NRS 434 Compare the physical assessment of a child to that of an adult

Grand Canyon University NRS 434 Compare the physical assessment of a child to that of an adult-Step -By-Step Guide

This guide will demonstrate how to complete the Grand Canyon University NRS 434 Compare the physical assessment of a child to that of an adult assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for NRS 434 Compare the physical assessment of a child to that of an adult

Whether one passes or fails an academic assignment such as the Grand Canyon University NRS 434 Compare the physical assessment of a child to that of an adult depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for NRS 434 Compare the physical assessment of a child to that of an adult

The introduction for the Grand Canyon University NRS 434 Compare the physical assessment of a child to that of an adult is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

How to Write the Body for NRS 434 Compare the physical assessment of a child to that of an adult

After the introduction, move into the main part of the NRS 434 Compare the physical assessment of a child to that of an adult assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for NRS 434 Compare the physical assessment of a child to that of an adult

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for NRS 434 Compare the physical assessment of a child to that of an adult

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Topic 2 DQ 2

Sample Answer for NRS 434 Compare the physical assessment of a child to that of an adult

Physical assessment of the child and that of an adult is done similarly yet differently. The act of auscultation, palpation, taking the vital signs to get the objective data are done the same but the normal range limits are different. For example, the healthy adult blood pressure normal range is from 90/60 mmHg – 120/80 mmHg, pulse rate 60-100 beats per minute and temperature of 97.8 ‘F to 98.6″F whereas to a 1-11-year-old child has a heart rate of 70-120 bpm, blood pressure of 90-110 systolic and 55-75 diastolic.

In using Erikson’s theory, an adult’s stage of development is focused on the fear of loneliness if there is no long-lasting relationship and adult contemplates their contribution to society with their achievements or lack of, and for a school-aged child, the focus is more on establishing trust and self-esteem (Grand Canyon University, 2018).

Communication and approach with these two different age groups also differ. A caring and comfortable environment is needed for a school-aged child in order to extend their trust from their parents to the healthcare provider. The questions are also formulated so that the child is able to answer. Whereas for the adult, a more factual and straightforward questioning is done. Utilizing the evidence-based practice tools provided to the health care team, a thorough and effective assessment is done to promote health and have an effective nursing process.

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Introduction

Child development assessment is defined as a process of getting data about their growth and development. The Nurse aims at getting a

record growth in all areas while collecting the information. The data being collected include language, cognitive and social-emotional and approaches to learning. Child assessments is important in ascertaining children with special needs that may require extra support (Kaufman, 2018).

Comparing physical assessments of a child to an adult

Obtaining data is different at each age because human needs vary with age. In addition, the mode of assessment used is dynamic. For example, piece of information is obtained from the parent or care giver in a 5-year-old compared to the nineteen-year-old that can express themselves coherently. The Nurse uses Observation as one of the techniques used in the assessment. Here, the care provider interacts with the child and concludes based on their conduct. The other methods include standard test, portfolios, care provider ratings and parent ratings. However, all methods are best applicable for different ages. There is need to modify the techniques in some situation. For example, reading out questions on a standardized test for a five-year-old and writing out the answers for them. However, when the same approach is used on a twelve-year-old, they are left to read, interpret, and even answer the questions on the test with minimal assistance,

Communication strategies a nurse would use to encourage engagement

Nine-year-old Ben was born at 37 weeks with 2600grams via safe vaginal delivery and was admitted for 2 weeks due to birth asphyxia. He had gained 300grams on discharge. He was breastfed exclusively for the first 6 months and was weaned with different soft foods. He could roll over at 4 months and began sitting at 6. He was hospitalized for severe malnutrition for a month while he was 9 months old. This delayed his milestone and he only crawled when he was 16 months. He could say four-letter words at 6 months and could say complete simple sentences at 24 months. He has good relationship with his family members. He started school at 4 years, is obedient, has average performance, loved by teacher and friends at school. Ben fits into the 4th stage of Erikson developmental theory, known as Industry vs. Inferiority. The basic virtue at this stage is competency (Cherry, 2018). Based on Erikson`s theory, the nurse should focus on his ability to read, do simple sums, and write. The assessor will obtain information on Ben`s friends and this assessment done with he is with his friends. The friends he does not like will make him feel inferior.

Conclusion

Child development assessment is important because it provides opportunity for the care provider to establish any special needs that the child may require. Moreover, the assessment provides a ground where both the care provider and the parents can provide support for the child. However, the needs of the child change with time and hence the mechanisms used in assessing as well as the results (Kaufman, 2018).

Sample Answer for NRS 434 Compare the physical assessment of a child to that of an adult

Taking a physical assessment on a child is very similar to an adult. Nurses use observation/inspection, palpation, percussion, and auscultation techniques to assess the patient from head to toes to gather necessary information from their patients (The Royal Children’s Hospital Melbourne, 2017). However, there are some differences between child and adult physical assessments. When taking the physical assessment for children, nurses need to consider the age and developmental stage of the child; check the baby’s head circumference; check speech, hearing, and vision problems. Physical assessment for infants is more different from adults. Nurses need to assess the mouthing reflexes, grasp reflex, stepping reflex, landau reflex, and so on.

Every child develops and progresses differently, but there are basic abilities that are expected to be achieved by certain ages (Falkner, 2018). When nurses offer instruction during the assessment with children, nurses can use some hints from developmental psychologists. Nurses can modify the language and communication style to get the children’s intention and follow the instruction. Giving choices for the children is better than asking permission. Let the child examine the equipment and show them how to use it for the assessment. It also can help decrease the child’s fear and follow the direction during the assessment.

To be successful when communicating, nurses must be able to build relationships, get on the level of patients, and even have a little fun. Being attuned to the unique needs of pediatric patients and their parents will help nurses build-essential nurse communication skills (NurseChoice, 2020). To improve the outcome and encourage engagement, nurses also can use age-appropriate toys and questions when communicating with the child, establish trust with the child by showing interest in the child and be honest when answering the child’s questions. The child’s comments and parents’ reports should be important for the assessment as well.

References

Falkner, A. (2018). Grand Canyon University (E.D). Age-Appropriate Approach to Pediatric Health Care Assessment. Retrieved from https://lc.gcumedia.com/nrs434vn/health-assessment-foundations-for-effective-practice/v1.1/#/chapter/2.

The Royal Children’s Hospital Melbourne. (2017). Nursing assessment. Retrieved from https://www.rch.org.au/rchcpg/hospital_clinical_guideline_index/Nursing_assessment/

NurseChoice. (2020). 5 Tips for Communicating with Pediatric Patients. Retrieved from https://www.nursechoice.com/blog/profiles-and-features/5-tips-for-communicating-with-pediatric-patients/

Sample Answer for NRS 434 Compare the physical assessment of a child to that of an adult

An organized physical examination that allows a nurse to acquire a thorough assessment of the patient’s health status is known as a physical health assessment (Barness, 1999). In most cases, four procedures are employed in physical evaluation. Inspection, palpation, percussion, and auscultation are the four methods. There are several strategies for completing a physical examination on a kid patient that are also applicable to adult patients. Inspection, palpation, percussion, and auscultation are the most common procedures utilized. When evaluating a child patient, it’s common to begin with an abdominal examination; in this situation, palpation and percussion can change bowel sounds, so you’d inspect, auscultate, and percuss. Here, we need to take steps to shape a general impression of the primary examination of the child patient, evaluate responsiveness, and conduct a rapid scan consisting of testing and correcting issues with the airway, breathing, and circulation of the patient. As you know very well that children are both cognitively and physically advanced, their needs are changing as users of health care products and services. Therefore, the complex nature of childhood development affects planning a cohesive approach to pediatric protection and efficiency (Zabar, 2012).

Children’s needs as consumers of health care goods and services alter as they age cognitively and physically. As a result, the fluid nature of juvenile growth affects the planning of a cohesive strategy to pediatric safety and quality (Sirard, 2001). When children are in the hospital, especially those who are very young and nonverbal, they rely on their caretakers, their parents, to provide the most important information. Because children are dependent on their caregivers, their care must be approved by parents at all encounters. Although children can accurately express their requirements, they are unlikely to receive the same acknowledgement as adult patients. Children in hospitals require acute episodic care rather than long term care like adult patients. Planning safety and quality programs within a wellness framework that is interrupted by acute conditions has unique challenges and necessitates a shift in mindset. Children are more likely to live in poverty and face racial and ethnic health inequities. Children are more reliant on government programs like the State Children’s Health Insurance Program and Medicaid. There are no generally accepted standard guidelines for pediatric patient safety. However, a flexible standard framework for categorizing pediatric adverse events has been developed.

References

Zabar, S., Kachur, E., Kalet, A., & Hanley, K. (Eds.). (2012). Objective structured clinical examinations: 10 steps to planning and implementing OSCEs and other standardized patient exercises. Springer Science & Business Media.

Sirard, J. R., & Pate, R. R. (2001). Physical activity assessment in children and adolescents. Sports medicine, 31(6), 439-454.

Barness LA in McMillan JA, ed., Oski’s Pediatrics, 3rd ed., Philadelphia:Lippincott, 1999, pp. 39-52.