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Pediatric Wellness Paper

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Identify a well child (1 month – 10 years of age) either in a home or school environment.The child should not be a member of the student’s immediate family.
For home visits, you will be conducting a developmental and a home assessment for a child birth to 10 years of age.For school students, you may conduct a systematic assessment of their developmental status and identify environmental factors located in the school which are aimed at stimulating their development.
Some suggested parameters to include:
a)birth date, age, and gender
b)growth parameters – use growth charts based on the
• For children < 2 years, use the Birth to 36 months 3rd-97th percentile forms and plot the following on the chart:
o length for age
o weight for age
o head circumference for age
o weight for length
• For children > 2 years, use the 2-20 years 3rd-97th percentile forms and plot the following on the chart:
• stature for age
• weight for age
• BMI for age
c)nutritional status
d)development – remember the different aspects of development
e)family
• Who lives in the home and what are their roles with the child?
• What influences do they have on the child’s development?
• Is the child cared for outside of the home and what impact does that have on the child and his/her family?
f)home environment or school assessment–
• include safety issues that may not be covered by this tool, i.e.: guns in home, helmets w/ bikes, harmful chemicals within reach, etc.
2) ANALYSIS OF DATA
• Interpret the child’s growth percentiles.
• Describe and interpret child developmental findings. Select at least two developmental theorists and compare the child’s development.
• Assess the child’s environment in the areas of cognitive and social emotional support, safety, nutrition, and list factors that facilitate or inhibit the child’s growth and development. Or, if school based, describe environmental factors you have identified that are stimulating the child’s development
• Discuss problems to be addressed, nursing diagnoses, and needs. If there are no problems, discuss anticipatory guidance needs.

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