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Child Healthcare And Assessment week 3

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  • May 29, 2022
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Childhood Obesity and Risk Assessment

Lachelle Purnell-Savoy

Walden University

NURS – 6512, Advanced Health Assessment & Diagnostic Reasoning

March 11, 2020




This study source was downloaded by 100000828896138 from CourseHero.com on 05-29-2022 05:15:00 GMT -05:00


https://www.coursehero.com/file/58382004/Child-Healthcare-And-Assessment-week-3docx/

, Childhood Obesity and Risk Assessment

Childhood obesity is prevalent in the United States and is a public health concern (Alexander,

Alfonso, & Hansen, 2015). African American children are among the largest obese population

and death rate related to obesity (Alexander, Alfonso, and Hansen, 2015). Studies also show that

African American children in low social economical class have the highest rates of obesity

compared to other races (Jackson, Kimeli, & Eley, 2019). Family dynamics play a role in

childhood obesity. For example, children with obese parents are likely to be obese because

parents prepare meals for children. Nurse practitioners must have the skill to discuss sensitive

subjects such as obesity with patients and their families in a holistic manner. Understanding

patterns, trends, and lifestyle through a comprehensive health assessment can lead to a plan of

care that will promote optimal patient outcomes. In the scenario provided, the patient is

“Overweight 5-year-old black boy with overweight parents who work full-time and the boy

spends his time after school with his grandmother”. The nurse practitioner must ask patient and

family-centered questions, perform a comprehensive health history, and complete physical exam

to assess the patient for potential and actual risk. Health promotion, education, and risk

assessments will be discussed with the patient and their caregiver to optimize health.

Obtaining Health History in a Pediatric Patient

The Nurse practitioner has to obtain a health history from the family since the patient is 5

years of age. To start the interview, the nurse practitioner should introduce herself to the patient

and family members who brought the child into the clinic. To create a safe environment, the door

is closed, and the nurse practitioner is at eye level with the child. I would start by speaking to the

child. Asking open-ended questions will help the child open up to the interview and allow the

nurse practitioner to assess cognition. For example, the first question would be what brings you




This study source was downloaded by 100000828896138 from CourseHero.com on 05-29-2022 05:15:00 GMT -05:00


https://www.coursehero.com/file/58382004/Child-Healthcare-And-Assessment-week-3docx/

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