| Discussion reply to
Dear writer, i need a discussion reply to a fellow classmate clinical experience post for an FNP pediatric class clinic rotation. Please do not critique the actual paper but rather expand on her original points and or add opinion if needed. I will in addition attach the class book.
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This week was active in the pediatric clinic with many children and families getting back into their normal routine. Although many families are slightly apprehensive and hesitant about getting to their normal lives again, they are all taking the proper precautions to keep themselves and their children safe during the pandemic. One of the children seen this was a young boy of 6 years old in the clinic for a persistent cough, a runny nose with yellow phlegm drainage, and a bilateral earache, for the last three days. The boy complains of having an itchy throat and has spiked a fever of 100.7 on the first night, but both of which have resolved themselves at today’s clinic visit. The mother states that she gave the boy Tylenol on the first night that fever was seen, but has not had another episode of having fever since. The boy also points to his abdominal area and has stated his “tummy hurts”. I along with my preceptor begin to ask the parents a myriad of questions including, “Has the child had a fever today?”. His parents state that he has not. His parents state they have not seen any vomiting, constipation, loose stools, or changes in appetite in the boy, which the parents state they have not seen any of these symptoms in their son. In the assessment portion of the meeting with the child and the family, the child was noted to have yellow discharge from his nose, a temperature of 97.9, a soft abdomen, the lungs was clear and free of any wheezing or adventitious breath sounds. The back of the boy’s throat has swollen, red areas and his inner ears were bright red on assessment.
After assessing the child and gathering all the information needed from the boy’s parents, my preceptor and I concluded that all the symptoms this boy was experiencing were likely from a viral infection. The doctor would prescribe the boy Amoxicillin, an antibiotic to be taken 250 mg/5 ml every 8 hours for 10 days to assist in clearing the viral infection from the boy. From the child health perspective, the appropriate use of antibiotics is critically important, given their wide use in children, and the impact of infections on child morbidity and mortality. The World Health Organization (WHO) has been instrumental in producing an Essential Medicines List for Children to help prescribers choose the most appropriate pediatric medicines, including antibiotics (Ivanovska, 2018). The parents were also prescribed Bromfed DM an antihistamine which will help the child’s cough, itching, sneezing, and watery nose. They were to give the child 5 ml, or 1 teaspoon every 5 hours. The parents were also educated on others over the counter options they can use for the child, including Robitussin and Mucinex. The parents were also educated on how to assist the child in treating his tummy aches. This included providing a bland diet for the child, and withholding any fast food, fried foods, juices, sodas, and including probiotics in the diet.
Child health checkups are one of the public support services aiming to promote the healthy development of children. The purpose of the checkups is not only to detect diseases but also to reduce parents’ anxiety about child-rearing and to observe children’s development. Child health checkups are a valuable chance to support children (Shioda, 2016). Education played a key factor in the success of this week’s clinical rotation in the pediatric clinic. Educating the parents on the health in their children I believe creates a closer bond with the child and their caregiver and also creates a bond between the child, the caregiver, and their health care provider.
Ivanovska, V., Hek, K., Mantel-Teeuwisse, A. K., Leufkens, H. G., & van Dijk, L. (2018). Age-specific antibiotic prescribing and adherence to guidelines in pediatric patients in primary care. The Pediatric infectious disease journal, 37(3), 218-223. DOI: https://doi.org/10.1097/INF.0000000000001757
Shioda, T., Matsuura, M., Fukuda, Y., Takahashi, K., & Yamaoka, K. (2016). Social and household factors affecting child health checkup attendance based on a household survey in Japan. Industrial health, 54, 488-497. DOI: https://doi.org/10.2486/indhealth.2016-0057