I completed the Denver II Developmental Screening on a five year old boy, initials B. F. The Denver II Developmental Screening test is designed to compare children’s performance on a selection of tasks in order to assess developmental problems and risk of developing these problems in the future. Nurses must be able to perform developmental screenings in order to identify factors that could hinder optimal health (Gaines, 2005, p. 522). Gaines, Jenkins & Ash (2005) recommend that health screening activities be integrated into nursing education to empower future nurses to provide health promotion services.
The screening was conducted at the child’s home, which was beautiful and well-kept with a vast selection of games and books. He lives with his parents, older brother and grandparents in his grandparent’s home. This is a temporary living situation until the family moves overseas in the next year for work. The child was alert, well groomed and appropriately dressed in jeans and a t-shirt with a pleasant affect. He was not fearful and had an attention span appropriate of a five year old. According to the Centers for Disease Control and Prevention (2014) a five year old should seek to please others and is likely to agree with the rules. B. F was eager to participate and promptly followed all directions which showed he was socially appropriate for a five year old. He appeared healthy and at an appropriate height and weight for his age.
At age five, a child should be able to dress
It is an important part of a practitioner’s job to observe and assess children in order to establish where a child is at with regards to their development, health and well being and if they require extra support. The factors that need to be taken into account when assessing development are:
Parents may feel overwhelmed by the assessment process and this assessment allows them to be involved every step of the way. Their role is also crucial to obtaining an accurate developmental level for the child. As part of the screening, there is an informal questionnaire and
The Battelle Developmental Inventory – 2nd Edition (BDI-2) is psychoeducational testing instrument used in special education to assess developmental disorders in infants and young children. This paper looks into how the validity, reliability and norms for the BDI-2 were originally developed.
This objective will affect my future nursing practice because conducting physical head to toe assessments and obtaining vital signs is a different process when working with paediatric patients rather than adults. It is crucial to note any changes that I can catch throughout my assessments, and vital signs since paediatric patients might not be able to communicate with me if they feel any changes in their health. By understanding the anatomy and physiology, the developmental stages of children, and obtaining accurate vital signs and assessments, it will increase my knowledge, skill, ad judgment to successfully complete and distinguish any abnormities and changes during my assessments. Also, knowing the developmental stages and distraction therapy method techniques can help me provide thorough examinations and find ways to help my patients cope if they are feeling anxious and scared.
I reached out to Melissa for the questionnaire, and explained it was a developmental screening for one of my education classes. Melissa was new to the screening because Owen has not had a developmental screening before. I decided to ask Melissa if I could observe Owen, not only because she is a family friend, but because she is a teacher, and I felt that she could relate to the class I was in. Since Chicago, IL is far away from La Crosse, Melissa is busy with her family and career, we decided to do the screening via FaceTime. Melissa and I decided to fill out the screening questionnaire together.
A two year assessment is carried out between the ages of two and three. Parents/carers/guardians are provided with a short written summary of the child’s development in the prime areas. Within the progress
1.1. When assessing development some factors need to be taken into account one of these is confidentiality, this means that you will need permission from a child’s parents/carers before doing observations, also when information is wrote down about a child is important that it is kept in a safe place were only the relevant people can access it. Also making sure that information about a child is only shared with parents/carers or colleagues and professionals that have the right to know. Another factor to take into account is a child’s wishes and feelings, this means to take into account the child’s wishes when doing an observation or assessment. The child may not want to be assessed at
The film Precious is an emotional movie that deals with the unfortunate realities of everyday life for some individuals. The film that stares Gabourey Sidibe who plays the main character Clarice “Precious” Jones is based out of Harlem in the year of 1987. Precious is a sixteen year-old obese and uneducated teenager whom has had to grow up in a severely dysfunctional family environment. Her mother verbally and physically abuses her, often times using her as a personal servant. Her father has been sexually abusing her since childhood, and has impregnated her twice. Precious has lived with the ugly truth that because of her weight, skin color, and sexual abuse, she does not fit in
“For a true authentic look at each child, many pieces should be assembled, from formal assessment, informal observations, anecdotal notes, and portfolio samples” (Funk, 2008, p.1). I would start of discussing my proposal to using standardized screening assessments by stating the benefits of each screening and how it can help everyone to see and make sure that the child is reaching their developmental milestones
First, assessments need to be conducted encompassing family history, while delving into all (cognitive, behavioral, emotional)
List two potential problems that a nurse may discover in an assessment of each age group.
I was only able to determine the basic vital signs, height and weight. I know for a fact that there are several other screening tools and assessments that could have been conducted on this patient. I plan on researching pediatric patient assessment techniques using up to date clinical evidence. Although I do not have plans on specializing in pediatric nursing I understand the need to be able assess and provide care to all patients regardless of age.
When someone’s life decisions affect those around them, the state has permission to intervene in order to protect the public. Since the beginning of public health, medical professionals have struggled with the idea of people being able to make their own decisions, but also wanting to protect the public. We are all given freedom of choice, but what if our choices impact someone else’s health? There are ethics that come into question when posed with a medical threat. If someone poses a threat to public safety, it is ok for mandatory vaccinations, name reporting and quarantine in order to protect the public (Jennings, B., Kahn, J., Mastroianni, A., & Parker, L. S., 2003, p. 145).
Public health nurses at Toddler Clinics referred mothers (n = 10) with full EPDS scores between 10–19. Of the total number of mothers referred (N = 384) to the research nurse for secondary screening, 242 were ineligible due to low (19).
The Denver II assessment is designed to test the advancement level of a single child to the average