Pediatric physical examination & health assessment.

process between the patient and their family members and myself, as the nurse with effective communication strategies. I would first introduce myself to the patient and mother of the patient and explain to the both of them the purpose of the assessment being performed and how the information that they provide will be utilize appropriately. One important aspect to explain to both of them is that the information that they provide to me is protected by HIPAA.

I would then use open-ended questions (i.e. what brings you in today) to direct the interview to gain the patient’s history from either the child or from the mother. If more information is needed then I would utilize closed-ended questions or direct statements (i.e. how long has these symptoms been going on) to clarify any additional information.

Next, I would take the patient’s vitals and a complete head-to-toe assessment with an emphasis on the neurological system exam, all while explaining to the patient and the mother the reason for me having to do this. By me explaining step-by-step what I am doing will help me to better build a rapport with them as well as giving the patient and the mother a sense of being aware of what is going on, so that if they have any questions I will be able to answer these for them.

It would be pretty apparent that with the symptoms that the patient is experiencing may be due to some type of neurological condition. Patient would then need to be referred to a neurologist for further testing to confirm a proper diagnosis.

Reference:

Assessment Technologies Institute. (n.d.). Physical assessment (child). Retrieved fromhttp://www.atitesting.com/ati_next_gen/skillsmodules/content/physical-assessment-child/viewing/Neurological-a.html

Sawyer, S. (2012). Pediatric physical examination & health assessment. Sudbury, MA: Jones & Bartlett Learning.

Professor question/ needs to be answer.

process between the patient and their family members and myself, as the nurse with effective communication strategies. I would first introduce myself to the patient and mother of the patient and explain to the both of them the purpose of the assessment being performed and how the information that they provide will be utilize appropriately. One important aspect to explain to both of them is that the information that they provide to me is protected by HIPAA.

I would then use open-ended questions (i.e. what brings you in today) to direct the interview to gain the patient’s history from either the child or from the mother. If more information is needed then I would utilize closed-ended questions or direct statements (i.e. how long has these symptoms been going on) to clarify any additional information.

Next, I would take the patient’s vitals and a complete head-to-toe assessment with an emphasis on the neurological system exam, all while explaining to the patient and the mother the reason for me having to do this. By me explaining step-by-step what I am doing will help me to better build a rapport with them as well as giving the patient and the mother a sense of being aware of what is going on, so that if they have any questions I will be able to answer these for them.

It would be pretty apparent that with the symptoms that the patient is experiencing may be due to some type of neurological condition. Patient would then need to be referred to a neurologist for further testing to confirm a proper diagnosis.

Reference:

Assessment Technologies Institute. (n.d.). Physical assessment (child). Retrieved fromhttp://www.atitesting.com/ati_next_gen/skillsmodules/content/physical-assessment-child/viewing/Neurological-a.html

Sawyer, S. (2012). Pediatric physical examination & health assessment. Sudbury, MA: Jones & Bartlett Learning.

Professor question/ needs to be answer.