Paediatric assessment tools

Question 1

What are the requirements for an effective paediatric assessment tool?

Answer 1

-Flexible, adapted to family and situation
- structure and re-enforce philosophy and values
- CYP centred to advocate for their rights and involvement
- promote partnership values

Question 2

Whats the positives of using pain assessment tools?

Answer 2

Assess if able to do a self report verbally otherwise behavioural assessment for neonates, cognitive impaired.

Best/most reliable is self report

Question 3

WETFLAG?

Answer 3

• accurate weight to determine emergency drugs

Weight, Energy, Tube, Fluids, Lorazapam, Adrenaline and Glucose

Question 4

APGAR?

Answer 4

• tool for neonates and devlievery to assess physical appearance eg. colour
• Assign a score
• Appearance, Pallar, Grimise, activity and respiration

Question 5

HEEADSSS?

Answer 5

• Mental health assessment tool
• Home, Education, Eating, Activity, Drugs, Social media, suicidal ideation, safety

Question 6

OLDCART?

Answer 6

History taking!!! important one!

• Onset, Location, duration, characteristics, associated manifestations, relieving or aggravating factors, treatment

Question 7

Gather - Give - Gather

Answer 7

• Whilst taking a history
• First gather the information (use OLDCART)
• Then give the patient some information and specific questions
• Gather a more in depth history

Question 8

SAMPLE?

Answer 8

• Symptom
• Allergies
• Medication
• past medical history
• last oral intake
• events leading to illness

Question 9

BALD CHASM?

Answer 9

• Blood pressure
• Arthritis
• lung disease
• Diabetes
• Cancers
• Heart Disease
• Alcohol related
  -Stroke
• Mental illness

Question 10

OPQRSTU?

Answer 10

-ONset
-Provocation
- Quality
- Radiation
- Severity
- Timing/treatment
- Understanding and impact

Question 11

Important factors in treatment of children

Answer 11

Involve
Expression
Don’t assume
My perspective
Choice
Environment
Family

Question 12

Stages of the physical assessment with focus on diagnosis and treatment

Answer 12

1. ABCDE – BLS primary survey of systematic assessement
2. Generalised head to toe assessment – divide body into sections, flexible with order
3. Focused system assessments – detailed assessment of specific body system related to presenting problem

Question 13

What are the two divisions of the head to toe assessment approach?

Answer 13

1.Observation – subjective data – accounts from child and parents of presenting issue and history. Alongside activities of living – 1. What do you see, hear, feel and are told.

2. Measuring – objective data – baseline vital signs, inspection, palapation. – analysis interpretation of objective and subjective - dependant on good communication skills.

Question 14

What assessment tool used for assessing dehydration in children under 5?

Answer 14

Traffic light system of symptoms
To assign green, amber or red which correlate symptoms to if a child has no clinical dehydration, 5% clinical dehydration or clinical shock!

Question 15

ABCDE?

Answer 15

BLS surgery
- Airways
- Breathing
- Circulation
- Disability
- Exposure

Question 16

What is the generalised head to toe assessment?

Answer 16

Divide body into sections
(be flexible with the order as children are unreliable)
Do assessment of each division to pin point specific areas of concern

Question 17

What is the focused system assessment?

Answer 17

Following the head to toe assessment has identifies areas of concern
Do specific assessments f body systems relating to presenting problems