Pediatrics

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Pediatrics

The Primary Care Clinic located in Children's Hospital is dedicated to the care
of children. It is a place where children can be examined for routine physicals
and sick visits. It is convenient because it is open until 9:00pm so children
can be seen in the evening. This experience demonstrates that there are many
differences in treatment of children and adults. T.T., a three year old male,
was seen first. He was visiting the clinic due to a high temperature,
39.6oF(Jarvis,1996). Despite his fever, T.T. was very energetic. He was talking
and playing. On observation enlarged tonsils, a strawberry tongue, and a rash on
his torso were evident. He was diagnosed as having strep throat and scarlet
fever. Expected findings include small tonsils, a pink tongue with no bumps or
lesions, and a smooth torso with no rashes evident(Jarvis,1996). The nurse had
useful techniques when assessing T.T. For example, when assessing his lungs, she
was having a difficult time getting him to take deep breaths. She tried holding
up her finger and telling him to pretend it was a birthday candle and to blow it
out. When this did not work, she ripped up little pieces of paper and asked him
to Pediatric Experience 3 blow them away. This technique not only worked for the
assessment, but also in keeping T.T. happy. The next child, M.M., was a 10 year
old male. He was visiting the clinic for a routine physical. The nurse began the
assessment by asking questions. She started with history, asking if he'd been in
the hospital before, if he was on any medications, and if he had any current
complaints. The only concern he and his mother had was the fact that his right
heel would get sore after physical activity. The nurse then moved to nutrition.
M.M. claimed to have healthy eating habits, eating all food groups and not too
much fat and sugar. After that, the nurse asked about physical activity. M.M.
plays basketball but he doesn't get outside to play as much as he'd like. The
nurse then began the physical assessment. She looked at all body systems.
Musculoskeletal was fun for M.M. He had to do things such as touch his toes, hop
on one foot and squat down to walk across the room. She assessed the genital
area last. All she had to do was look to make sure he was developing correctly
for his age. He said he was uncomfortable with this so she asked if he would
like his mother to leave the room. He said no, so she proceeded to look very
quickly. He was developing fine. There were no un...

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