Discussion 8 I choose pediatric and compare it with the case of

Discussion 8
I choose pediatric and compare it with the case of Jones, who is 28 years old.
First, in the section of HPI, the case would be different from that of an adult. The patient would be brought to the clinic by a parent or caretaker, which ever is relevant. Therefore, a number of questions would be answered by the parents as well, based on the age of the child. For children around ten years old, they could answer questions regarding the location of pain, where the injury occurred (mostly in the playground or frequently for abuse)- as the practitioner, it is critical to remain alert for clues of abuse. The child would not be able to answer pertinent medical history, family history concerns. When reviewing the past history section, the case would also differ from that of Jones because it would be critical to examine the developmental history of the child, which also focused on immunization-to ensure that it is up to date. The review is essential to the provision of the necessary medical treatment to the patient to have a solid understanding of the phases of growth. In contrast to the previous phases, the developmental stage is a time of maturity characterized by consistent requirements, patterns of behavior, and experiences (Rogers & Dittmer, 2019). Evidence-based pediatric care recommends that primary care providers examine the vaccination history of each child at each and every health care appointment in order to determine whether or not the patient need any immunizations (Flanagan, Tigue, & Perrin, 2019). This covers both preventative care visits as well as appointments for acute treatment. Medical records, personal vaccination cards, immunization information systems (IISs), and registries are some of the places where immunization history may be located.
In understanding most of the subjective data about the patient, some of the data may come from parents while others may come from the child. The human bodies of children and adults are quite diverse from one another (Marianne. 2017). Children have a much-increased risk of being very ill or injured. When compared to adults, they take in more air every pound of body weight by breathing. They have more skin per pound of body weight while having thinner skin overall (Rogers & Dittmer, 2019). Many youngsters of school age will have a strong desire to learn new things and comprehend the relationship between causes and effects. The inclusion of information about the care of the kid that was supplied by the youngster while they were of school age is appreciated by this particular age group. On the other hand, the kid should not be included in any medical decision-making processes involving the care of the child; rather, the child’s parent or other caregiver should. Because it is vital to constantly bear in mind the level of knowledge of the patient, particularly while interacting with youngsters, nurses are required to speak slowly, clearly, and with terminology that is easy to understand. As a result, nurses are required to offer an explanation of what is going prior to the surgery, including the physical exams, and they should encourage the child to voice any concerns they may have.
Taking a patient’s history in juvenile musculoskeletal conditions would be done differently than in adults. Complaints from the kid’s parents or primary caregivers, such as “my child isn’t right,” “stopped doing that,” or “legs ache,” may constitute the bulk of a young child’s medical history. No of the age of the kid, an attempt should be made to ask questions that are straightforward and suitable for the child’s age. When dealing with an adult, you have the ability to take a background or ask questions directly connected to the current complaint. For this patient, the pediatric muscular skeletal examination would include the observation, palpation, range of motion testing, strength testing, and functional assessment tests. The emphasis of observation is on mobility, as well as posture and body symmetry. Skin, muscles, and joints should all be palpated during an examination. The assessment of the muscles should concentrate on their dimensions as well as their mass and tone.
When the joints are palpated, one looks for signs of discomfort as well as swelling, warmth, and thickness of the synovial membrane. It’s possible that you’ll need to include the range of motion of all of the main joints, both passively and vigorously. In addition to evaluating the bones and muscles that make up the back and spine, the examination also involves a thorough analysis of the patient’s posture. During the evaluation, the back of the kid will be inspected as the youngster either stands or sits. It is important to evaluate the height of the shoulders, as well as the location of the scapula and the height of the pelvis (Marianne. 2017). The examiner will ask the youngster to lean forward so that they can check for any rib or back irregularities that may indicate scoliosis. The severity of kyphotic and scoliotic curves may be determined with the use of radiographs of the spine. Scoliosis is classed as infantile, juvenile, adolescent, or neuromuscular. The most typical presentation is adolescent idiopathic scoliosis, which manifests itself in pubertal females as a rightward curvature of the thoracic spine. In addition, children should have an examination to rule out any other spinal conditions.
References
Flanagan, P., Tigue, P. M., & Perrin, J. (2019). The value proposition for pediatric care. JAMA pediatrics, 173(12), 1125-1126.
Marianne. B. (2017). Pediatric health and physical assessment. Nurse labs.
Rogers, C. W., & Dittmer, K. E. (2019). Does juvenile play programme the equine musculoskeletal system?. Animals, 9(9), 646.