NURS 434 Physical Assessment of Child to That of an Adult DQ

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NURS 434 Physical Assessment of Child to That of an Adult DQ

NURS 434 Physical Assessment of Child to That of an Adult DQ

 

DQ1 Child abuse and maltreatment is not limited to a
particular age—it can occur in the infant, toddler, preschool, and school-age
years. Choose one of the four age groups and outline the types of abuse most
commonly seen among children of that age. Describe warning signs and physical
and emotional assessment findings the nurse may see that could indicate child
abuse. Discuss cultural variations of health practices that can be
misidentified as child abuse. Describe the reporting mechanism in your state
and nurse responsibilities related to the reporting of suspected child abuse.

DQ2 Compare the physical assessment of a child to that of an
adult. In addition to describing the similar/different aspects of the physical
assessment, explain how the nurse would offer instruction during the
assessment, how communication would be adapted to offer explanations, and what
strategies the nurse would use to encourage engagement.

Compare the physical assessment of a child to that of an adult. In addition to describing the similar/different aspects of the physical assessment, explain how the nurse would offer instruction during the assessment, how communication would be adapted to offer explanations, and what strategies the nurse would use to encourage engagement.

There is a numerous amount of developmental and physical diversities between infants, children, adolescents, adults and the aging adults. The time of substancial development and growth is when undergoing infancy, childhood, adolescence, and elder aging.

Ideally the information obtained through a nurses assessment consists of objective and subjective data. When obtaining this data for the adult patient it may be acquired by observation and asking the patient questions. When obtaining the proper assessment for pediatric patients, the information will be provided by the parent or caregiver, as well as for toddlers and some preschoolers who are still intimidated of strangers. Considering the age of the child this assessment may include questions regarding prenatal period, birth of the child, immunization history, and developmental milestones that have been achieved may be asked.

Many children that are school-aged will demonstrate eagerness to learn and understand cause and effect. Including data provided by the school-age child related to their care is welcomed by this specific age group. However, any medical decisions regarding the child’s care must be encountered with the child’s parent or caregiver not the child. One of the most essential nursing practices with this specific age group is to provide privacy due to the fact that these children are initially understanding their sexuality. An assessment by the nurse must be detailed and obtained through the methods of assessment by which include inspection, palpation, percussion, and auscultation generally performed the same way as in an adult.

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It is essential to always keep in mind the level of education of the patient especially when communicating children therefore nurses must speak slowly, clearly and utilizing simple vocabulary. Such as a nurse may consider utilizing the word touch as opposed to palpate when caring for a five year old. Children in the ages of toddler and preschool ages may demonstrate impressive imagination therefore they may view machines as scary monsters. Therefore, nurses must provide an explanation of what is happening prior to the procedure including the physical examinations and encourage the child to express their concerns. It is also essential to praise and reward this age group because they are still developing and it praises positive behavior.

There are many helpful strategies that assist in engaging and assessing children and would include warming the hands and tools, such as the stethoscope, prior to placement on the child. It is also beneficial to Include the child in the assessment, position yourself on the level of the child to decrease fear, and utilize playing or games to attain the child’s cooperation.

References

Falkner, A. (2018). Age-Appropriate Approach to Pediatric Health Care Assessment. In Health assessment: Foundations for effective practice. Retrieved from https://lc.gcumedia.com/nrs434vn/health-assessment-foundations-for-effective-practice/v1.1/#/chapter/2

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