Pediatric Clinical Pearl

Pediatric Clinical Pearl

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. Pediatric Clinical Pearl

  1. 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.
  2. Choose five (5) topics from the following categories to complete the assignment:
    • Cognitive Developmental Milestones
    • Physical Developmental Milestones
    • Social-Emotional Developmental Milestones
    • Safety
    • Alcohol/Substance Use
    • Environmental Health Risks
    • Temper Tantrums and Discipline
    • Sleep Routines
    • Car Seat Safety
    • Healthy Teeth Pediatric Clinical Pearl
  3. 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).
  4. For each of the tables, complete each section:
    1. Issue: Category name
    2. Negative interaction/behavior: What did you see or hear that was inappropriate?
    3. Positive interaction/behavior: What did you see that was appropriate?
    4. Guidelines/recommendation: What does the research recommend? Pediatric Clinical Pearl
    5. Scholarly reference: Must be in APA format within the table.
    6. 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.
  5. 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). Pediatric Clinical Pearl

Preparing the Paper

  1. The table provided below is an example only. It cannot be used to satisfy the requirements for any part of the assignment.
  2. You may format your tables according to your preference, but APA format is required for the reference column. Pediatric Clinical Pearl

Well, Hello, good morning to you. My name is Jim. >> All right. >> And I’m your nurse for today. Stacy will be your nurse practitioner, but she just wants me to go over some simple things, just to ask you all about your son. Is that okay? >> Uh-huh. >> All right, well, let’s get started. Since your last visit, has there been any major illnesses, hospitalizations, changes, or stresses for your family or child? >> I was in a car accident a couple of months ago, and the pain is really bad, so I haven’t been to work for a couple of months, yeah. That’s about it. >> Okay, is your child taking a vitamin supplement? >> Yeah. >> Has your child ever had a reaction to a vaccine? >> No but he has all his shots, they’re all up to date. Pediatric Clinical Pearl I make sure I track of that. >> Is your child still on a bottle? >> Yeah, like about he can [INAUDIBLE] at the hospital he has exciting ones, I just give him meds. And then he’s kind of keeps him occupied because it has like some kind of like mountain view or so I could catch them all day and then you don’t want to. >> Very well. Does your child sleep through the night? >> Sometimes he sleeps for 10 hours, and I have to get him up. I have to push and push and get him up, and it’s rough. I think, I feel like I need some Xanax. Because my anxiety just gets up and sometimes I can’t get him to sleep.

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So if he could get some Xanax or some Benadryl or something to put him to sleep, that would be great. >> Does your child drink or eat food prepared with tap water? >> Yeah. >> Do you have any questions or concerns about your child’s bowel movements? >> No. [INAUDIBLE] >> Okay, do you brush your child’s teeth with water every day? >> I brush it in the morning and at night. >> Does your child hear and see well? Is there a TV in your child’s bedroom? >> [INAUDIBLE] I have to say [INAUDIBLE] [LAUGH]. Okay I’m sorry, what was that? Pediatric Clinical Pearl >> Yeah, is there a television in your child’s bedroom? >> Yeah, he watches TV every night. That’s how he goes to sleep. >> Do you play and read with your child every day? >> I’ve been trying to play with him, to make sure- [MUSIC] Things is he’s always on my phone. No, don’t do that. No, don’t touch my phone. He’s always on my phone. I try to like even like these 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’ll give him the puzzle, look, he don’t even know how to put it together. So that’s what we’re here today at the doctors office, to make sure everything right. >> Okay, we get some nice question. Do you have any concerns about tantrums or disciplining your child? >> No, I tell him no all the time. Like no, no, don’t touch that. See, he still touched it. No. >> How about choking? Do you know what to do if your child is choking? >> Do you always cook on the back burners of your stove? Okay, what about the pothead was he keep those pointed away? >> Yeah, he can’t get burnt, >> Okay. >> He can’t reach out there. >>Pediatric Clinical Pearl  If you have stairs in your home, do you have a safety gate at the bottom and the top of the stairs? >> Yeah, it’s at the bottom and top. We got it too at the basement doors, too, at the top and the bottom. >> Do you keep all medications, household cleaning products, poisons, in a cabinet and kind of out of reach from him? >> Yeah, but, so like sometimes I forget where I put my cigarettes. I have a cigarette and on the floor I’m gonna have one table here around because one time he grabbed a cigarette and he started chewing on it and I was okay because you [INAUDIBLE] Pediatric Clinical Pearl

he wants to get swallowed up and he almost swallowed it. I think he swallowed it I’m not really sure. I thought he was in control because I got that phone number in my phone. That’s what got me last time. So, yeah, we try to make sure we keep [INAUDIBLE] my cigarette. Sometimes I smoke in the living room, or the kitchen, or the bedroom. But I made sure that I don’t smoke in his bedroom. But I smoke everywhere else but just not in his bedroom, because that’s where he is. >> Okay. And you said you have the poison controls number in your phone. >> Yeah. >> Okay, so you get it readily available in your house, in other places as well too? >> Yeah, I got that. >> Do you place your baby in the car seat, facing backwards in the backseat? >> No, he faces forward, just like everybody else in the car. When I turn around, when I’m driving, I need to be able to see him. >> Do you watch your child at all times around water, like in a bathtub, pools, the ocean? >> Yeah, >> Does your child show affection by hugging or kissing you? >> Yeah, all the time, watch. Hey, bud, give mom a kiss. Give mom a kiss. Give mom a kiss. Give mom a kiss. [SOUND] Yeah, give mom a kiss. >> Yeah buddy. Does your child walk well? >> Yes. >> Does he say two to three words at a time? >> Yeah. [INAUDIBLE] >> What about things that you do? Does he imitate you or does he imitate activities? >> Yeah, he [INAUDIBLE] >> Does he try to feed himself with a spoon or fork? Does he follow simple directions? >> Yeah, he does. The phone ringing, hold on one second I probably. A text another. >> Okay I have a couple more questions for you. >> Okay. >> Then I’ll be out your way all right. >> All right, okay. >> Does your child listen to a story? >> Yeah, we love stories. I just have to read? >> Yeah. >> Watch. Read. Read. Yeah. Iguana baby. Turn the page. Turn the page. Good job. >> Pediatric Clinical Pearl All right, big man, and final question, does your child indicate what he wants about pulling or tugging or groaning, pointing no draw some kind of action? >> Sometimes I get appointed was a male male or something, you know. He’ll be like [INAUDIBLE], so I’ll be [INAUDIBLE]. What’s the better. >> Okay, wow. >> [INAUDIBLE], stuff like that. You don’t throw that to my anxiety pills. Always throwing my pills away. They gave them to me after my car accident because my nerves was bad. Here, put that right there. Pills everywhere. Yeah, put it back in the, put them back where you got in from. >> Okay, well, that’s my phone press. That’s my final question. That’s all the info I need from you right now. Like I said, a follow on me Stacy will be right in and she’s gonna follow up everything else. Okay. All right, so she’ll be right in just a few minutes are thank you so much for your time Pediatric Clinical Pearl

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