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#36106 Topic: HA19 W2R2 Number of Pages: 1 (Double Spaced) Number of sources: 2 Writing Style: APA Type of document: Essay Academic Level:Master Category: Nursing Language Style: English (U.S.) Order Instructions: ATTACHED Coddie Decker When caring for an infant or child I rely largely on the parents for the assessment. The parents know the child’s normal behavior so any deviation from normal would be reported. Normal eating habits, how many wet diapers they have had, what does the stool look like, are they crying more than normal etc. These are all questions I ask the parents. I also watch the child’s behavior, is the child acting lethargic or unconsolable during the assessment, is their skin mottled, what do the vital signs look like? All of these things are what can be used during an assessment of a child. Having a trusting relationship with the parents as well as allowing the child to participate in the assessment (if it is age appropriate) helps to find symptoms. An elderly person, say with dementia, I also ask the family for help or their caregivers. Every now and then I take care of someone with early onset dementia who lives alone. In those cases, I look at previous records, as with all patients, but I dig deeper into their past history than I do with most patients. Obtaining previous medical records from hospitals, prior PCP’s or specialists before an appointment can often times be invaluable to the patient’s care. Asking the patient’s medical history only once rather than several people asking (such as when in the hospital) may also be beneficial due to the tiring nature of the history, especially when someone is very ill, and try not to interrupt (National Institute on Aging [NIA], 2017). Obtaining a medication list from an elderly person or any patient can often times give a picture of their medical history. Many people answer no when asked if they have any significant medical history, yet they take several medications for separate medical issues. Asking about the elderly persons functioning status may also give one a sense of a sudden change in their ability to care for themselves, this may give a clue about an underlying medical condition. The developmentally disabled patient is another that includes relying on the family or caregivers. Identifying the disability should be handled with sensitivity and understanding but is usually needed as part of the assessment. Assessing the patient’s ability to communicate and participate in the assessment is also needed. Identifying accommodations and the patient’s ability to communicate is extremely important. For example, if the patient is deaf then they would need someone there to interpret sign language (Advancing Care Excellence for Persons with Disabilities [ACED], 2017). In order to assess a patient who speaks another language there should be a specific policy set for the organization such as having an interpreter readily available instead of using family. Family has been known to use different words or even be dishonest with the person because they do not want their family member to know they have a disease that is deadly. Using someone who is outside of the family, professional and available 24/7 is extremely important. Having a provider that speaks Spanish in the state of Arizona has become essential as there is a large Spanish speaking population here. Most offices require at least one provider in the state of Arizona to be bilingual. References Advancing Care Excellence for Persons with Disabilities. (2017). Assessment of a Person with Disability. Retrieved from http://www.nln.org/professional-development-programs/teaching-resources/ace-d/additional-resources/assessment-of-a-person-with-disability National Institute on Aging. (2017). Obtaining an Older Patient’s Medical History. Retrieved from https://www.nia.nih.gov/health/obtaining-older-patients-medical-history **Provide response writing with references. References must be in APA format and published within the last 5 years.

 

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