Week 3: Assessment Tools, Measurement and Nutrition in Adults and Children.

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Week 3: Assessment Tools, Measurement and Nutrition in Adults and Children.

Case study option 2
Overweight 5-year-old black boy with overweight parents who work full-time and the boy spends his time after school with his grandmother.Week 3: Assessment Tools, Measurement and Nutrition in Adults and Children.

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Week 3: Assessment Tools, Diagnostics, Growth, Measurement, and Nutrition in Adults and Children
Many experts predict that genetic testing for disease susceptibility is well on its way to becoming a routine part of clinical care. Yet many of the genetic tests currently being developed are, in the words of the World Health Organization (WHO), of “questionable prognostic value.”Week 3: Assessment Tools, Measurement and Nutrition in Adults and Children.

—Leslie Pray, PhD

Obesity remains one of the most common chronic diseases in the United States. As a leading cause of United States mortality, morbidity, disability, healthcare utilization and healthcare costs, the high prevalence of obesity continues to strain the United States healthcare system (Obesity Society, 2016).  More than one-third (39.8%) of U.S. adults have obesity (CDC, 2018). The estimated annual medical cost of obesity in the U.S. was $147 billion in 2008 U.S. dollars; the medical costs for people who are obese were $1,429 higher than those of normal weight (CDC, 2018).Week 3: Assessment Tools, Measurement and Nutrition in Adults and Children.

According to the Centers for Disease Control and Prevention (CDC), the rate of childhood obesity has tripled in the past 30 years, with an estimated 13.7 million children and adolescents considered obese (CDC, 2018). When seeking insights about a patient’s overall health and nutritional state, body measurements can provide a valuable perspective. This is particularly important with pediatric patients. Measurements such as height and weight can provide clues to potential health problems and help predict how children will respond to illness. Nurses need to be proficient at using assessment tools, such as the Body Mass Index (BMI) and growth charts, in order to assess nutrition-related health risks and pediatric development while being sensitive to other factors that may affect these measures. Body Mass Index is also used as a predictor for measurement of adult weight and health.Week 3: Assessment Tools, Measurement and Nutrition in Adults and Children.

Assessments are constantly being conducted on patients, but they may not provide useful information. In order to ensure that health assessments provide relevant data, nurses should familiarize themselves with test-specific factors that may affect the validity, reliability, and value of these tools.

This week, you will explore various assessment tools and diagnostic tests that are used to gather information about patients’ conditions. You will examine the validity and reliability of these tests and tools. You will also examine assessment techniques, health risks and concerns, and recommendations for care related to patient growth, weight, and nutrition.Week 3: Assessment Tools, Measurement and Nutrition in Adults and Children.

Learning Objectives
Students will:

Evaluate validity and reliability of assessment tools and diagnostic tests
Analyze diversity considerations in health assessments
Apply concepts, theories, and principles related to examination techniques, functional assessments, and cultural and diversity awareness in health assessment
Apply assessment skills to collect patient health histories
Learning Resources
Required Readings (click to expand/reduce)

Required Media (click to expand/reduce)

Assignment 1: Case Study Assignment: Assessment Tools and Diagnostic Tests in Adults and Children
When seeking to identify a patient’s health condition, advanced practice nurses can use a diverse selection of diagnostic tests and assessment tools; however, different factors affect the validity and reliability of the results produced by these tests or tools. Nurses must be aware of these factors in order to select the most appropriate test or tool and to accurately interpret the results.Week 3: Assessment Tools, Measurement and Nutrition in Adults and Children.

Not only do these diagnostic tests affect adults, body measurements can provide a general picture of whether a child is receiving adequate nutrition or is at risk for health issues. These data, however, are just one aspect to be considered. Lifestyle, family history, and culture—among other factors—are also relevant. That said, gathering and communicating this information can be a delicate process.

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For this Assignment, you will consider the validity and reliability of different assessment tools and diagnostic tests. You will explore issues such as sensitivity, specificity, and positive and negative predictive values. You will also consider examples of children with various weight issues. You will explore how you could effectively gather information and encourage parents and caregivers to be proactive about their children’s health and weight.Week 3: Assessment Tools, Measurement and Nutrition in Adults and Children.

To Prepare
Review this week’s Learning Resources and consider factors that impact the validity and reliability of various assessment tools and diagnostic tests. You also will review examples of pediatric patients and their families as it relates to BMI.
By Day 1 of this week, you will be assigned to one of the following Assignment options by your Instructor: Adult Assessment Tools or Diagnostic Tests (option 1), or Child Health Case (Option 2). Note: Please see the “Course Announcements” section of the classroom for your assignments from your Instructor.Week 3: Assessment Tools, Measurement and Nutrition in Adults and Children.
Search the Walden Library and credible sources for resources explaining the tool or test you were assigned. What is its purpose, how is it conducted, and what information does it gather?
Also, as you search the Walden library and credible sources, consider what the literature discusses regarding the validity, reliability, sensitivity, specificity, predictive values, ethical dilemmas, and controversies related to the test or tool.
I am assigned Assignment Option 2 (Child), consider what health issues and risks may be relevant to the child in the health example.
Based on the risks you identified, consider what further information you would need to gain a full understanding of the child’s health. Think about how you could gather this information in a sensitive fashion.
Consider how you could encourage parents or caregivers to be proactive toward the child’s health.Week 3: Assessment Tools, Measurement and Nutrition in Adults and Children.
The Assignment
Assignment (3–4 pages, not including title and reference pages):

Assignment Option 2: Child Health Case:
Include the following:

An explanation of the health issues and risks that are relevant to the child you were assigned above.
Describe additional information you would need in order to further assess his or her weight-related health.
Identify and describe any risks and consider what further information you would need to gain a full understanding of the child’s health. Think about how you could gather this information in a sensitive fashion.
Taking into account the parents’ and caregivers’ potential sensitivities, list at least three specific questions you would ask about the child to gather more information.Week 3: Assessment Tools, Measurement and Nutrition in Adults and Children.
Provide at least two strategies you could employ to encourage the parents or caregivers to be proactive about their child’s health and weight.

APA Overall, APA is very good. I am still seeing some errors in citing website references. As promised….here is an example.

Center for Disease Control. (2014). National diabetes prevention program. Center for Disease Control. Retrieved from http://www.cdc.gov/diabetes/prevention/index.htm

If you copy the URL address and place in your browser…..you will go directly to that page. A frequent error that students make is switching the author and the subject. No need to list the \”retrieved\” date in your citation either. When in doubt….refer to your APA manual, or the Purdue Writing Center https://owl.english.purdue.edu/owl/resource/560/01/

Scholarly References Many of you are including some very good references in your posts! I know that this is technically not a requirement according to the grading rubric, but I feel that it makes for very good learning. It also helps you utilize the evidence to support your clinical decisions as you move forward into this program. Some of you I have made comments about including more scholarly references in your work. I am not deducting points….just helping you to become better graduate learners!Week 3: Assessment Tools, Measurement and Nutrition in Adults and Children.

Shadow Health SH assignments start next week. Be sure you have purchased the product and have successfully accessed the program. This week there are two non graded assignments that you should complete: DCE Orientation and the Conversation Concept lab. Be sure to become familiar with how this product works. In Week 4 you will have your first graded SH assignment. In week 4, please look at the DCE rubric. There are two parts to your grade…..the DCE score (which you can repeat as many times as you need to improve your grade), and the documentation grade. These two items will comprise your grade for the assignment. Please contact SH directly with any technical difficulties.
please use SCHOLARLY REFERENCES WITH 5YRS

Introduction

This paper presents a case study of an overweight 5-year-old blackboy with overweight parent who are constantly at work but the child stays with the grandmother after school. More so, it will discuss on health issues and risk involved as per the client’s condition. Also, the paper will cover additional information that might be useful for further assessment by the provider and important question to ask the parents while gathering information. Lastly, applicable strategies to improve the family and the child on how to achieve successful healthy weight.Week 3: Assessment Tools, Measurement and Nutrition in Adults and Children.

Health Issues

According to the presented case, the patient is overweight at the age of five years attracting some of the health issues and concern which may impact the overall health. more so, the client is characterized of having more body fats beyond the normal range. In this case, the overweight character is may develop health issues such as high blood sugar levels, heart disease, and stroke. Another aspect for the client is the parents are also overweight thereby suggesting they family’s socioeconomic status is good hence food supplies is plenty and have an excellent lifestyle. Besides, the patient may be overeating as well as being physical inactive and these may be some of the contributing factors catalyzing the issue.Week 3: Assessment Tools, Measurement and Nutrition in Adults and Children.

Additional Information Needed

It is essential to include additional information that might be needed to evaluate the condition such data might include the family’s nutritional factors. For instance, the report will include what the family consumes frequently. Still, the family should explain how the conduct their diet in terms of what they buy mostly with the believe it is a healthy feeding. On the same point, the provider will need to gather the current body mass index (BMI) for both parents and the family to have a conclusive idea that they are overweight. While finding an exact BMI this will use a formula that will indicate presence of overweight in comparison with the anticipated normal values. For instance, calculating BMI it involves calculating the parent’s weight and then dividing the total weight per person with their height. Incase the value lies between 25.0 to 30 then it indicates an overweight range.Week 3: Assessment Tools, Measurement and Nutrition in Adults and Children.

Identify and describe any risks and consider what further information you would need to gain a full understanding of the child’s health. Think about how you could gather this information in a sensitive fashion.

Overweight child is vulnerable of getting associated complication that comes as result of being overweight. Some of the risk may include social, emotional, and physical complication. Physical complication may lead to breathing problems. In this case, asthma issue is common to children with overweight problems. More so, the child is likely to get obstruction while sleeping apnea disorder which affects breathing while sleeping. Development of high blood pressure and high cholesterol that contribute in the creation of plagues within arteries making them harden as well as narrowing. This condition may put the patient at risk of getting a heart attack or stroke in future. Still, the child is at risk of experiencing joint pain since excess weight exact pressure on knees and hips.Week 3: Assessment Tools, Measurement and Nutrition in Adults and Children.

In addition, in order to obtain full understanding of the child’s condition the provider may ask the child whether the parent act as good role models in the family unit. Still, it is essential to figure out what exactly the child field in their eating program. The provider will seek more information to understand whether the patient engages in any physical activities for some minutes or hour while at home. This will enable the provider to know how the body condition is as far as exercise is concerned. More so, it is important for the provider to inquire whether the child consumption is based on child portion in regard to the age and body mass. While gathering the information it is essential to exclude the patient from the patient to collect information direct from the child.

Questions

In order to gather detailed information that will further help in investigating the condition it is essential to include certain questions that will be answered by the parents. Such targeted questions include

How do you describe your current weight? The answer to this question will enable the provider gauge the parent’s mental health status depending with how they see it.
How do other family member look are they obese? This question will give a genetic relationship as compared to other members.
What does the family consume mostly in a day?

Two Strategies to Encourage Proactivity

In order to encourage a proactivity towards the child’s condition it is essential to consider and promote individual’s health. in this case, the initial step is to educate the parents on health nutrition as well as management. By so doing, the parent will be aware of the consequences and risk involved while raising a child. More so, while treating and managing the condition it is vital to ensure the parent understand the associated risk factors that may be developed as result of family history and health history. By so doing, this will enable the interventions to succeed and give positive outcome in regard to the presented case study.Week 3: Assessment Tools, Measurement and Nutrition in Adults and Children.

In addition, nutrition knowledge will be essential in rectifying the patient’s condition. This will include approaching a nutritionist to guide the parents on the best ways to portion the child’s plate which will entail the quantity to serve for veggies, fruits, and meat. Still, the consultant will inform the parents the effects of not meeting the required diet requirements. While informing the parent on diet the provider should seek to understand the parent’s literacy concerning health.Week 3: Assessment Tools, Measurement and Nutrition in Adults and Children.

The second strategy to use to an overweight child is encourage the parent to engage in physical exercises primarily aimed at making them active. By so doing, the child will learn how to do practices to burn more calories while engaging in active activities such as playing. For instance, the parents should ensure the child engage in physical activities for at least 60 minutes according to the plan. For instance, to keep the child active the parents will encourage playing of ball games, ridding a scooter, chasing games, see saws, and use of playground swings. Besides, engaging in physical activities will improves the health condition as well as reduce chances of getting other diseases such as cardiovascular as well as attaining long term health remedies.Week 3: Assessment Tools, Measurement and Nutrition in Adults and Children.

Conclusion

In summary, in order to assist the presented client to acquire health lifestyle and ways to manage such occurrence from happening, the provider needs to acquire detailed information on family history and physical activities of the patient. More so, by understanding the patient history and asking right questions will assist the provider on how to choose the right treatment and medication to treat the patient. Establishing a plan to gather information in a sensitive fashion plays a major role such plan includes creating a good rapport with the patient and the parent. This will enable involved characters to be honest, open, and eliminate fear of getting judged.

Introduction

Health Issues

Additional Information Needed

Overweight child is vulnerable of getting associated complication that comes as result of being overweight(Bombak, McPhail& Ward, 2016). Some of the risk may include social, emotional, and physical complication. Physical complication may lead to breathing problems. In this case, asthma issue is common to children with overweight problems. More so, the child is likely to get obstruction while sleeping apnea disorder which affects breathing while sleeping. Overweight leads to development of high blood pressure and high cholesterol that contribute in the creation of plagues within arteries making them harden as well as narrowing(Fan et al., 2019). This condition may put the patient at risk of getting a heart attack or stroke in future. Still, the child is at risk of experiencing joint pain since excess weight exact pressure on knees and hips.Week 3: Assessment Tools, Measurement and Nutrition in Adults and Children.

Questions

How do you describe your current weight? The answer to this question will enable the provider gauge the parent’s mental health status depending with how they see it.
How do other family member look are they obese? This question will give a genetic relationship as compared to other members.
What does the family consume mostly in a day?

Two Strategies to Encourage Proactivity

In order to encourage a proactivity towards the child’s condition it is essential to consider and promote individual’s health. In this case, the initial step is to educate the parents on health nutrition as well as management. By so doing, the parent will be aware of the consequences and risk involved while raising a child. More so, while treating and managing the condition it is vital to ensure the parent understand the associated risk factors that may be developed as result of family history and health history. By so doing, this will enable the interventions to succeed and give positive outcome in regard to the presented case study.

The second strategy to use to an overweight child is encourage the parent to engage in physical exercises primarily aimed at making them active(Stern et al., 2015). By so doing, the child will learn how to do practices to burn more calories while engaging in active activities such as playing. For instance, the parents should ensure the child engage in physical activities for at least 60 minutes according to the plan. For instance, to keep the child active the parents will encourage playing of ball games, ridding a scooter, chasing games, see saws, and use of playground swings. Besides, engaging in physical activities will improves the health condition as well as reduce chances of getting other diseases such as cardiovascular as well as attaining long term health remedies.Week 3: Assessment Tools, Measurement and Nutrition in Adults and Children.

Conclusion

Week 3: Assessment Tools, Measurement and Nutrition in Adults and Children.

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