NSG6435 Practicum III Family Health Paediatrics
Week 1 Discussion
Pediatric Health-Care Services
This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered.
For this assignment, make sure you post your initial response to the Discussion Area by the due date assigned.
To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.
Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. Complete your participation for this assignment by the end of the week.
Using your course textbook readings and the South University Online Library, perform research on the following:
Sources of pediatric primary care in the United States
Current status of pediatric health-care services in the United States
Barriers to health care for children in the United States
After completing your research, answer the following questions:
What are the sources of pediatric primary care in the United States? Are these sources sufficient for providing health-care services to the pediatric population? Why or why not?
Are there certain pediatric populations that lack access to health-care services? Why?
What are the barriers to children in accessing health-care services in the United States? Why do these barriers exist?
Read:
Primary Care Pediatrics and Public Health: Meeting the Needs of Today’s Children
Disparities in Healthcare Quality Among Racial and Ethnic Groups
NSG6435 Practicum III Family Health Paediatrics
Week 2 Discussion
Aquifer Case Study: Developmental Assessment and Biological Functioning
This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by the due date assigned.
To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.
Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. Complete your participation for this assignment by the end of the week.
For this assignment, you will complete an Aquifer case study based on the course objectives and weekly content. Aquifer cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your Nurse Practitioner program, you will use the Aquifer case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.
The Aquifer assignments are a dynamic way to enhance your learning. Material from the Aquifer cases may be present in the quizzes, the midterm exam, and the final exam.
Click here for information on how to access and navigate Aquifer.
This week, complete the Aquifer case titled Pediatrics 01: Newborn male infant evaluation and care. This case can be found under Aquifer Family Medicine.
Apply information from the Aquifer case study to answer the following questions:
Why is developmental assessment essential in the provision of primary care for infants, children, and adolescents, and what are the essential components of this assessment on the basis of this child’s age?
Which tools will you use to assess specific components of development (such as speech, motor skills, social skills, etc.)? Which tools do you think are the most accurate in assessing the developmental components and why?
Which components would you consider in assessing the basic biological functioning and well-being of your pediatric patients? Why are these components important in providing primary health-care services to children?
NSG6435 Practicum III Family Health Paediatrics
Week 3 Discussion
Aquifer Case Study: Developmental Evaluation and Screening
This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by the due date assigned.
To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.
Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. Complete your participation for this assignment by the end of the week.
For this assignment, you will complete a Aquifer case study based on the course objectives and weekly content. Aquifer cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your Nurse Practitioner program you will use the Aquifer case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.
The Aquifer assignments are highly interactive and a dynamic way to enhance your learning. Material from the Aquifer cases may be present in the quizzes, the midterm exam, and the final exam.
Click here for information on how to access and navigate Aquifer.
This week, complete the Aquifer Case titled Pediatrics 02: Infant female well-child visits (2, 6, and 9 months).
To Access the Assigned Case: Click on Aquifer Family Medicine, then under "Cases"type "Pediatrics" in the search bar and the Pediatrics cases will appear.
Apply information from the Aquifer Case Study to answer the following questions:
Discuss the history that you would take on this child in preparation for the well-child visit. Include questions regarding her growth and development that are appropriate for her age.
Describe the developmental tool to be used for Asia, its reliability and validity and how Asia scored developmentally on this tool. Is she developmentally appropriate for her age?
What immunizations will Asia be given at this visit; what is the patient education and follow-up?
NSG6435 Practicum III Family Health Paediatrics
Week 4 Discussion
Aquifer Case Study: HEENT and Respiratory Infections
This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by the due date assigned.
To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.
Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. Complete your participation for this assignment by the end of the week.
For this assignment, you will complete an Aquifer case study based on the course objectives and weekly content. Aquifer cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your Nurse Practitioner program you will use the Aquifer case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.
The Aquifer assignments are highly interactive and a dynamic way to enhance your learning. Material from the Aquifer cases may be present in the quizzes, the midterm exam, and the final exam.
Click here for information on how to access and navigate Aquifer.
This week, complete the Aquifer case titled Pediatrics 13: 6-year-old female with chronic cough. This case can be found under Aquifer Family Medicine.
Apply information from the Aquifer case study to answer the following questions:
Do you recommend a limited or an involved use of antibiotics in treatment of these disease(s) and other unconfirmed bacterial illnesses and why? What are the standards regarding the use of antibiotics in pediatric population, and what assessment findings would warrant prescribing an antibiotic for asthma symptoms?
Using national guidelines and evidence-based literature, develop an Asthma Action Plan for this patient.
Do the etiology, diagnosis, and management of a child who is wheezing vary according to the child’s age? Why or why not? Which objective of the clinical findings will guide your diagnosis? Why? When is a chest x-ray indicated in this case, in particular and pediatric population, in general?
NSG6435 Practicum III Family Health Paediatrics
Week 5 Discussion
Aquifer Case Study: Cardiovascular and Hematologic Disorders in Children
This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by the due date assigned.
To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.
Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. Complete your participation for this assignment by the end of the week.
For this assignment, you will complete an Aquifer case study based on the course objectives and weekly content. Aquifer cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your Nurse Practitioner program you will use the Aquifer case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.
The Aquifer assignments are highly interactive and a dynamic way to enhance your learning. Material from the Aquifer cases may be present in the quizzes, the midterm exam, and the final exam.
Click here for information on how to access and navigate Aquifer.
This week, complete the Aquifer case titled Pediatrics 04: 8-year-old male well-child check. This case can be found under Aquifer Family Medicine.
Apply information from the Aquifer case study to answer the following questions:
How would you evaluate and manage a pediatric patient who has BP and BMI greater than what is expected for his/her age group? Which additional conditions would you want to screen for and why?
What physical exam findings and diagnostic results would be concerning to you in this patient and why? What would be three differentials in this case?
What are your final assessments (diagnoses) for this patient? What is your treatment recommendation and education for the patient and family? Why?
NSG6435 Practicum III Family Health Paediatrics
Week 6 Discussion
Aquifer Case Study: Common Pediatric Illnesses
This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by the due date assigned.
To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.
Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. Complete your participation for this assignment by the end of the week.
For this assignment, you will complete an Aquifer case study based on the course objectives and weekly content. Aquifer cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your Nurse Practitioner program, you will use the Aquifer case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.
The Aquifer assignments are highly interactive and a dynamic way to enhance your learning. Material from the Aquifer cases may be present in the quizzes, the midterm exam, and the final exam.
Click here for information on how to access and navigate Aquifer.
This week, complete the Aquifer case titled Pediatrics 03: 3-year-old male well-child visit.This case can be found under Aquifer Family Medicine.
Apply information from the Aquifer case study to answer the following questions:
Which essential questions will you ask this pediatric patient or his/her caregiver during this well-child check? Why are these questions important? What lab tests or diagnostic studies will you order and why?
What diagnoses would you give the patient in this case? Include the findings that support the diagnoses.
What is your treatment recommendation and education for the patient and family? Why? Include anticipatory guidance.
NSG6435 Practicum III Family Health Paediatrics
Week 7 Discussion
Clinical Case Study
This week's discussion addresses dermatological disorders. Please review the clinical case study below and answer the questions that follow:
Clinical Case Scenario:
A 7-month-old boy presents with an erythematous, confluent, slightly raised, and scaly rash on his cheeks; and his extremities are also covered with a fine papular rash. The infant has had some scaling behind the ears and on the scalp since early infancy, but the symptoms have recently increased. The mother applies baby oil to the scalp to relieve scaliness. Except for some intermittent rhinorrhea, the infant has otherwise been well. Immunizations are deficient; he received only the first set when he was two months old. The family history is positive for bronchitis. The infant's weight is at the 75th percentile, and the height is at the 50th percentile. Vital signs are normal. The physical examination is normal, except for the presence of the rash.
Questions
What are the characteristics of papulosquamous eruptions? Be thorough and descriptive.
What are the common conditions associated with papulosquamous eruptions in children? List at least 3 common conditions and include the pathophysiology of each condition.
What are the appropriate treatments for common papulosquamous eruptions? Why?
When should children with papulosquamous eruptions be referred to a dermatologist?
Define the following: a) confluent, b) papular, c) papulosquamous, and d) rhinorrhea
NSG6435 Practicum III Family Health Paediatrics
Week 8 Discussion
Clinical Case Study: Neurological Disorders and Cognitive Perceptual Problems in Children
This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by the due date assigned.
To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.
Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. Complete your participation for this assignment by the end of the week.
For this assignment, you will read the clinical case scenario below based on the course objectives and content for the week. Finally, apply the information from the clinical case scenario and your readings to answer the discussion questions that follow.
Clinical Case Scenario
An 11-month-old girl, well-known to your clinic since birth, arrives for a well-child visit. The parents report that their baby drags her legs rather than crawling on both hands and legs. They are concerned that this is abnormal. The father says that the child only recently began crawling and she does not pull to a stand. You noted at her 6-month visit that she was not rolling over or sitting; previous visits were unremarkable as was the mother’s pregnancy and vaginal delivery. While examining the baby, you note that when she is held by the axillae her legs are extended and crossed (i.e. the “scissoring” posture).
What is the most likely diagnosis? Why?
What would be three differentials in this case? Why?
What developmental milestones are expected at this age?
What do you believe is your best course of action/treatment plan for this appointment? Why?
NSG6435 Practicum III Family Health Paediatrics
Week 9 Discussion
This week's discussion addresses pain in pediatric patients. Please review the clinical case study below and answer the questions that follow:
Clinical Case Scenario:
A 7-year-old boy has a one-week history of leg pains. He wakes up at night and cries because his legs hurt; however, during the day, he feels fine with no pain and no movement limitations. He has no history of trauma, fever, or joint swelling. The family history is negative for rheumatic or collagen vascular disease. The boy's height and weight are at the 50th percentile for age, he is afebrile, and the physical examination is unremarkable.
Questions
What are 3 differential diagnoses of leg pains in school-age children? Include the pathophysiology of the 3 differentials.
What laboratory or radiographic studies are appropriate for children with leg pains? Explain
How do musculoskeletal injuries in children differ from those in adults? In terms of injury type and location.
How does the nurse practitioner decide the extent of the diagnostic work-up in a child with extremity pain?
What fractures are common in pediatric patients, and what are the ages associated with them?
Choosing one of the diagnoses you’ve come with; how would you treat the condition?
NSG6435 Practicum III Family Health Paediatrics
Week 10 Discussion
Aquifer Case Study: Adolescent Risk Behaviors
This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by the due date assigned.
To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.
Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates' initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. Complete your participation for this assignment by the end of the week.
For this assignment, you will complete an Aquifer case study based on the course objectives and weekly content. Aquifer cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your Nurse Practitioner program, you will use the Aquifer case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.
The Aquifer assignments are highly interactive and a dynamic way to enhance your learning. Material from the Aquifer cases may be present in the quizzes, the midterm exam, and the final exam.
Click here for information on how to access and navigate Aquifer.
This week, complete the Aquifer case titled Internal Medicine 14: 18-year-old female for pre-college physical.
Apply information from the Aquifer case study to answer the following questions:
What is (are) the most likely diagnosis (diagnoses)? What were the clinical findings that confirmed the diagnosis (diagnoses)?
How is it (are they) treated according to the most recent clinical guidelines? Cite the guidelines.
Describe a plan of care for the patient, including patient education, and additional tests.
