Marianne is a staff nurse during the day and a Nurseslabs writer at night. She is a registered nurse since and is currently working in a regional tertiary hospital and is finishing her Master's in Nursing this June.
As an outpatient department nurse, she is a seasoned nurse in providing health teachings to her patients making her also an excellent study guide writer for student nurses. Marianne is also a mom of a toddler going through the terrible twos and her free time is spent on reading books! If this is patient is new to you, obtain the complete family medical and social history.
Use the School-Age Child Health Maintenance guide to complete the age-related history and physical examination. Click on the highlights below for more detail or to branch to a hyperlink within the popup. You can get to a print version of the form on the side bar. Include names, dosages, and frequencies of prescription, over-the-counter, and alternative therapies. Health Promotion: here , but many clinics vary the recommended schedule, depending on their sources of funding, whether they have access to new multiple antigen vaccines, and if they are experiencing shortages.
Ask your preceptor for a copy of the currently recommended schedule at your clinic site. Counsel parents regarding smoke exposure. Many large clinics now arrange for calls to be triaged by nurses working with scripted protocols. Resource Use , healthy television viewing. Assessment of attachment security in a clinical setting: Observations of parents and children. Developmental andBehaviouralPediatrics, Infant Mental Health Journal, Obtaining formal developmental and neuropsychological testing can be very helpful in working with very young children.
Reasons for obtaining testing include: 1. To help clarify diagnostically complex and ambiguous cases, 2. To further evaluate a specific cognitive domain, 3. For educational placements and to tailor educational plans, 4. Pre-post comparisons after intervention e. Developmental assessments usually are broad evaluations of various neuropsychiatric domains and can help provide a lens through which we might be better able to perceive the world from the child's perspective.
Neuropsychological testing can be more specific and includes assessments of general abilities and intelligence, achievement, behavioral, social and emotional functioning, adaptive functioning, and diagnostic profiles. Particularly for young children, the conditions of the testing environmental, psychological and physical can have a profound impact on test scores. Furthermore, young children are rapidly developing and learning, which means that evaluation results only provide a snapshot picture of the child's current level of functioning, which may change over time.
These assessments usually rely on direct assessment, incidental observation, and caregiver report. Subspecialized clinicians usually conduct developmental and neuropsychiatric assessments. However, knowing the purpose, limitations, and strengths of developmental and neuropsychiatric assessments can be very helpful for clinicians using these evaluative findings to make diagnostic and treatment determinations.
The following are some commonly used developmental and neuropsychiatric assessments. For more information, each test developer usually has webpages with the target age, limitations, strengths, scoring, and norming samples. Brazelton Neonatal Behavioral Assessment Scale, 4th Edition NBAS-4 : assesses neonate's current level of neurobehavioral organization, capacity to respond to the stress of labor and delivery, and adjustment to the ex-utero environment.
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