An Approach To Assessing Children Flashcards
what is a paediatric hsitory
holistic multi system approach
what’s the difference with adults
parents will be there
acute observers
play is essential
how should you prepare fro your encounter
why have they come to see you name age and sex observe the child? differential diagnoses what information have nurses gathered
how to approach due to age
consider the age
developmental stage
consider language
most questions directed at parents
what should you ask about bowels
frequency shape size pain on passing blood or muscus how often nappies are changed
what should you include a brief history
age presenting complain PMH immunisatons development drugs and allergies
what to ask in family and social hisotry
key stage in assessing patients recent and related issues parents and siblings school and nursery parental social history
what is the system for examination
good observation
each system
each area
method for that age
what to observe
resp- effort, noise, rate CVS-colour GI-feeidng, abdo, vomit neuro-alterness, play MSK-mobility, movements rashes buries
what to examine in hands and arms
warmth cap refill pulse clubbing nail changes
what to examine int he head and face
eyes lips tongue nose scalpe changes-fontanel
what to examine in the neck
rashes and nodes from front
symmetry
what to examine in the chest and back
mrumers apex beat thriller breath sounds rashes and marks spine alignment
what to examine in the abdomen and groin
tender ness masses bowel sounds femoral pulses hernia
what to examine in the legs and feet
mobility, movements tone reflexes, plantar power,CO pulses, warmth, cap refill rashes bruises
