School Age Children Flashcards
Erikson stage for school age kids?
Industry vs. inferiority
Requirement for matriculation
Forms vary by state
Screening for health indicators that may affect school performance: need BMI and BP
Kindergarten Physical
Tools needed for Kindergarten Physical
PMH
Shot records
Audiometer
PEDS tool (general developmental assessment tools)
Snellen chart
Stereopsis kit→ a way to measure visual depth perception; unique for kindergarteners
Key Screenings in School Years
Obesity and BMI
Vision/hearing,
Snellen, and audiometry
HTN, BP
HLD, assess risk age 6
shots needed for kindergarten
DTAP IPV MMR Varicella Annual Flu
anticipatory guidance for school age kids
Nutrition; adequate dairy Exercise → 1hr per day; outside Screen time → 2 hours/day; internet safety Safety Dental Health
Common Concerns in School Years
School problems
Bullying
Learning disabilities
Treating the child with developmental disabilities
Manifestations of school problems
Poor or declining school performance,
Somatic complaints (tummy-ache, HA on school days),
Feedback from teachers and administrators
NPs role in school problems
Exclude underlying medical causes for problems
Know resources for additional testing, counseling
what assessment to do to look for learning disabilities
Administer Vanderbilt assessment tool as initial screening
Neuropsychiatric testing
Counseling for learning strategies
Tx of any underlying conditions
NP may manage meds for ADD/ADHD in uncomplicated cases
Repetitive aggressive behavior by one or more individuals with a perceived power differential
Bullying
how can NPs screen for bullying:
Psychosomatic illness
Unexplained injuries
Patients with disabilities or in a marginalized group
bilat LE pain in thighs/ calves, nocturnal, episotic, better by AM
Growing Pains - cause unknown not caused by growing
how to treat growing pains
APAP/ ibuprofen, massage, heat, stretching, reassurance
