Sleep quietly

I don’t understand this Health & Medical question and need help to study.

 

Please respond to at least 2 of your peer’s posts. To ensure that your responses are substantive, use at least two of these prompts:

  • Do you agree with your peers’ assessment?
  • Take an opposing view to a peer and present a logical argument supporting an alternate opinion.
  • Share your thoughts on how you support their opinion and explain why.
  • Present new references that support your opinions.

Please be sure to validate your opinions and ideas with citations and references in APA format. Substantive means that you add something new to the discussion, you aren’t just agreeing. This is also a time to ask questions or offer information surrounding the topic addressed by your peers. Personal experience is appropriate for a substantive discussion and should be correlated to the literature.Be sure to review your APA errors in your reference list, specifically you have capitalization errors in some words of the titles. Also, be sure you are italicizing titles of online sources.

  1. Please describe routine periodicity in pediatric healthcare. What are the components of the clinical visit when performing routine periodicity for the preschool age child? In addition, please identify two clinical signs a preschooler is ready to transition to school and which immunizations are due during the preschool timeframe.

Chriscia’s Post

During a clinical visit on a preschool age child it is important to complete a comprehensive history and physical complete with height/weight, BMI, and blood pressure. They should have a vision test performed. Proper development including mental and behavior of the child should be evaluated. Assess for risk of anemia, lead exposure, TB and dyslipidemia (Recommendations for preventive pediatric health care, 2019). Immunizations for preschool age children include, MMR which aids in immunity of measles, mumps, and rubella, Polio (IPV), Varicella, and DTAP which provides immunity to diphtheria, tetanus, and pertussis (Recommended vaccinations for infants and children (birth though 6 years), 2019). A maternal depressing screening should still being performed as well as this hinders the child’s growth and development on multiple levels (Recommendations for preventive pediatric health care, 2019)

There are several clinical factors that could be or should be considered when identifying when a child is ready for school. It is important that the child is demonstrates autonomy and can identify as an individual away from the parents or home by communicating their own needs. Is this child emotionally and socially capable of classroom interaction? Is the child mature and emotionally/socially developed to handle the situation and stressors? This is demonstrated by the ability to leave parents and venture into group activities. It is an expectation for the child to do as the group does and follow the directions. Clinically a practitioner can evaluate if the child participates in activities out of the home, plays with other children well, ability to follow directions in a good setting and shows interest in school. Clinicians also could evaluate fine and gross motor skills (Burns, 2017).

References

Recommended vaccinations for infants and children (birth though 6 years). (2019, February 5). Retrieved from CDC: https://www.cdc.gov/vaccines/schedules/easy-to-rea…

Burns, C. D. (2017). Pediatric Primary Care (6 ed.). St. Louis, Missouri: Elsevier.

Recommendations for preventive pediatric health care. (2019, March). Retrieved from American Academy of Pediatrics: https://www.aap.org/en-us/Documents/periodicity_schedule.pdf

2.A parent brings her 5-year-old to the clinic. He has been waking every night screaming and crying but does not remember doing this in the morning. What information will be beneficial when completing the Review of Systems? What is your assessment and plan of care for the child? What resources will you provide to the parent? Please detail the clinical rationale for your decisions.

Eric’s Post

These parents are going through what I am right now, night terrors… and it sucks.

Night terrors are when a child becomes agitated during deep sleep and typically occur between the ages of 18 months and 6 years; the episodes can last for a few minutes or up to 20 minutes; during night terrors the child is not dreaming or technically awake and they will not remember these episodes in the morning, they occur in roughly 3% of children; these can be triggered by new life stressors or without any new stresses; night terrors tend to run in families where other family members suffered from night terrors, sleep walking or sleep talking; night terrors are not linked to psychological problems later in life, but rather are a temporary phase in which children grow out of (Snyder, Goodlin-Jones, Pionk & Stein, 2013).

The parents should be educated to: stay calm as night terrors are more often frightening for the parents than the child, do not try to wake the child, make sure the child cannot hurt themselves, gently restrain them if needed,and remember that after a short time the child will relax and sleep quietly again; if they use a babysitter to educate them on what to do and if they persist to speak to their childs pediatrician (healthychildren.org, 2018). They should also be educated to keep a sleep diary recording: where the child sleeps, how much sleep they normally get at night, what they need to fall asleep, how long it takes to fall asleep, how often they wake up during the night, what comforts/consoles them when they wake up during the night, time/length of naps and any changes or stresses in the home (healthychildren.org, 2018).

References

Snyder, D. M., Goodlin-Jones, B. L., Pionk, M. J., & Stein, M. T. (2013). Inconsolable Night-Time Awakening: Beyond Night Terrors. Journal of Developmental & Behavioral Pediatrics,31. doi:10.1097/dbp.0b013e3181d8300b

Nightmares and Night Terrors in Preschoolers. (2018, October 18). Retrieved May 20, 2019, from https://www.healthychildren.org/English/ages-stage…

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