Pediatric Health Assessment.pptx - Pediatric Health Assessment Linda Del Vecchio-Gilbert DNP CPNP-BC ACHPN CPONs Objectives Discuss appropriate

Pediatric Health Assessment.pptx - Pediatric Health...

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Pediatric Health Assessment Linda Del Vecchio-Gilbert, DNP, CPNP-BC, ACHPN, CPONs
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Objectives Discuss appropriate communication for caregivers and children. Identify key components of a pediatric physical assessment.
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GUIDELINES FOR COMMUNICATION AND INTERVIEWING Appropriate introduction.Explanation of the interview.Preliminary acquaintance.Ensure privacy and confidentiality.What is the goal of effective communication?What do you do if you have a teenage patient?What do you do if you have a teenage patient?
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Key Components of Effective Communicating Encourage the parents to talk. Direct the focus. LISTEN ACTIVELY! Understand the expectations and agenda (not your agenda). Ask open-ended questions. Personalize your care. Use silence as a response. Be empathetic. Understand importance of their values. Define the problem. Solve the problem (sometimes...)
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Communicating with Children Make communication developmentally appropriate. Get on the child’s eye level. Approach child gently and quietly. Always be truthful. Give child choices as appropriate. DO NOT ASK , “May I...” -> What will be the answer?
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Communication with Children Cont’d Avoid analogies and metaphors. Give instructions clearly. Give instructions in a positive manner. Avoid long sentences, medical jargon; think about “scary” words. Give older child the opportunity to talk without parents present.
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Developmentally Appropriate Communication Infants Nonverbal. Crying as communication. Early childhood Focus on child in communication. Explain what, how, and why. Use words child will recognize. Be consistent: don’t smile when doing painful things.
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Developmentally Appropriate Communication School-age children Want explanations and “reasons why”. Concern about body integrity. Reassurance needed. Adolescents Be honest with them. Be aware of privacy needs. Think about developmental regression. Realize importance of peers.
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Play Children’s “work”. Child’s “developmental workshop”. As therapeutic intervention. As stress reliever for child/family. As pain reliever/distracter. As barometer of illness.
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Play Therapy Games Peek-a-boo Which hand do you take Guess what I have in my hand Reduces trauma Prepares children for procedures Assessment tool Method of intervention and evaluation
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Health History
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Performing a Health History Identifying information (demographics) Chief complaint History of present illness Past medical history Current medications Immunizations Nutrition Psychosocial history Family medical history
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Review of Systems General Skin Head/Neck Eye Ear Mouth/Nose/Throat Heart/PV Chest/Respiratory
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Questions for the Review of Systems
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Pediatric Physical Assessment
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Goals of Pediatric Physical Assessment SAFETY!!! Minimize stress and anxiety associated with assessment of various body parts. Foster trusting nurse-child-parent relationships. Allow for maximum preparation of the child. Preserve the security of parent-child relationship. Maximize accuracy of assessment findings.
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  • Fall '18
  • Manihan, Delvichio
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