MN580 Primary Care of Children and Adolescents Health
Unit 1 Discussion
Growth and Development
This week’s Discussion will address the growth and development of the child from neonate to adolescents, cultural considerations, and the importance of communication with the child and family in respect to age and developmental considerations. This will build a solid knowledge base for the provider when caring for the child.
Your professor will assign you a case to present and, in return, you will reply to your classmates in the other cases in order to promote a robust discussion.
Please complete each initial post in APA format following the Discussion Board grading rubric to include, but not limited to the following:
Apply a principle of human growth and development related to appropriate age group
Apply developmental theory related to age group
Discuss developmental milestones related to the age
Discuss developmental assessment tool related to the age
Apply cultural consideration and cultural assessment to presentation
Case 1: A 6-month-old Haitian male, both parents present at the appointment and the third child for both parents. Child was born at 40 weeks, last seen at 4-month visit and no concerns at that time. Child is smiling, babbling, rolls both from abdomen to back and back to abdomen and sits with support.
Case 2: A 2-year-old Hispanic female, mother and grandmother present at the appointment, first child for mother, sixth grandchild for grandmother. Mother speaks English as primary language; grandmother speaks Spanish as primary language. Last well visit was at 18 months of age and was speaking 20 words total, about 10 in English and 10 in Spanish. Now, mother states that child has about 50 words, with some in English and some in Spanish.
Case 3: A 4-year-old African American male, with mother, father, and paternal grandmother present. Child is here for well check for school entry. Child speaks approximately 100 words and only 50% intelligible.
Case 4: A 7-year-old Mexican American male with mother and maternal grandmother present. Mother has no concerns except grandmother feels the child is “too skinny.”
Case 5: A 14-year-old Caucasian female from single-parent family with father present. Father states that “she has always been healthy but I am worried that something is wrong because she doesn’t talk to me anymore.”
MN580 Primary Care of Children and Adolescents Health
Unit 2 Discussion
Topic 1: Pediatric Health Maintenance Exam and PPE
The foundation of pediatric healthcare visits, both sick and well, starts with a thorough health history; from the data collected, an accurate physical examination and diagnosis can be made. Primary care healthcare visits are an integral part of ensuring the health and well-being of the child. In children that participate in sports, a preparticipation physical examination (PPE) is required and may be the only contact the healthy child has with their healthcare provider. This week’s Discussion will focus on these key topics.
Your professor will assign a topic to present and, in return, you will reply to your classmates in the other topics in order to promote a robust discussion.
Please complete each post in APA format following the Discussion Board grading rubric.
Topic 1: What are the different types of pediatric health histories? When would you use each specific type?
Topic 2: What is the review of systems (ROS)? In a SOAP note, where does the ROS belong? What is the relationship between the ROS and the physical exam?
Topic 3: Shelby is a 5-year-old female, brought to the clinic by her parents and will be starting kindergarten in the fall. The parents state that she needs her physical and shot record to register her for school. The parents state that she has been healthy and voice no concerns although Shelby is “scared” about the exam and vaccines. How would you address Shelby’s fear of the exam and vaccines? What age-appropriate screenings and lab tests are recommended for Shelby? What immunizations will Shelby require, if any?
Topic 4: Peyton is a 2-month-old female brought to the clinic by her 18-year-old mother for her health maintenance exam. What should the physical examination focus on for this child? What immunizations are due, if any? What age-appropriate anticipatory guidance topics should be discussed with mom?
Topic 5: George is a 12-year-old male brought to the clinic by his father and wants to start playing football and needs a preparticipation physical examination (PPE). He is an established patient in your practice and his last health maintenance exam was at 11 years of age. In reviewing his health history, you note that he has sickle cell trait but otherwise healthy. During his exam, you auscultate a Grade I murmur, and the remaining exam is normal. Dad asks if you will clear George to start football practice tomorrow. Would you clear George? Why or why not? Are there any specialists George needs to see before clearance? What are some of the preventive measures you would discuss with George and his father related to playing sports, specifically football?
MN580 Primary Care of Children and Adolescents Health
Unit 3 Discussion
Topic 1: Pediatric Conditions Affecting the Eyes, Ears, Mouth, and Gastrointestinal System
This week, there will be a variety of conditions assigned to you by your instructor pertaining to the eyes, ears, mouth, and gastrointestinal system. You are expected to present your initial topic including, but not limited to, the following items:
Pathophysiology
Epidemiology
Physical exam findings
Differential diagnoses and rationale
Management plan to include diagnostic testing, medications if applicable, follow-up plans and referrals if needed
In addition, you are required to follow the Discussion Board grading rubric and respond to at least three of your classmates. Topics may include:
1. Sensorineural and conductive hearing loss
2. Otitis media (all types)
3. Conjunctivitis (all types) and nystagmus
4. Amblyopia and strabismus
5. Retinopathy of prematurity
6. Dental caries, candidiasis, aphthous ulcers
7. Retinoblastoma
8. Gastroesophageal reflux disease in pediatrics
9. Peptic ulcer disease in pediatrics
10. Appendicitis and functional abdominal pain syndrome
11. Intussusception and pyloric stenosis
12. Malabsorption syndromes: Celiac disease, lactose intolerance, cow’s milk protein intolerance or allergy
13. Failure to thrive
14. Acute gastroenteritis and intestinal parasites
15. Constipation and encopresis
16. Periorbital cellulitis and orbital cellulitis
17. Otitis externa and mastoiditis
18. Glaucoma and cataracts in pediatrics
19. Corneal ulcers and hordeolum
20. Cyclic vomiting syndrome
MN580 Primary Care of Children and Adolescents Health
Unit 4 Discussion
Cardiac and Pulmonic Pediatric Conditions
This week, cardiac and pulmonic conditions will be assigned to you by your instructor. You are expected to present your initial topic including, but not limited to, the following items:
Pathophysiology
Epidemiology
Physical exam findings
Differential diagnoses and rationale
Management plan to include diagnostic testing, medications if applicable, follow-up plans and referrals if needed
In addition, you are required to follow the Discussion Board grading rubric and respond to at least three of your classmates. Topics may include:
Murmurs (innocent and pathologic)
Congestive heart disease in children
Left to right shunting: ASD, VSD
Left to right shunting: Atrioventricular septal defect, PDA
Right to left shunting: Transposition of the great arteries (TGA), tetralogy of fallot, hypoplastic left heart syndrome
Hypertension in children
Kawasaki Disease, acute rheumatic fever
Infective endocarditis, pericarditis
Myocarditis, cardiomyopathy
Syncope
Cardiac dysrhythmias
Upper respiratory disorders: The common cold, rhinosinusitis
Pharyngitis, tonsillitis
Diphtheria, pertussis
Recurrent epistaxis, nasal foreign body
Croup, epiglottitis
Foreign body aspiration (laryngeal, tracheal, bronchial)
Nonbacterial and bacterial pneumonia
Cystic fibrosis
Pectus deformity
MN580 Primary Care of Children and Adolescents Health
Unit 5 Discussion
Topic 1: Pain Management, Palliative Care, Metabolic, Endocrine, Genetic, and Chronic Conditions and Management Plans
This week, there will be a variety of conditions assigned to you by your instructor pertaining to metabolic, endocrine, genetic, and chronic conditions. You are expected to present your initial topic including, but not limited to, the following items:
Pathophysiology
Epidemiology
Physical exam findings
Differential diagnoses and rationale
Management plan to include diagnostic testing, medications if applicable, follow-up plans and referrals if needed
In addition, you are required to follow the Discussion Board grading rubric and respond to at least three of your classmates. Topics may include:
Precocious puberty
Pediatric obesity
Hypothyroidism
Hyperthyroidism
Growth hormone deficiency
Constitutional growth delay
Adrenal Insufficiency
Type 1 diabetes
Type 2 diabetes
Inborn errors of metabolism
Phenylketonuria
Dyslipidemia
Trisomy 21
Trisomy 18
Turner syndrome
Fragile X syndrome
Klinefelter syndrome
Neurofibromatosis
Fever in children
Pain in children
MN580 Primary Care of Children and Adolescents Health
Unit 6 Discussion
Pediatric Atopic, Immunologic, Infectious Disease, and Integumentary Conditions and Management Plans
This week, there will be a variety of conditions assigned to you by your instructor pertaining to atopic, immunologic, infectious disease, and integumentary conditions. You are expected to present your initial topic including, but not limited to, the following items:
Pathophysiology
Epidemiology
Physical exam findings
Differential diagnoses and rationale
Management plan to include diagnostic testing, medications if applicable, follow-up plans and referrals if needed
In addition, you are required to follow the Discussion Board grading rubric and respond to at least three of your classmates. Topics may include:
1. Pediatric asthma (0–4 years of age)
2. Allergic rhinitis
3. Atopic dermatitis, contact dermatitis
4. Juvenile idiopathic arthritis
5. Systemic lupus erythematosus
6. Acute rheumatic fever
7. Henoch-Schonlein purpura
8. Pediatric asthma (5–11 years of age)
9. Pediatric asthma (>12 years of age)
10. Impetigo
11. Cellulitis
12. Candidiasis, all types
13. Tinea capitis, tinea corporis
14. Tinea versicolor, pityriasis rosea
15. Scabies, pediculosis
16. Acne vulgaris
17. Stevens-Johnson syndrome
18. Herpes simplex virus
19. Infectious mononucleosis
20. Fever of unknown origin
MN580 Primary Care of Children and Adolescents Health
Unit 7 Discussion
Musculoskeletal, Hematologic, and Oncologic Conditions in Children and Management Plans
This week, there will be a variety of conditions assigned to you by your instructor pertaining to musculoskeletal, hematologic, and oncologic conditions. You are expected to present your initial topic including, but not limited to, the following items:
Pathophysiology
Epidemiology
Physical exam findings
Differential diagnoses and rationale
Management plan to include diagnostic testing, medications if applicable, follow-up plans and referrals if needed
In addition, you are required to follow the Discussion Board grading rubric and respond to at least three of your classmates. Topics may include:
Microcytic anemia
Thalassemias
Hemolytic anemia
Sickle cell anemia and trait
Hereditary spherocytosis
Idiopathic thrombocytopenic purpura
Hemophilias
Leukemia
Non-Hodgkin lymphoma
Hodgkin lymphoma
Brachial plexus injury
Clavicle fracture
Costochondritis
Scoliosis
Developmental dysplasia of the hip
Legg-Calve-Perthes disease
Slipped capital femoral epiphysis
Genu varum, genu valgum
Osgood-Schlatter disease
Subluxation of the radial head
MN580 Primary Care of Children and Adolescents Health
Unit 8 Discussion
Neurologic and Mental Health Conditions and Management Plans
This week, there will be a variety of conditions assigned to you by your instructor pertaining to neurologic and mental health conditions. You are expected to present your initial topic including, but not limited to, the following items:
Pathophysiology
Epidemiology
Physical exam findings
Differential diagnoses and rationale
Management plan to include diagnostic testing, medications if applicable, follow-up plans and referrals if needed
In addition, you are required to follow the Discussion Board grading rubric and respond to at least three of your classmates. Topics may include:
Night terrors, nightmares
Attention-deficit/hyperactivity disorder
Learning disorders
Sensory processing disorder
Autistic spectrum disorders
Anxiety disorder (separation and generalized)
Obsessive-compulsive disorder
Tic disorders
Posttraumatic stress disorder
Depression
Bipolar disorder
Oppositional defiant disorder
Eating disorders
Cerebral palsy
Epilepsy and seizure disorder
Headaches in children
Disturbances of head growth
Guillain-Barre syndrome
Head injury
CNS infection
MN580 Primary Care of Children and Adolescents Health
Unit 9 Discussion
Genitourinary, Gynecologic, and Adolescent Health and Management Plans
This week, there will be a variety of conditions assigned to you by your instructor pertaining to genitourinary, gynecologic, and adolescent health conditions. You are expected to present your initial topic including, but not limited to, the following items:
Pathophysiology
Epidemiology
Physical exam findings
Differential diagnoses and rationale
Management plan to include diagnostic testing, medications if applicable, follow-up plans and referrals if needed
In addition, you are required to follow the Discussion Board grading rubric and respond to at least three of your classmates. Topics may include:
Urinary tract infection, pyelonephritis
Vesicoureteral reflux
Hematuria
Proteinuria
Hypospadias
Cryptorchidism
Hydrocele
Varicocele
Inguinal hernia
Labial adhesions
Vulvovaginitis
Dysmenorrhea
Amenorrhea
Dysfunctional uterine bleeding
Vaginitis
Polycystic ovary syndrome
Gynecomastia in adolescent males
Adolescent pregnancy
Suicidality in adolescents
Substance abuse in adolescents
MN580 Primary Care of Children and Adolescents Health
Unit 10 Discussion
Assessment of the Neonate, Child Abuse and Neglect, Environmental Health, and Complementary Therapies in Pediatrics
This week, there will be a variety of conditions assigned to you by your instructor pertaining to the neonate, child abuse, child neglect, and environmental health conditions. You are expected to present your initial topic including, but not limited to, the following items:
Pathophysiology
Epidemiology
Physical exam findings
Differential diagnoses and rationale
Management plan to include diagnostic testing, medications if applicable, follow-up plans and referrals if needed
In addition, you are required to follow the Discussion Board grading rubric and respond to at least three of your classmates. Topics may include:
Milia, erythema toxicum, cutis marmorata
Branchial cleft, thyroglossal cyst
Caput succedaneum, cephalhematoma
Cleft lip and palate
Pyloric stenosis
Neonatal jaundice
Sudden infant death syndrome, apparent life-threatening events
Mercury poisoning
Lead poisoning
Environmental tobacco smoke exposure
Carbon monoxide poisoning
Pesticide exposure
Noise pollution
Child neglect
Physical abuse
Sexual abuse
Emotional abuse
Verbal abuse
Mold exposure
Burns
MN580 Primary Care of Children and Adolescents Health
Unit 2 Assignment
Anticipatory Guidance for Neonates to Adolescents Table
Anticipatory guidance helps family, caregivers, and others know what to expect according to the child’s growth and development. The guidance is done through collaboration between the healthcare provider and the caregiver. It is sometimes thought of as a type of counseling. Nurse practitioners working in pediatric primary care need to be experts on anticipatory guidance. There are excellent resources available and these are being updated as technologies and environments change.
This Assignment will demonstrate your ability to describe age-specific anticipatory guidance for the child and the family. Additionally, you will then have a reference table for quick glance created by you for future encounters with pediatric individuals and their families.
This assignment has a template that you will use to fill in the relevant elements of the anticipatory guidance per age group. The columns provide guidance to the specific areas such as safety and immunizations. If there is an area that is not applicable, such as oral health in infancy-newborn group, then place N/A in the box.
Submit your assignment to the Unit 2 Dropbox.
|
AGE GROUP
|
PHYSICAL DEVELOPMENT AND MENTAL HEALTH
|
NUTRITION AND PHYSICAL ACTIVITY
|
ORAL HEALTH
|
SAFETY CONCERNS
|
IMMUNIZATIONS
|
|
Infancy- Newborn Visit
|
|
|
|
|
|
|
Infancy-First Week Visit
|
|
|
|
|
|
|
Infancy-1 Month Visit
|
|
|
|
|
|
|
Infancy-2 Month Visit
|
|
|
|
|
|
|
Infancy-4 Month Visit
|
|
|
|
|
|
|
Infancy-6 Month Visit
|
|
|
|
|
|
|
Infancy-9 Month Visit
|
|
|
|
|
|
|
Early Childhood-12 Month Visit
|
|
|
|
|
|
|
Early Childhood-15 Month Visit
|
|
|
|
|
|
|
Early Childhood-18 Month Visit
|
|
|
|
|
|
|
Early Childhood-2 Year Visit
|
|
|
|
|
|
|
Early Childhood-2.5 Year Visit
|
|
|
|
|
|
|
Early Childhood-3 Year Visit
|
|
|
|
|
|
|
Early Childhood-4 Year Visit
|
|
|
|
|
|
|
Middle Childhood-5 and 6 Year Visits
|
|
|
|
|
|
|
Middle Childhood-7 and 8 Year Visits
|
|
|
|
|
|
|
Middle Childhood-9 and 10 Year Visits
|
|
|
|
|
|
|
Early Adolescence-11 to 14 Year Visits
|
|
|
|
|
|
|
Middle Adolescence-15 to 17 Year Visits
|
|
|
|
|
|
|
Late Adolescence-18 to 21 Year Visits
|
|
|
|
|
|
Assignment Requirements:
Before finalizing your work, you should:
be sure to read the Assignment description carefully;
consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
utilize spelling and grammar check to minimize errors.
Your writing Assignment should:
follow the conventions of Standard English (correct grammar, punctuation, etc.);
be well ordered, logical, and unified, as well as original and insightful;
display superior content, organization, style, and mechanics; and
use APA 6th Edition format.
MN580 Primary Care of Children and Adolescents Health
Unit 6 Assignment
Applying Current Evidence Based Practice Guidelines for the Diagnosis and Treatment of Acute Bacterial Sinusitis in Pediatric Patients Using Healthcare Informatics.
This assignment will demonstrate your ability to use healthcare informatics to apply current evidence-based practice guidelines to the management of a pediatric patient diagnosed with acute bacterial sinusitis.
The guidelines that you are to use are in the following article available on the Web.
Wald et al. (2013). Clinical practice guideline for the diagnosis and management of acute bacterial sinusitis in children aged 1 to 18 years. American Academy of Pediatrics, 132(1).
Retrieved from
https://pediatrics.aappublications.org/content/132/1/e262
This assignment has a template that you will use to fill in the requested information.
Please submit to the Dropbox when you have completed your assignment.
|
|
Pediatric Client with Acute Bacterial Sinusitis
|
|
List the clinical criteria that must be present to support this diagnosis in pediatric patients from newborn to 21 years of age. Categorize clinical signs and symptoms by: Persistent Symptoms, Severe Onset, or Worsening Symptoms.
|
List Criteria for Persistent Symptoms.
|
List Criteria for Severe Onset of Symptoms.
|
List Criteria for Worsening Symptoms.
|
|
When would imaging studies be indicated?
|
|
|
What is the recommended Antibiotic for Child with No Known Allergies?
Provide dose, frequency, mg., ml., length of treatment, number of dosing units (i.e. prescription information).
|
|
|
What is the second line Recommended Antibiotic for Child with allergy to PCN
Provide dose, frequency, mg., ml., length of treatment, number of dosing units (i.e. prescription information).
|
|
|
When is Referral indicated?
|
|
|
What additional medications and or treatment strategies are recommended for treatment or symptomatic control
|
|
|
What is the treatment change in a child with worsening symptoms at 72 hours after initiation of antibiotic
|
|
|
When is outpatient 72 hour “observation” acceptable?
|
|
|
What modifications would be needed for the following children:
Four year old who is otherwise healthy
|
|
|
Child with immune deficiency
|
|
|
Child with two prior sinus infections
|
|
|
Child with cystic fibrosis
|
|
|
What other conditions would modify these treatment recommendations?
|
|
MN580 Primary Care of Children and Adolescents Health
Unit 7 Assignment
Collaboration Paper
This assignment is a formal paper. This includes: APA format, title page, headings, literature review, proper citation per APA, logical sequence, conclusions, clarity, understanding of the topic, and reference list. The paper should be 3-5 pages in length excluding the title page and reference page. The paper must demonstrate independent ideas and conclusions. At a minimum, the following topics must be well articulated in the paper. Remember that discussion of each topic requires citations that are current (less than 5 years old) and relevant. Please refer to the grading rubric for how your paper will be graded.
Explain how multidisciplinary collaboration can affect clinical decision making.
Discuss how collaboration can lead to improved patient outcomes.
Discuss how lack of collaboration can lead to poor patient outcomes.
Identify three barriers to professional collaboration among healthcare professionals and patients?
What are the five best ways to promote professional collaboration in pediatric primary care?
How can the nurse practitioner encourage and support collaboration among the patient, family, caregivers, and healthcare professionals?
Assignment Requirements:
Before finalizing your work, you should:
be sure to read the Assignment description carefully (as displayed above);
consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
utilize spelling and grammar check to minimize errors.
Your writing Assignment should:
follow the conventions of Standard English (correct grammar, punctuation, etc.);
be well ordered, logical, and unified, as well as original and insightful;
display superior content, organization, style, and mechanics; and
use APA 6th Edition format.
Submit your Assignment to the unit Dropbox before midnight on the last day of the unit.
MN580 Primary Care of Children and Adolescents Health
Unit 3 Seminar
Seminars provide you with an opportunity to converse with your instructor and peers, and to resolve questions about the course. Your instructor will provide specific guidelines to save you valuable time and effort, and to support your course success. You must either attend the live Seminar or complete the alternative assignment in order to earn points.
Seminar topics and/or pre-work, if applicable, can be found in Course Resources.
Option 1- Attend Seminar:
Throughout your program, you will be asked to attend various Seminars. Seminars take place at designated times in specific units. Your instructor will give details about the Seminar during the first week of the course. Please review your Course Announcements and emails.
If you are unable to attend the Seminar, you are required to watch the archived recording and complete the alternative assignment by the end of the unit.
Option 2- Alternative Assignment: Reflective Assignment
While listening to this week’s archived Seminar, complete a reflective document. You may write the assignment in a bulleted list format OR paragraph format. APA style is not required.
Please include:
The main topics discussed.
Sub-topics and/or subsequent classroom discussion.
Points you found of interest.
Any additional reflections or suggestions.
Keep in mind that your instructor is available should you have any questions on the Seminar content. Submit your alternative assignment to the Seminar Dropbox.
MN580 Primary Care of Children and Adolescents Health
Unit 4 Seminar
Seminars provide you with an opportunity to converse with your instructor and peers, and to resolve questions about the course. Your instructor will provide specific guidelines to save you valuable time and effort, and to support your course success. You must either attend the live Seminar or complete the alternative assignment in order to earn points.
Seminar topics and/or pre-work, if applicable, can be found in Course Resources.
Option 1- Attend Seminar:
Throughout your program, you will be asked to attend various Seminars. Seminars take place at designated times in specific units. Your instructor will give details about the Seminar during the first week of the course. Please review your Course Announcements and emails.
If you are unable to attend the Seminar, you are required to watch the archived recording and complete the alternative assignment by the end of the unit.
Option 2- Alternative Assignment: Reflective Assignment
While listening to this week’s archived Seminar, complete a reflective document. You may write the assignment in a bulleted list format OR paragraph format. APA style is not required.
Please include:
The main topics discussed.
Sub-topics and/or subsequent classroom discussion.
Points you found of interest.
Any additional reflections or suggestions.
Keep in mind that your instructor is available should you have any questions on the Seminar content. Submit your alternative assignment to the Seminar Dropbox.
MN580 Primary Care of Children and Adolescents Health
Unit 6 Seminar
Seminars provide you with an opportunity to converse with your instructor and peers, and to resolve questions about the course. Your instructor will provide specific guidelines to save you valuable time and effort, and to support your course success. You must either attend the live Seminar or complete the alternative assignment in order to earn points.
Seminar topics and/or pre-work, if applicable, can be found in Course Resources.
Option 1- Attend Seminar:
Throughout your program, you will be asked to attend various Seminars. Seminars take place at designated times in specific units. Your instructor will give details about the Seminar during the first week of the course. Please review your Course Announcements and emails.
If you are unable to attend the Seminar, you are required to watch the archived recording and complete the alternative assignment by the end of the unit.
Option 2- Alternative Assignment: Reflective Assignment
While listening to this week’s archived Seminar, complete a reflective document. You may write the assignment in a bulleted list format OR paragraph format. APA style is not required.
Please include:
The main topics discussed.
Sub-topics and/or subsequent classroom discussion.
Points you found of interest.
Any additional reflections or suggestions.
Keep in mind that your instructor is available should you have any questions on the Seminar content. Submit your alternative assignment to the Seminar Dropbox.
