Well Child Developmental and Family Assessment Paper

Well Child Developmental and Family Assessment Paper Guidelines

Students will conduct a developmental assessment in a home setting to identify factors influencing a child’s development and observe family dynamics.

WELL CHILD DEVELOPMENTALAND FAMILY ASSESSMENT PAPER (P/F) Accounts for 4 hr of clinical hours in the course

Each student will conduct a pediatric developmental assessment in order to facilitate his/her learning of the multiple, predictable aspects of a child’s growth and development. The student will also assess the child’s home environment to identify some of the factors influencing the child’s development. Following the visit, a written paper will be due which will include physiologic and psychosocial assessment data, goals for the child and family, interventions, and recommendations.

PROCEDURE FOR THE VISIT
Identify a well child (1 month – 10 years of age) in their home environment preferably. The child should not be a member of the student’s immediate family or the student actual child.

For home visits, you will be conducting a developmental and a home assessment for a child birth to 10 years of age. This assessment will allow you may conduct a systematic assessment of their developmental status and identify environmental factors located in the home that are aimed at stimulating their development.

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:
o stature for age
o weight for age
o 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?
 Using at minimum one family theorist mentioned in (Chapter 1 Table1.1 pg 16 of the textbook), applying the tenets of the theory to the child’s family you are assessing
 home environment – Use and Complete Pediatric Environmental Assessment while visiting and assessing the child and family during the home visit
 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

a) Interpret the child’s growth percentiles.

b) Describe and interpret child developmental findings. Select at least two developmental theorists and compare the child’s development.

c) 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.

d) Discuss problems to be addressed, nursing diagnoses, and needs. If there are no problems, discuss anticipatory guidance needs.

3) GOALS – (2) for child and (2) for family- Make sure they are SMART!

4) INTERVENTIONS OR RECOMMENDATIONS – to maintain and promote growth, development and health of the child. Include documented rationale.

5) REFERENCE LIST – Use APA format.

SECTION POSSIBLE POINTS

ASSESSMENT: Collection of Subjective and Objective Data
1. Growth Chart 5pts
2. Nutritional Status (24 hour food diary) 5pts
3. Family Assessment (must incorporate one family theorist) 5pts
4. Pediatric Home Environment 5pts

Total points 20pts

ANALYSIS OF DATA

1. Child’s Growth and Development (must reference
two developmental theorist ) 15pts
2. Child’s Home Environment 10pts
3. Factors that facilitate/inhibit G&D 10pts
4. Discussion of identified problems 15pts

Total Points 50pts

GOALS:

1. 2 for Child 2pts
2. 2 for Family 2pts

Total Points 4pts

INTERVENTIONS/RECOMMENDATIONS:

1. Maintenance of current Health Practices 10pts
2. Promotion of health, growth & development 10pts

Total Points 20pts

APA FORMATING: 2pts

TOTAL POSSIBLE POINTS: 100pts