Pediatric health care experts agree that the health care needs of children differ vastly from those of the adult. From infancy through adolescence, a child experiences many dramatic physiological, psycho social, developmental, and cognitive changes. Thus, it is critical for the pediatric health care provider to possess specialized knowledge and skills to accurately assess children during health and illness. Concepts related to the health assessment and physical examination of the adult cannot be applied to the care of children. The goal of Advanced Pediatric Assessment is to emphasize the uniqueness of children when conducting the health assessment. Emphasis is placed on the physical, psycho social, developmental, and cultural aspects of child assessment to an extent not possible in across the lifespan assessment textbooks. As such, this book has a dual focus: to serve as a course textbook in education and as a reference for the practicing pediatric health care provider.
This book provides two introductory chapters that provide a general overview describing how the approach to child health assessment differs from that of the adult. Chapter 1 begins with a discussion of the anatomic and physiologic differences that exist between infants, children, and adults, and continues with a brief summary of growth and development, communication skills required to work with children, understanding the parent–child relationship, and general strategies involving the approach to obtaining the child health history and physical examination. Chapter 2 provides a more detailed discussion of the general principles of growth and development, including selected developmental theorists. Both physical and psycho social growth and development are included, including gross and fine motor development, language development, and psycho social and emotional growth and development. Detailed tables list normal growth and developmental milestones of birth through adolescence, as well as developmental red flags and selected developmental
screening tools. The remainder of the book is divided into three sections. Section 2, Obtaining the Pediatric Health History, contains chapters that are devoted to communicating with children, family, and cultural assessment, and obtaining the pediatric health history. Section 3,
Physical Assessment, begins with a chapter that details specific approaches to the pediatric physical examination, including assessment techniques, developmental approaches to examining children and adolescents, and sequencing of the physical exam according to age and developmental level. Chapters on safety assessment, well child examinations, nutritional assessment, and detailed assessment of the neonate are also included in this section. Clinical chapters follow in Section 4, Focused Assessments, which detail the assessment of each body system.
The content of each of these chapters is organized in the following way:
• Anatomy and Physiology
• Developmental Considerations
• Cultural and Racial Considerations
• Health History
• Physical Examination
• Common Diagnostic Studies
• Sample Documentation
This uniform presentation of content helps the learner begin to think in a systematic, organized manner. Section 5, Assessment of the Whole Child, includes chapters that address psychosocial issues, specifically, the assessment of various types of child abuse and
neglect, peer victimization, and mental health assessment, including screening for addiction, depression, and suicidal ideation. Child health care is becoming more complicated
and challenging in many ways. I believe that each and every child deserves the most safe, comprehensive, detailed, culturally sensitive health care possible. It is my sincere hope that Advanced Pediatric Assessment will assist in achieving that goal.
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Book Name
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Advanced Pediatric Assessment
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Author
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Ellen M. Chiocca
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Language
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English
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Format
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PDF
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Size
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10 MB
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Pages
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582
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