Compare the physical assessments among school-aged children. Describe how you would modify assessment techniques to match the age and developmental stage of the child. Choose a child between the ages of 5 and 12 years old. Identify the age of the child and describe the typical developmental stages of children that age. Applying developmental theory based on Erickson, Piaget, or Kohlberg, explain how you would developmentally assess the child. Include how you would offer explanations during the assessment, strategies you would use to gain cooperation, and potential findings from the assessment.
NRNP 6635 Assignment: Assessing and Diagnosing Patients With Neurocognitive and Neurodevelopmental Disorders
Subjective:
CC (chief complaint): The mother states, “Sarah has some trouble paying attention. She hardly remembers things and often loses her items.”
The needs of the pediatric patient differ depending on age, as do the stages of development and the expected assessment findings for each stage. In a 500-750-word paper, examine the needs of a school-aged child between the ages of 5 and 12 years old and discuss the following:
- Compare the physical assessments among school-aged children. Describe how you would modify assessment techniques to match the age and developmental stage of the child.
- Choose a child between the ages of 5 and 12 years old. Identify the age of the child and describe the typical developmental stages of children that age.
- Applying developmental theory based on Erickson, Piaget, or Kohlberg, explain how you would developmentally assess the child. Include how you would offer explanations during the assessment, strategies you would use to gain cooperation, and potential findings from the assessment.
HPI: Sarah Higgins is a 9-year-old female client accompanied by her mother, who reports that she has trouble paying attention. She hardly remembers things and often loses her items. Sarah admits that she rarely remembers her school assignments, and the teacher has to write down a list of the assignments, but she loses the list all the time. The problem has persisted since Sarah started school in kindergarten. She fidgets on her chair, and she often gets in trouble for fidgeting or getting out of her chair in class. Besides, she rarely concentrates when reading books and only lasts a maximum of five minutes if she likes the books. However, she does not remember much after reading the book.
Sarah also misplaces her books and pencils in school and does not usually remember where she left her items. In addition, she sometimes has problems losing her temper and usually gets angry when teachers say they asked her to do something, and she does not hear them. Sarah also reports daydreaming at school and dreams about going home and playing with her dog. Furthermore, she admits to making many mistakes when doing her homework, which frustrates her because she tries to do it right. Sarah’s teachers report that sometimes she has trouble waiting her turn and is quite difficult when in groups.
Past Psychiatric History:
- General Statement: The client first came for psychotherapy with features of inattentiveness and hyperactivity.
- Caregivers (if applicable): Grandmother
- Hospitalizations: No history of hospitalization
- Medication trials: None
- Psychotherapy or Previous Psychiatric Diagnosis: None
Substance Current Use and History: No history of substance abuse.
Family Psychiatric/Substance Use History: No family history of psychiatric disorder or substance abuse.
Psychosocial History: Sarah has lived with her grandmother since she was separated from her mother. She sleeps 9hrs/night, but meals are difficult as she has difficulties sitting for meals. She gets proper nutrition per PCP. Sarah loves art and museums. She also likes video games, which she plays for prolonged periods.
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Medical History:
- Current Medications: Vaccinations are up to date.
- Allergies: No drug or food allergies.
- Reproductive Hx: Not applicable.
ROS:
- GENERAL: Negative for fever, chills, weight changes, or fatigue.
- HEENT: Denies head injury, excessive tearing, visual changes, hearing loss, ear discharge, nasal congestion,rhinorrhea, or swallowing difficulties.
- SKIN: Denies skin color changes, itching, or bruises.
- CARDIOVASCULAR: Denies palpitations, SOB, or chest pain.
- RESPIRATORY: Negative for chest pain, cough, wheezing, or sputum.
- GASTROINTESTINAL: Denies nausea, vomiting, abdominal pain, diarrhea/constipation, or rectal bleeding.
- GENITOURINARY: Negative for dysuria or abnormal urine color.
- NEUROLOGICAL: Denies hea
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