1 / 13

Physical and Developmental Assessment of the Child

Physical and Developmental Assessment of the Child. Chapter 7. General Approaches Toward Examining the Child. Head-to-toe sequence for assessing adult clients Sequence for pediatric assessments generally altered to accommodate child’s developmental needs

marnin
Download Presentation

Physical and Developmental Assessment of the Child

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Physical and Developmental Assessment of the Child Chapter 7

  2. General Approaches Toward Examining the Child • Head-to-toe sequence for assessing adult clients • Sequence for pediatric assessments generally altered to accommodate child’s developmental needs • Usually save invasive and painful procedures for last

  3. Goals of Pediatric Assessment • Minimize stress and anxiety associated with assessment of various body parts. • Foster trusting nurse-child-parent relationships. • Allow for maximum preparation of child. • Preserve security of parent-child relationship. • Maximize accuracy of assessment findings.

  4. Preparation of the Child • Child’s perception of painful procedures—tell child what will happen within their scope of understanding • Cooperation usually enhanced with parent’s presence unless an adolescent, then give choice • Age-appropriate techniques—i.e.,begin with games and non-invasive procedures • Use non-threatening approach • Do as much as possible first without touching

  5. Physical Examination • Growth measurements • Recumbent length for infants up to age 36 months + weight and head circumference • Standing height + weight after age 36 months • Plot on growth chart • By gender and prematurity if appropriate • <5th or >95th percentile considered outside expected parameters for ht, wt, head circ.

  6. Growth • Ethnic differences • Expected growth spurts at various ages • Use of skin fold thickness and arm circumference for evaluation of body composition of muscle and adipose tissue • Significance of head circumference measurements

  7. Physiologic Measurements • Importance of physiologic measurements in overall pediatric assessment • Comparison with normal values for each age group

  8. Infant and Toddler Vital Sign Measurement • Count respirations FIRST (before disturbing the child) • Count apical HR SECOND • Measure BP (if applicable) THIRD • Measure temperature LAST

  9. Pediatric Blood Pressures • Measurement devices • Cuff selection • Cuff placement • Interpretation of BP measurement

  10. Physical Assessment • General appearance • Skin • Hair, nails, hygiene • Lymph nodes • Head and neck • EENT

  11. Physical Assessment (cont’d) • Chest • Heart • Lungs • Abdomen • Genitalia • Back and extremities • Neurologic assessment

  12. Developmental Assessment • Screening procedures • To identify children whose developmental level is below normal for chronologic age and who therefore require further investigation

  13. Denver Developmental Screening Test II • AKA “Denver II” • Widely used, standardized measures • Examiners must be specifically trained and certified in use of the tools • Interpretation of test • Recommendations/referrals

More Related