METRO COMMUNITY COLLEGE NURS 2410 PEDIATRIC CLINICAL ASSESSMENT Name _________________________________________ Date__________________ Patient initials ______________Age _______________ Gender ___________ Actual weight:______ Percentile for age: Height: Weight: Vital Signs: BP ____ Resp_____Temp______Pulse____ Compare to normals for this age: Medical Dx: __________________________________ Describe pathophysiology inclusive of s/s: Stages of Growth and Development Erikson: Piaget: Describe one specific behavior you observed in your child in relation to each of the following developmental theories: Erikson: Piaget: Describe three physical and three psychosocial characteristics of growth and development for a normal healthy child of this age. Include motor development with physical characteristics. Recognize that psychosocial includes many areas besides interactions (ie language, play, etc.) Physical: 1. 2. 3. Psychosocial: 1. 2. 3. Head to toe Assessment Statement: Does this child fit all the normal for her/his age? If not, explain how the child differs (consider advances as well as deficiencies) Describe the normal nutritional and fluid requirements for this age. Do not just cite basic food groups,but consider growth rate and activity demands. Identify factors to be considered when individualizing the patient’s plan of care. If unable to obtain data, create a ‘wish list’ of information required. Identify 1 nursing dx for this child and follow nursing process in the development of a goal with at least 5 interventions and rationales. Nsing diagnosis ___________________________________________________________________ Goal:____________________________________________________________________________ Interventions 1. 2. 3. 4. 5. Rationale