1. Start by watching the following video: https://cdnapisec.kaltura.com/index.php/extwidget/preview/partner_id/2363221/uiconf_id/43522921/entry_id/1_2y6velsy/embed/dynamic
Well, Hello, good morning to you. My name is Jim. >> All right. >> And Im your nurse for today. Stacy will be your nurse practitioner, but she just wants me to go over some simple things, just to ask you all about your son. Is that okay? >> Uh-huh. >> All right, well, lets get started. Since your last visit, has there been any major illnesses, hospitalizations, changes, or stresses for your family or child? >> I was in a car accident a couple of months ago, and the pain is really bad, so I havent been to work for a couple of months, yeah. Thats about it. >> Okay, is your child taking a vitamin supplement? >> Yeah. >> Has your child ever had a reaction to a vaccine? >> No but he has all his shots, theyre all up to date. I make sure I track of that. >> Is your child still on a bottle? >> Yeah, like about he can [INAUDIBLE] at the hospital he has exciting ones, I just give him meds. And then hes kind of keeps him occupied because it has like some kind of like mountain view or so I could catch them all day and then you dont want to. >> Very well. Does your child sleep through the night? >> Sometimes he sleeps for 10 hours, and I have to get him up. I have to push and push and get him up, and its rough. I think, I feel like I need some Xanax. Because my anxiety just gets up and sometimes I cant get him to sleep. So if he could get some Xanax or some Benadryl or something to put him to sleep, that would be great. >> Does your child drink or eat food prepared with tap water? >> Yeah. >> Do you have any questions or concerns about your childs bowel movements? >> No. [INAUDIBLE] >> Okay, do you brush your childs teeth with water every day? >> I brush it in the morning and at night. >> Does your child hear and see well? Is there a TV in your childs bedroom? >> [INAUDIBLE] I have to say [INAUDIBLE] [LAUGH]. Okay Im sorry, what was that? >> Yeah, is there a television in your childs bedroom? >> Yeah, he watches TV every night. Thats how he goes to sleep. >> Do you play and read with your child every day? >> Ive been trying to play with him, to make sure- [MUSIC] Things is hes always on my phone. No, dont do that. No, dont touch my phone. Hes always on my phone. I try to like even like these puzzles, I got him these, and its like a jigsaw. And he loves cars, so I dont understand why he cant do it. And see, Ill give him the puzzle, look, he dont even know how to put it together. So thats what were here today at the doctors office, to make sure everything right. >> Okay, we get some nice question. Do you have any concerns about tantrums or disciplining your child? >> No, I tell him no all the time. Like no, no, dont touch that. See, he still touched it. No. >> How about choking? Do you know what to do if your child is choking? >> Do you always cook on the back burners of your stove? Okay, what about the pothead was he keep those pointed away? >> Yeah, he cant get burnt, >> Okay. >> He cant reach out there. >> If you have stairs in your home, do you have a safety gate at the bottom and the top of the stairs? >> Yeah, its at the bottom and top. We got it too at the basement doors, too, at the top and the bottom. >> Do you keep all medications, household cleaning products, poisons, in a cabinet and kind of out of reach from him? >> Yeah, but, so like sometimes I forget where I put my cigarettes. I have a cigarette and on the floor Im gonna have one table here around because one time he grabbed a cigarette and he started chewing on it and I was okay because you [INAUDIBLE] he wants to get swallowed up and he almost swallowed it. I think he swallowed it Im not really sure. I thought he was in control because I got that phone number in my phone. Thats what got me last time. So, yeah, we try to make sure we keep [INAUDIBLE] my cigarette. Sometimes I smoke in the living room, or the kitchen, or the bedroom. But I made sure that I dont smoke in his bedroom. But I smoke everywhere else but just not in his bedroom, because thats where he is. >> Okay. And you said you have the poison controls number in your phone. >> Yeah. >> Okay, so you get it readily available in your house, in other places as well too? >> Yeah, I got that. >> Do you place your baby in the car seat, facing backwards in the backseat? >> No, he faces forward, just like everybody else in the car. When I turn around, when Im driving, I need to be able to see him. >> Do you watch your child at all times around water, like in a bathtub, pools, the ocean? >> Yeah, >> Does your child show affection by hugging or kissing you? >> Yeah, all the time, watch. Hey, bud, give mom a kiss. Give mom a kiss. Give mom a kiss. Give mom a kiss. [SOUND] Yeah, give mom a kiss. >> Yeah buddy. Does your child walk well? >> Yes. >> Does he say two to three words at a time? >> Yeah. [INAUDIBLE] >> What about things that you do? Does he imitate you or does he imitate activities? >> Yeah, he [INAUDIBLE] >> Does he try to feed himself with a spoon or fork? Does he follow simple directions? >> Yeah, he does. The phone ringing, hold on one second I probably. A text another. >> Okay I have a couple more questions for you. >> Okay. >> Then Ill be out your way all right. >> All right, okay. >> Does your child listen to a story? >> Yeah, we love stories. I just have to read? >> Yeah. >> Watch. Read. Read. Yeah. Iguana baby. Turn the page. Turn the page. Good job. >> All right, big man, and final question, does your child indicate what he wants about pulling or tugging or groaning, pointing no draw some kind of action? >> Sometimes I get appointed was a male male or something, you know. Hell be like [INAUDIBLE], so Ill be [INAUDIBLE]. Whats the better. >> Okay, wow. >> [INAUDIBLE], stuff like that. You dont throw that to my anxiety pills. Always throwing my pills away. They gave them to me after my car accident because my nerves was bad. Here, put that right there. Pills everywhere. Yeah, put it back in the, put them back where you got in from. >> Okay, well, thats my phone press. Thats my final question. Thats all the info I need from you right now. Like I said, a follow on me Stacy will be right in and shes gonna follow up everything else. Okay. All right, so shell be right in just a few minutes are thank you so much for your time.
As you view the video, observe the parent-child and the parent-provider interactions. Pay particular attention to the parents responses to the providers questions making note of inappropriate and appropriate responses.
2. Choose five (5) topics from the following categories to complete the assignment:
Cognitive Developmental Milestones
Physical Developmental Milestones
Social-Emotional Developmental Milestones
Safety
Alcohol/Substance Use
Environmental Health Risks
Temper Tantrums and Discipline
Sleep Routines
Car Seat Safety
Healthy Teeth
3. You will develop and complete a table for each one of the five (5) categories using the example below as a guide. (Note: There are at least 10 categories addressed in the video, you must choose five (5) and create a separate table for each one).
4. For each of the tables, complete each section:
Issue: Category name
Negative interaction/behavior: What did you see or hear that was inappropriate?
Positive interaction/behavior: What did you see that was appropriate?
Guidelines/recommendation: What does the research recommend?
5. Scholarly reference: Must be in APA format within the table.
Professional/Ethical Communication: How will provide non-judgmental and non-bias education regarding issue identified? Needs to be at least 3 sentences. Helpful Hints: Acknowledge how they feel, state the facts and provide education or re-frame the approach.
Scholarly references should be peer-reviewed, preferably a Clinical Practice Guideline (CPG), intended for providers (MDs, NPs) and no more than 5 years old (unless it is a clinical practice guidelines most recent update).
Preparing the Paper
1. The table provided below is an example only. It cannot be used to satisfy the requirements for any part of the assignment.
2. You may format your tables according to your preference, but APA format is required for the reference column.
You must complete tables for 5 categories/issues
EXAMPLE: Clinical Pearl Issue # 1
Category
NUTRITION
Issue Pertinent Negative
What did you see that was inappropriate?
Mom stated she feeds her son a McDonalds happy meal every night for dinner and makes sure he gets fruit punch soda, so that he can have his fruit for the day.
Pertinent Positive
What did you see that was appropriate?
Moms awareness of the importance of fruit in her childs diet.
Guidelines or Recommendations
Offer variety of healthy foods such as whole-grain breads, cheese, yogurt, cooked lean meat, poultry, fish, eggs, fruits and vegetables. Give 2 cups (16 oz.) of milk per day. Use whole milk to help with growth and development.
Reference
Hagan, Jr, J.F., Shaw, J.S., & Duncan, P.M. (2017). Bright futures: Guidelines for health supervision of infants, children, and adolescents. (4th ed.). https://brightfutures.aap.org/Bright%20Futures%20Documents/BF4_POCKETGUIDE.pdf
Professional/Ethical Communication by Nurse Practitioner to Parent
How will you provide non-judgmental and non-bias education regarding issue identified? Needs to be at least 3 sentences. Helpful Hints:
Acknowledge how they feel.
State the facts.
Provide education or re-frame the approach.
I see that you are trying to give your son fruit within his diet. For his age, fruit is very important for his growth and development. McDonalds has the option to substitute French-fries for apple slices or you can provide your son with milk instead of fruit punch or soda. Those are a few ways that you can help to introduce fruit and limit soda.
Rubric:
The student includes all of the required elements:
1. A single issue or topic is chosen and identified by the category name.
2. The student notes one negative interaction or behavior for the chosen issue (i.e., what was seen or heard that was inappropriate).
3. The student notes one positive interaction or behavior for the chosen issue (i.e., what was seen or heard that was appropriate).
4. The student provides the current recommendation for the identified issue.
5. Reference is listed in APA format and is a scholarly source (peer reviewed, intended for providers and within the last 5 years unless it is the latest edition of a CPG).
6. Professional/Ethical Communication: The student demonstrates how to provide non-judgmental and non-bias education regarding the issue identified (which is at least 3 sentences).
(6 required elements)
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