NSG6435 Practicum III Family Health - Pediatrics
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?
NSG6435 Practicum III Family Health - Pediatrics
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?
Submission Details:
• Post your initial response to the Discussion Area by Day 3. Respond to at least two posts by the end of the week, Day 7. The week starts on Tuesday and ends on the following Monday.
• Your initial post is due on Day 3.
• Your two peer responses are due no later than Day 7. The expectation is that you reply to your peers on more than 2 days before the end of the week to receive full credit.
• Please make sure you are using scholarly references and they should not be older than 5 years. Your posts/references must be in APA format.
• Please follow the discussion rubric to make sure you have addressed the discussion criteria.
NSG6435 Practicum III Family Health - Pediatrics
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 - Pediatrics
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 - Pediatrics
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 - Pediatrics
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 - Pediatrics
Week 7 Discussion
Clinical Case Study
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.
Clinical Case Scenario
A 6-year-old previously healthy girl presents to the emergency room with a rash and mouth pain. Her mother took her to see her primary care physician (PCP) 1 week prior with a 2-week history of cough, subjective fever, and malaise. The patient was prescribed amoxicillin for presumed pneumonia. Five days into the antibiotic course, she developed an itchy rash and mouth sores. Her mother reports markedly diminished intake over the previous 24 hours, but no emesis or diarrhea. She has no known medication or food allergies. In the emergency room (ER), her temperature is 102°F (38.9°C), heart rate 122 beats/min, blood pressure 119/73 mm Hg, respiratory rate 18 breaths/min, and oxygen saturation 97% on room air. She is 45 inches tall and weighs 60 pounds. On physical examination, she has bilateral conjunctival injection, ulcers on her tongue and lower lips, and purpuric macules and bullous lesions on her torso and extremities. Chest x-ray reveals an infiltrate in the right lower lobe.
After reading the scenario, answer the following questions in an expanded SOAP note format. You are to type your information directly into the discussion board. You are to address all the questions below. No attachments are allowed:
What is the CC, VITALS, HPI, ROS, and PE findings of this case?
What labs do you want to order? Why do you want to order those labs?
What are 3 differential diagnoses for this clinical case? Why? What clinical data support your differentials?
What is the most likely diagnosis? Identify the clinical data that supports why you believe this is true and provide a rationale for your answer.
As the Nurse Practitioner caring for the patient, what is the next step in this evaluation? What is your treatment recommendation and education for the patient/family? Why? Anticipatory guidance?
The answers to the questions are to be posted following the SOAP NOTE FORMAT below. You are to include the headings and subheadings below in your answer:
SUBJECTIVE
CC:
HPI:
ROS:
MEDICAL HISTORY (if available)
OBJECTIVE
VITALS
PHYSICAL EXAM
RESULTS OF LAB & DIAGNOSTIC TESTS
ASSESSMENT
PRIMARY DIAGNOSIS
2 DIFFERENTIAL DIAGNOSIS
PLAN
TREATMENT
ORDERED LAB and/or DIAGNOSTIC TESTS
REFERRALS
PATIENT/FAMILY EDUCATION
ANTICIPATORY GUIDANCE
NSG6435 Practicum III Family Health - Pediatrics
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 - Pediatrics
Week 9 Discussion
Infectious Diseases in Children
The discussion assignment provides a forum for discussing relevant topics for this week on the basis of 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 and 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 your classmates. Complete your participation for this assignment by the end of the week.
Clinical Case Scenario:
An eighteen-month-old child, well-known to your practice, presents with a seven-day history of fever ranging from 101 to 104.7 degrees Fahrenheit. On the fourth day of the fever, the emergency department had performed the following tests:
A blood and urine culture
A complete blood count
A comprehensive metabolic panel
The culture reports were found to be negative.
Today, the vitals of the child are the following:
Temperature: 101.5 degrees Fahrenheit
Heart rate: 120 beats/minute
Respiratory rate: 20 breaths/minute
Blood pressure: 90/40
Physical examination of the child indicates the following positive findings:
Injected conjunctiva
Palmar redness
Magenta-colored lips
Red macula
Excoriating rashes in the diaper area
On the basis of the above information, respond to the following:
What is the CC, VITALS, HPI, ROS, and PE findings of this case?
What labs were order or do you want to order? Why do you want to order those labs?
What are 3 differential diagnoses for this clinical case? Why? What clinical data support your differentials?
What is the most likely diagnosis? Identify the clinical data that supports why you believe this is true and provide a rationale for your answer.
As the Nurse Practitioner caring for the patient, what is the next step in this evaluation? What is your treatment recommendation and education for the patient/family? Why? Anticipatory guidance?
The answers to the questions are to be posted in following the SOAP NOTE FORMAT below. You are to include the headings and subheadings below in your answer:
SUBJECTIVE
CC:
HPI:
ROS:
MEDICAL HISTORY (if available)
OBJECTIVE
VITALS
PHYSICAL EXAM
LABS & DIAGNOSTIC RESULTS
ASSESSMENT
PRIMARY DIAGNOSIS
2 DIFFERENTIAL DIAGNOSIS
PLAN
TREATMENT
EDUCATION
ANTICIPATORY GUIDANCE
NSG6435 Practicum III Family Health - Pediatrics
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.
