Walden University – NURS 6512 Week 3 Discussion: Health Assessment of Children’s Weight

Body measurements can provide a general picture of whether a child is receiving adequate nutrition or is at risk for health issues. These data, however, are just one aspect to be considered. Lifestyle, family history, and culture—among other factors—are also relevant. That said, gathering and communicating this information can be a delicate process.

For this NURS 6512 Week 3 Health Assessment of Children’s Weight Discussion, you will consider examples of children with various weight issues. You will explore how you could effectively gather information and encourage parents and caregivers to be proactive about their children’s health and weight.

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To prepare For Discussion: Health Assessment of Children’s Weight:

1. Consider the following examples of pediatric patients and their families:

• o   Overweight 5-year-old boy with overweight parents
• o   Slightly overweight 10-year-old girl with parents of normal weight
• o   5-year-old girl of normal weight with obese parents
• o   Slightly underweight 8-year-old boy with parents of normal weight
• o   Severely underweight 12-year-old girl with underweight parents

2. Select one of the examples on which to focus for this Discussion. What health issues and risks may be relevant to the child you selected?

3. Based on the risks you identified, consider what further information you would need to gain a full understanding of the child’s health. Think about how you could gather this information in a sensitive fashion.

4. Consider how you could encourage parents or caregivers to be proactive toward the child’s health.

Post 1 page Discussion: Health Assessment of Children’s Weight paper APA format 

• an explanation of the health issues and risks that are relevant to the child you selected.
• Describe additional information you would need in order to further assess his or her weight-related health.
• Taking into account the parents’ and caregivers’ potential sensitivities, list at least three specific questions you would ask about the child to gather more information.
• Provide at least two strategies you could employ to encourage the parents or caregivers to be proactive about their child’s health and weight.

Walden University – NURS 6512 Week 3 Discussion: Health Assessment of Children’s Weight Readings

• Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel’s guide to physical examination (8th ed.). St. Louis, MO: Elsevier Mosby.

o   Chapter 6, “Growth and Measurement” (pp. 79-94). In this chapter, the authors explain examinations for growth, gestational age, and pubertal development. The authors also differentiate growth amongst the organ systems.

o   Chapter 7, “Nutrition” (pp. 95-113). This chapter focuses on how nutrition affects growth, development, and health maintenance. The authors also provide guidelines for assessing nutrient intake.

o   Review of Chapter 26, “Recording Information” (pp. 616-631). This chapter provides rationale and methods for maintaining clear and accurate records. The text also explores the legal aspects of patient records.

•  Sullivan, D. D. (2012). Guide to clinical documentation (2nd ed.). Philadelphia, PA: F. A. Davis.

o   Chapter 3, “Adult Preventative Care Visits” (pp. 37–64)

o   Chapter 4, “Pediatric Preventative Care Visits” (pp. 65–90)

• Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2011). History subjective data checklist. In Mosby’s guide to physical examination (7th ed.). St. Louis, MO: Elsevier Mosby. (PDF)
  This History Subjective Data Checklist was published as a companion to Seidel’s guide to physical examination (8th ed.), by Ball, J. W., Dains, J. E., & Flynn, J. A. Copyright Elsevier (2015). From https://evolve.elsevier.com/
•   Gibbs, H., & Chapman-Novakofski, K. (2012). Exploring nutrition literacy: Attention to assessment and the skills clients need. Health, 4(3), 120–124.

Retrieved from the Walden Library databases.

This study explores nutrition literacy. The authors examine the level of attention paid to health literacy among nutrition professionals, and the skills and knowledge needed to understand nutrition education.

• Lifshitz, F. (2009). Nutrition and growth. Journal of Clinical Research in Pediatric Endocrinology, 1(4), 157–163.
  Retrieved from the Walden Library databases. In this article, the author emphasizes the necessity for accurately plotting weights and heights on a growth chart. The author also specifies chemical and social causes of malnutrition.
• Centers for Disease Control and Prevention. (2012). Childhood overweight and obesity.
  Retrieved from http://www.cdc.gov/obesity/childhood/ . This website provides information about overweight and obese children. Additionally, the website provides basic facts about obesity and strategies to counteracting obesity.
• Centers for Disease Control and Prevention. (2009). Clinical growth charts.
  Retrieved from http://www.cdc.gov/growthcharts/clinical_charts.ht. This website provides basic information on clinical growth charts. The website also supplies clinical growth charts for up to age 20.

• LeBlond, R. F., Brown, D. D., & DeGowin, R. L. (2009). DeGowin’s diagnostic examination (9th ed.). New York, NY: McGraw Hill Medical.

o   Chapter 4, “Vital Signs, Anthropometric Data, and Pain” (pp. 51–87) . This chapter explores vital signs, temperature, pulse, respirations, and blood pressure. In addition, the authors discuss body size measurements and pain assessment.

NURS 6512 Week 3 Quiz

Question 1

Milestone achievements are data most likely to appear in the history of:

Question 2

In clinical practice, the Ballard Assessment Tool is used to assess a newborn’s:

Question 3

At what age does peak height growth velocity occur in boys?

Question 4

Which breast Tanner stage corresponds to a secondary areola mound development above the breast?

Question 5

Gender-specific skeletal differences first occur during:

Question 6

A detailed description of the symptoms related to the chief complaint is presented in the:

Question 7

Subjective and symptomatic data are:

Question 8

Which of the following is an example of a problem requiring recording on the patient s problem list?

Question 9

Deficiency of which micronutrient is implicated in osteoporosis?

Question 10

When recording assessments during the construction of the problem-oriented medical record, the examiner should:

Question 11

In children 3 to 18 years of age, the formula age + 5 g should be used to determine _____ needs.

Question 12

Which medication is frequently associated with weight gain?

Question 13

Which of the following is an effective adjunct to document location of findings during recording of physical examinations?

Question 14

A major risk factor for developing an eating disorder is having:

Question 15

Which of the following formats would be used for visits that address problems not yet identified in the problem-oriented medical record (POMR)?

Question 16

An anorexia patient is different from the bulimic patient because of the following characteristics:

Question 17

You are advising a patient concerning his targeted low-density lipoprotein cholesterol (LDL-C) level. The patient currently smokes and has medication-controlled hypertension. You should tell this patient that he should modify his diet and exercise in order to meet the target LDL-C of <_____ mg/dL.

Question 18

The patient s perceived disabilities and functional limitations are recorded in the:

Question 19

During the course of the interview you should:

Question 20

Which B vitamin is deficient in patients with pernicious anemia?