love and the mother will be advised as much. A month after this visit, Asia should be taken back to the clinic for immunization schedules and physical examinations. Nevertheless, the mother should monitor Asia for negative health conditions upon which she should present her to a health facility for assessment.
Therefore, the assessment of Asia was successful. It revealed that her development was appropriate for her age. Importantly, she was able to get her immunization schedules. Lastly, follow-up information was relayed to her mother to ensure that Asia grows and develops appropriately.
This week, complete the Aquifer Case titled Pediatrics 02: Infant female well-child visits (2, 6, and 9 months).
To Access the Assigned Case: Click on Aquifer Family Medicine then under \’Cases\’ type Pediatrics in the search bar and the Pediatrics cases will appear.
Apply information from the Aquifer Case Study to answer the following questions:
Discuss the history that you would take on this child in preparation for the well-child visit. Include questions regarding her growth and development that are appropriate for her age.
Describe the developmental tool to be used for Asia, its reliability and validity and how Asia scored developmentally on this tool. Is she developmentally appropriate for her age?
What immunizations will Asia be given at this visit; what is the patient education and follow-up?
Please make sure all questions are answered. Thank you