NR 602 WEEK 4 PEDIATRIC CLINICAL PEARL CASE STUDY ASSIGNMENT (TOPICS: ALCOHOL/SUBSTANCE USE, TEMPER TANTRUMS AND DISCIPLINE, SLEEP ROUTINES, CAR SEAT SAFETY, HEALTHY TEETH)

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NR 602 WEEK 4 PEDIATRIC CLINICAL PEARL CASE STUDY ASSIGNMENT (TOPICS: ALCOHOL/SUBSTANCE USE, TEMPER TANTRUMS AND DISCIPLINE, SLEEP ROUTINES, CAR SEAT SAFETY, HEALTHY TEETH) Category Alcohol... /Substance abuse Negative interaction/behavior: What did you see or hear that was inappropriate? The mother states she takes anxiety pills around her son and will leave the pills unattended around her child. The mother also smokes in the home and often misplaces her cigarettes, and one time her child was chewing on a cigarette. She carries alcohol in her purse and is requesting a sleeping medication to give her child. Positive interaction/behavior: What did you see that was appropriate? Mother states she does not smoke in the child's room. She also states last time her child chewed on a cigarette she called poison controlled whose number is in her phone. Guidelines/recommendation: Wha t does the research recommend? Those who are exposed to secondhand smoke have an increased risk of lung cancer and other lung diseases. Children who are around secondhand smoke especially have it tough because it contributes to asthma as well as ear infections. Children of parents who smoke also have an increase likelihood of becoming a smoker themselves. Scholarly reference: Must be in APA format within the table. Section on Tobacco Control. (2015). Clinical practice policy to protect children from tobacco, nicotine, and tobacco smoke. Pediatrics, 136(5), 1008-1017. Professional/Ethical Communication: How will provide non-judgmental and non- bias education regarding issue identified? It is a great you have poison controls number readily available on your telephone, but it is important to take steps to prevent accidents from occurring. It is important medication bottles and alcohol are kept out of reach from your children. Your child can potentially open these bottles and severe adverse reactions can occur. I know you are concerned about secondhand smoke effects on your child, and you do not smoke in their room. It is best if you do not smoke in any room in the house since second hand smoke can have detrimental effects on your child. Category Temper tantrums/Discipline Negative interaction/behavior: Wh at did you see or hear that was inappropriate? Mother was pointing and yelling at child saying "NO, NO, NO" after giving child phone and then yelling at child for touching the phone. Positive Mother states she does not give her phone to the child, and instead gives the child puzzles to play with or a book to look at. interaction/behavior: Wh at did you see that was appropriate? Guidelines/recommendat ion: What does the research recommend? Discipline should be used for teaching and not punishing. The word “no” should be limited, and the child’s environment should be modified to avoid conflict or tantrums. Scholarly reference: Must be in APA format within the table. 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: How will provide non- judgmental and non-bias education regarding issue identified? It is great you offer other types of entertainment for the child such as puzzles to play with. Children are very curious and want to touch and play with everything they see such as your phone. Instead of yelling "NO, NO, NO" at the child you should offer them something else they can play with such as a book or age appropriate toy. You should also try to keep your phone away from the child so they are not tempted. Category Sleep routines Negative interaction/behavior: Wh at did you see or hear that was inappropriate? Mother stated the child has a television in their room and they watch the television at night to put the child to sleep. She is also requesting the patient have a medication to help the child sleep. Positive interaction/behavior: Wh at did you see that was appropriate? The mother does worry the child is not getting to sleep early enough at night. She also worries that patient is getting too much sleep when he sleeps longer than 10 hours Guidelines/recommendat ion: What does the research recommend? Regular bedtime routines should remain consistent. The child should not have a bottle in the bed and should not have a computer, television, or digital device in their bedroom. If the patient awakens during the night, they should be briefly reassured and given blanket or stuffed animal for self-consolation. Scholarly reference: Must be in Hagan, Jr, J.F., Shaw, J.S., & Duncan, P.M. (2017). Bright futures: Guidelines for health supervision of infants, children, and APA format within the table. adolescents. (4th ed.). https://brightfutures.aap.org/Bright %20Futures%20Documents/BF4_POCKETGUIDE.pdf Professional/Ethical I know you are concerned and want to make sure your child is Communication: How receiving an adequate amount of sleep every night. Your child will provide non- should be getting about 11-14 hours of sleep per night. It is normal judgmental and non-bias if your child is sleeping 10 hours at night and also taking naps education regarding during the day. The child does not need any medications to help issue identified? him fall asleep, instead the child should have a structured bedtime routine. Instead of leaving the television on at night for your child, you could try and read him a book at the same time every night to promote healthy sleep patterns. Category Healthy teeth Negative interaction/behavior: Wh at did you see or hear that was inappropriate? Mother stated she will give the child mountain dew or orange soda to drink out of bottle all day long. She has been using the same bottles since the child has left the hospital. She also states the child only drinks soda and does not ask for any other food. Positive interaction/behavior: Wh at did you see that was appropriate? Mother stated she brushes the child's teeth twice a day during the morning and night. Guidelines/recommendat ion: What does the research recommend? Brushing children’s teeth helps to reduce dental caries. The child should be seen by a dentist and brush twice a day with fluoride toothpaste and a soft toothbrush. If the child is drinking before bedtime they should only drink water. Scholarly reference: Must be in APA format within the table. 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: How will provide non- judgmental and non-bias education regarding issue identified? Brushing your child's teeth twice a day is great practice to keep up and a wonderful way to prevent cavities. Giving the child soda all day can lead to tooth decay, and does not meet his nutritional needs. Instead you should make sure the child receives all the nutrients he needs by providing two nutritious snacks and three nutritious meals a day. Keep up the good work and continue to brush his teeth twice a day! Category Car seat safety Negative interaction/behavior: What did you see or hear that was inappropriate? Mother reports baby faces forward in car seat so she can see the child. Positive interaction/behavior: What did you see that was appropriate? The mother stated she uses car seat. She is also expresses concerned for child and states she must be able to see him when she turns around in her car. Guidelines/recommendation: Wha t does the research recommend? The American Academy of Pediatrics recommends all infants and toddlers face rear in a car seat until they reach the maximum height or weight allowed by the car seat manufacturer (AAP, 2020). The car seat should not be placed in the front seat of a car, and should be placed in the backseat which is the safest. Scholarly reference: Must be in APA format within the table. American Academy of Pediatrics (AAP). (2020). Car seats: Information for Families. Retrieved from https://www.healthychildren.org/English/safety- prevention/on-the-go/Pages/Car-Safety-Seats- Information-for-Families.aspx Professional/Ethical Communication: How will provide non-judgmental and non- bias education regarding issue identified? It is wonderful to hear you are concerned and want to be attentive to you child. The American Academy of Pediatrics recommends the car seat should face rear until he reaches the maximum height or weight that keeps the baby safe provided by the manufacturer. It is important that for the safety of the baby it is best he face rear to lessen possible chance of harm if you were to get into an accident. [Show More]

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