NR602 Primary Care of the Childbearing and Childrearing Family Practicum

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NR602 Primary Care of the Childbearing and Childrearing Family Practicum

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CLINICAL PEARL CASE STUDY ASSIGNMENT 7

Clinical Pearl Case Study Assignment

NR602 Primary Care of the Childbearing and Childrearing Family Practicum

Issue #1

CATEGORY

SLEEP ROUTINE

Issue- Pertinent Negative

What did you see that was inappropriate?

The mother stated that she usually pushes the child to wake him up when he sleeps for more than 10 hours

Pertinent Positive

What did you see that was appropriate?

Mom’s understanding of the soothing activities like allowing the kid to watch TV and listen to stories to enhance sleep

Guidelines/Recommendations

Allow the child to have an adequate sleep throughout the night. You should not interfere with his sleep by pushing to wake him up. Sleeping for ten hours is normal for children of his age and essential for his growth and development.

Reference

Healthy Children (2021). APP supports childhood sleep guidelines. https://www.healthychildren.org/English/news/Pages/AAP-Supports-Childhood-Sleep-Guidelines.aspx

Professional/Ethical Communication by Nurse Practitioner to Parent

How will you provide non-judgmental and non-bias education regarding issue identified?

I understand the anxiety you experience when your child sleeps for 10 hours. However, this is normal for children of his age and should not worry you. Allow him to have enough sleep and avoid waking him up by pushing. Adequate sleep is essential for his growth and development.

Issue #2

CATEGORY

COGNITIVE DEVELOPMENT MILESTONES

Issue- Pertinent Negative

What did you see that was inappropriate?

The mother mentioned that the child could not put the jigsaw puzzles together and seems to dislike them.

Pertinent Positive

What did you see that was appropriate?

Mother’s awareness of the significance of his child’s cognitive development. She always tries to give the child jigsaw puzzles to put together.

Guidelines/Recommendations

Provide a variety of brain exercises that will help improve cognition, memory, and creativity. These can include playing memory card games, playing games, practicing counting, visiting exciting places, and practicing the alphabet. A variety of these exercises will enhance the child’s interest, developing his cognitive abilities.

Reference

Erickson, K. I., Hillman, C., Stillman, C. M., Ballard, R. M., Bloodgood, B., Conroy, D. E., … & Powell, K. E. (2019). Physical activity, cognition, and brain outcomes: a review of the 2018 physical activity guidelines. Medicine and science in sports and exercise, 51(6), 1242.

Professional/Ethical Communication by Nurse Practitioner to Parent

How will you provide non-judgmental and non-bias education regarding issue identified?

I understand your frustration about your child’s inability and lack of interest in jigsaw puzzles. It would help if you tried other brain exercises such as playing games, practicing counting, and visiting exciting places. This will enhance his interest and boost his cognition. You should also participate more in these activities to make them exciting for the child.

Issue #3

CATEGORY

SAFETY

Issue- Pertinent Negative

What did you see that was inappropriate?

The mother stated that she places her child in the car’s backseat facing forward like everyone else.

Pertinent Positive

What did you see that was appropriate?

The mother watches the child when driving and turning around, demonstrating safety awareness.

Guidelines/Recommendations

Provide a seat in the back of the car and allow the child to sit facing backward. This provides the best possible protection in case of an accident.

Reference

Centers for Disease Control and Prevention [CDC]. (2021). Injury prevention and control: Child passenger safety. https://www.cdc.gov/injury/features/child-passenger-safety/index.html

Professional/Ethical Communication by Nurse Practitioner to Parent

How will you provide non-judgmental and non-bias education regarding issue identified?

I appreciate your concern for your child’s safety while driving and turning; however, the child should sit in the back and face backward. This would provide the best possible protection in an accident event. Also, it would help if you always look at him while driving to ensure he is comfortable and safe.

Issue #4

CATEGORY

ALCOHOL/SUBSTANCE USE

Issue- Pertinent Negative

What did you see that was inappropriate?

The mother said that she smokes a cigarette in the living room, kitchen, and bedroom. Although the mother does not smoke in the child’s bedroom, she still exposes him to second-hand smoke, which is unhealthy.

Pertinent Positive

What did you see that was appropriate?

The mother has prison control’s number to immediately call in case of emergency

Guidelines/Recommendations

Avoid closed-door smoking to reduce the child’s exposure to second-hand smoke and poor air quality. Consider open-air spaces like outside the house when smoking. This will reduce the associated health impacts like cancer.

Reference

Kim, A., Ko, H. J., Kwon, J. H., & Lee, J. M. (2018). Exposure to secondhand smoke and risk of cancer in never smokers: a meta-analysis of epidemiologic studies. International journal of environmental research and public health, 15(9), 1981.

Professional/Ethical Communication by Nurse Practitioner to Parent

How will you provide non-judgmental and non-bias education regarding issue identified?

I acknowledge your effort to avoid smoking in the child’s bedroom. However, it would help to avoid smoking in the house entirely because the child still gets exposed to secondhand smoke. This increases the risk of illnesses such as cancer or respiratory problems.

Issue #5

CATEGORY

ENVIRONMENTAL HEALTH RISKS

Issue- Pertinent Negative

What did you see that was inappropriate?

The mother mentioned that she often forgets where she places cigarettes, and the child can access them. The child accessed it at one particular instance, chewed, and swallowed it.

Pertinent Positive

What did you see that was appropriate?

Mother’s awareness of the child’s environmental safety by placing medications and poisons out of his reach.

Guidelines/Recommendations

Avoid placing cigarettes and other substances within the reach of the child.

Reference

Oliveira, M., Slezakova, K., Delerue-Matos, C., Pereira, M. C., & Morais, S. (2019). Children environmental exposure to particulate matter and polycyclic aromatic hydrocarbons and biomonitoring in school environments: a review on indoor and outdoor exposure levels, major sources and health impacts. Environment international, 124, 180-204.

Professional/Ethical Communication by Nurse Practitioner to Parent

How will you provide non-judgmental and non-bias education regarding issue identified?

I am sorry for what happened to the child after swallowing the cigarette. Place the cigarette out of reach of the child to avoid the health effects of consuming tobacco. Also, keep watch of the child when in the house to minimize exposure to environmental hazards.

References

Centers for Disease Control and Prevention [CDC]. (2021). Injury prevention and control: Child passenger safety. https://www.cdc.gov/injury/features/child-passenger-safety/index.html

Erickson, K. I., Hillman, C., Stillman, C. M., Ballard, R. M., Bloodgood, B., Conroy, D. E., … & Powell, K. E. (2019). Physical activity, cognition, and brain outcomes: a review of the 2018 physical activity guidelines. Medicine and science in sports and exercise, 51(6), 1242.

Healthy Children (2021). APP supports childhood sleep guidelines. https://www.healthychildren.org/English/news/Pages/AAP-Supports-Childhood-Sleep-Guidelines.aspx

Kim, A., Ko, H. J., Kwon, J. H., & Lee, J. M. (2018). Exposure to secondhand smoke and risk of cancer in never smokers: a meta-analysis of epidemiologic studies. International journal of environmental research and public health, 15(9), 1981.

Oliveira, M., Slezakova, K., Delerue-Matos, C., Pereira, M. C., & Morais, S. (2019). Children environmental exposure to particulate matter and polycyclic aromatic hydrocarbons and biomonitoring in school environments: a review on indoor and outdoor exposure levels, major sources and health impacts. Environment international, 124, 180-204.

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