This paper will critically analyze a case study of a 9 month-old male brought to a local public health station for immunization and collection of formula supplies by his caregiver who is the maternal grandmother. The teenage mother – 17 years old is at school. The family…
After an assessment, the public nurse reveals no acute distress and normal signs as per the limit of age with the current length and weight of 68cm and 6.6 kg respectively. This paper will provide a detailed medical check-up of the review of systems, physical assessments and develop a care plan for the infant, including diagnosis, treatment, referral, education, and patient follow-up.
The nine-month visit provides an opportunity for the healthcare provider to assess the child’s health and teach caretakers how to ensure their future health. It is important first to take the history from the parents/caregivers in order to first determine the medical history and evaluate any medications taken. In this case, examination of the nutrition is paramount to a child’s health as at this moment, children take a formula and soft foods. In order to determine the nutritional wellness of the child, a historical analysis of bowel movements is important. Babies are expected to have at least 2 bowel movements and wet their diapers 4-6 times in a day.
Nursing diagnoses is characterized by psychosocial data, daily routines, and living patterns. Thus, medical history must take into consideration data collection of economic issues that directly or indirectly impact on the quality of an infant’s quality of daily living. At this stage, assessing the history of the development of the child would be important in determining their ability to talk, imitate any vocals, make movements with their legs, hands and bottom, pick and/or drop objects, play, show feelings and record any eruption of teeth, prompting the review of the child’s ears and eyes. The review of systems would include conducting a screening visual exam of the eyes to inspect and view the structural normality of the eye and its response to light. In addition, the ears should be screened to prove that the child demonstrates the ...
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