Please read the following case study details. Then answer the questions below. Setting You are a nurse caring for children in a rural clinic. This clinic serves most of the area’s population and prov

Please read the following case study details. Then answer the questions below.

Setting 

You are a nurse caring for children in a rural clinic. This clinic serves most of the area’s population and provides comprehensive pediatric healthcare. This includes things such as: primary and urgent care needs, vaccinations, and care for all ages of children.

Introduction     

Kristen has brought Sawyer in for his 6-year-old well child visit and sports physical.

Chief Complaint      

“We are here to see the doctor since he just turned 6. Things are going well, and he is in 1st grade.”

Medical History      

6-year-old male

Pre-term birth at 35.6 weeks

NKDA

No meds

No pertinent medical history

Weight: 50 lbs.

Height: 47 inches

Due for routine check-up

Questions          

  1. Choose 2 of the following Theorists and describe their theory on what should be seen in children around Sawyer’s age.
    • Piaget
    • Erikson
    • Kohlberg
    • Freud
  2. During this routine visit, what important growth and development concerns require assessment and education? Discuss priorities for each.
  3. During this routine visit, what important safety concerns require assessment and education? Discus priorities for each.
  4. During this routine visit, what important nutrition concerns require assessment and education? Discuss priorities for each.
  5. Add a question: After you have analyzed the content from the discussion board, please add a question to the end of your initial post regarding the reading material for the week.

Please be sure to validate your opinions and ideas with citations and references in APA format.

Expert Solution Preview

Question 1: Choose 2 of the following Theorists and describe their theory on what should be seen in children around Sawyer’s age (Piaget, Erikson, Kohlberg, Freud).

Piaget’s Theory of Cognitive Development focuses on the cognitive development of children. According to Piaget, children around Sawyer’s age (6 years old) enter the pre-operational stage of cognitive development. During this stage, children’s thinking becomes more symbolic and they start using language and imagination to represent objects and events. They also demonstrate symbolic play and have the ability to think about things that are not present. However, they still lack the ability to think logically and understand abstract concepts.

Erikson’s Theory of Psychosocial Development emphasizes the social and emotional development of individuals across the lifespan. At Sawyer’s age, he would be in Erikson’s “Industry vs. Inferiority” stage. During this stage, children strive to achieve competence and mastery in various skills and tasks. They develop a sense of pride and accomplishment when they are successful. If they are unable to meet the expectations or if their efforts are consistently met with failure, they may develop feelings of inferiority and low self-esteem.

Question 2: During this routine visit, what important growth and development concerns require assessment and education? Discuss priorities for each.

During this routine visit, important growth and development concerns that require assessment and education include:

1. Physical growth: Assess and monitor Sawyer’s height, weight, and BMI to ensure healthy growth and development. Provide education on the importance of a balanced diet, regular exercise, and proper hygiene.

2. Cognitive development: Assess Sawyer’s cognitive abilities, such as language skills, problem-solving, and attention span. Provide education on age-appropriate activities and strategies to promote cognitive growth and stimulation.

3. Social and emotional development: Assess Sawyer’s social interactions, emotional regulation, and self-esteem. Provide education on positive social skills, emotion management techniques, and the importance of nurturing healthy relationships.

The priority for each concern is to ensure that Sawyer is meeting age-appropriate milestones in physical, cognitive, and social-emotional development. Early identification of any delays or concerns can help facilitate necessary interventions or support.

Question 3: During this routine visit, what important safety concerns require assessment and education? Discuss priorities for each.

During this routine visit, important safety concerns that require assessment and education include:

1. Home safety: Assess household hazards, such as unlocked cabinets, accessible cleaning products, unsecured furniture, and electrical sockets. Provide education on childproofing strategies and safe storage of hazardous substances.

2. Injury prevention: Assess Sawyer’s knowledge and adherence to safety measures, such as wearing seatbelts, using helmets, and following traffic rules. Provide education on age-appropriate safety guidelines, including pedestrian safety, bicycle safety, and water safety.

3. Stranger danger: Assess Sawyer’s understanding of stranger danger and personal safety when interacting with unfamiliar individuals. Provide education on personal boundaries, safe practices, and how to seek help in emergency situations.

The priority for each concern is to ensure that Sawyer is aware of potential safety risks and has the knowledge and skills to protect himself from harm. Emphasizing the importance of safety and implementing preventive measures can significantly reduce the likelihood of accidents or injuries.

Question 4: During this routine visit, what important nutrition concerns require assessment and education? Discuss priorities for each.

During this routine visit, important nutrition concerns that require assessment and education include:

1. Adequate calorie intake: Assess Sawyer’s dietary habits and ensure he is consuming enough calories to support his growth and energy needs. Provide education on healthy portion sizes, balanced meals, and the importance of nutrient-rich foods.

2. Micronutrient intake: Assess Sawyer’s consumption of essential vitamins and minerals, such as iron, calcium, and vitamin D. Discuss the importance of a varied diet and introduce age-appropriate sources of these nutrients, such as fruits, vegetables, dairy products, and lean proteins.

3. Healthy snacking: Assess Sawyer’s snacking habits and educate him and his parents on making nutritious snack choices. Promote the consumption of fruits, vegetables, whole grains, and low-sugar options, while limiting processed snacks and sugary beverages.

The priority for each concern is to ensure that Sawyer is receiving adequate nutrition for his age and developmental needs. Addressing any deficiencies and promoting healthy eating habits can support his overall growth and development.

Question 5: Add a question: After you have analyzed the content from the discussion board, please add a question to the end of your initial post regarding the reading material for the week.

What are the potential implications of early childhood trauma on a child’s cognitive, social, and emotional development?

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