Pediatrics Test 1: Assessment of child and family Flashcards
Communicating with adolescents
Encourage expression. Of idea and feeling Allow them time away from thir parents Tolerate their differences and celebrate their achievements Respect their need for privacy Listen Br courteous, calm and open minded Try to not over react Avoid judging or criticizing Spend time Set a good example
Communicating with children
Take your time: allow child to develop sense of comfort
Use your face: extend a sense of who you are
Move slow to touch and start with safe body parts
Use play and song to create and okay atmosphere
Br at eye level if possible
Allow child to stay in parents arms
Be honest
Allow expressions of fear or concern
Egocentric: see things in relationship to themselves or their point of view
Tell them what they can do and how they will feel
Direct and concrete
Developmentally appropriate language
Give explanations and reason
Functionality
Heightened
Let them be involved: give them two choices
Communicating with families
- be attentive to the needs of the parents to be the decision make, to be an advocate for their child, to be responsible for ADL’s, to respect their cultures and religion
- encourage patient and family to talk, use open ended questions, using non verbal ques to direct
- listen and be objective
- be empathetic, understand what another person is experiencing from within that persons frame of reference
Use silence
Goal is to spend time in the room
Health history
Patient identifying information Chief complaint History of present illness - Past medical history: prenatal, natal and postnatal, past illness, allergies, accidents, hospitalization or surgery, immunization history, nutrition history, growth and development - review of systems: psychological, behavioral, sleep, elimination, menstraul Current medication Medication history Family history So Ocioeconomic Development ADL's Education Symptoms
Dietary history
Usual meal times What food is prepared in your home Child's favorite food Allergies Food child won't consume Culture and food Do you sit ad a family to eat What does your child eat in a typical day Had your child lost or gained weight Has your child had feeding difficulties
Recommended whole grain
2 oz per day, upto 1 yer
7 oz per day 14-18 year old bo
Vegetable servings
3/4 cup age 1 and up
3 cups 14/-18
Fruit serving
1 cup per day upto 1 year
2 cup per day 14-17
Milk servings
2 cups per day 2-8
Meat and bean serving
5 ounces per day
Calories needs
900- 1 year
1800 - 14-18 year old girl
2200 - 14-18 year old boy
Physical activity recommendations
60 minut per day
