[Answered] NR602 Week 4: Pediatric Clinical Pearl Case Study Assignment

Requirements

  1. Start by watching the following video:

  1. As you view the video, observe the parent-child and the parent-provider interactions. Pay particular attention to the parent’s responses to the provider’s 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:
    1. Issue: Category name
    2. Negative interaction/behavior: What did you see or hear that was inappropriate?
    3. Positive interaction/behavior: What did you see that was appropriate?
    4. Guidelines/recommendation: What does the research recommend?
    5. Scholarly reference: Must be in APA format within the table.
    6. 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.
  5. 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 guideline’s 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.
  3. Submit your paper to the assignment page by Sunday at 11:59pm MT.

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 McDonald’s 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?

 Mom’s awareness of the importance of fruit in her child’s 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. McDonald’s 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.”

 

 

Solution

Professional/Ethical Communication

 

 “I see that you want to make sure your son does not spend much time on the phone and to protect this expensive device. He follows your example as you have just used the phone and laughed. It means that your child also wants to behave in the same way. I can recommend limiting your usage of a smartphone in front of your child to create a positive example. Moreover, you can introduce rules prohibiting touching devices without your approval. You will not have to cry and argue with your son, and he will feel more comfortable.”

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