Case Study Assignment: Assessment of Nutrition in Children Paper

Case Study Assignment: Assessment of Nutrition in Children Paper

Case Study Assignment: Assessment of Nutrition in Children Paper

Case Study Assignment: Assessment of Nutrition in Children Sample Paper

I will describe the circumstances surrounding a critically underweight 7-year-old Hispanic girl in this week’s assignment. She is in the second grade and splits her weekends between her normal-weight father and her obese mother. Severely underweight children frequently exhibit a body mass index (BMI) that falls below the recommended range of the 5th to 85th percentile on the growth charts provided by the Centers for Disease Control and Prevention (CDC) (South et al., 2022).

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Health issues and Risks for this child

In this example, the 7-year-old Hispanic girl is extremely underweight, putting her at risk for a range of health issues. She is more prone to infections and illnesses and may struggle to recover from them. Very underweight children have shortages in major or minor macronutrients, which leads to immunological dysfunction (Zaidman et al., 2022). Most antibodies and immunological mediators are protein or lipid in origin, and they are spared and not used during starvation episodes, instead being used as a source of energy for other metabolic processes. This causes immunosuppression, increased vulnerability to infections, and possibly mortality due to low levels of antibodies and other immunological mediators. She may also have growth and development issues, both physically and mentally.

This child’s underweight status might be due to malabsorption or poor eating patterns, which lead to a lack of vital vitamins and minerals necessary for bone growth and brain development (Golubnitschaja et al., 2021). Because of insufficient calcium deposition, the kid is in danger of rickets, as well as cognitive impairments such as lower IQ scores and learning deficits caused by thiamine deficiency. Furthermore, being underweight might strain her organs, and she may struggle to obtain the nutrients she needs from meals, predisposing her to severe acute malnutrition and other associated comorbidities. Finally, because of the stress of her condition, the 7-year-old in this scenario is at risk for emotional and behavioral disorders. Her underweight state may lead to bullying from her classmates, exacerbating her emotional problems.

Additional Information for Further Assessment

It would be crucial to learn more about the child’s history, food, level of exercise, and any medical issues or medicines she may be taking to do a more thorough assessment of her weight-related health. I would ask for more information about the child’s weight history, including any changes over time, diet details, including how much and what kinds of food she typically eats, activity level details, including how much and what kinds of physical activity she typically gets, and any medications the child is taking that could contribute to her being underweight (South et al., 2022). By knowing this information, it will be possible to identify whether she is underweight for a reason and whether her weight puts her in danger of any health issues.

Risks and Considerations

The kid is vulnerable to malnutrition and its related health issues. The child’s weight may be influenced by the parents’ weight status. She could not be receiving enough nourishing food at home if she lives with her obese mother during the week and her normal-weight father on the weekends (Golubnitschaja et al., 2021). Additionally, if her parents are overweight, they may not be setting a good example for the child when it comes to eating well. The child is also in danger of malnutrition due to her weight. To determine whether the kid has been receiving adequate, quality food, or has a malabsorption condition, I would ask for further details about the child’s diet, including the quantity, frequency, and kind of food. To calculate the child’s energy consumption, I would also want to know how active they are. If the kid is taking any drugs or has any medical issues that might exacerbate malnutrition, I would want to know about them. Information on the family dynamics would be necessary to fully comprehend the child’s health, since certain household customs may have contributed to the condition that led to underweight. Interviews with the kid, the child’s parents, and the child’s teachers, as well as careful monitoring of the child’s eating and activity patterns, might be used to gently acquire this information.

Additional Questions

Considering how the kid is doing, the parents’ possible sensitivity, the child’s weight, and their activities To evaluate the child’s health, I would pose the following question.

• What kind of daily schedule does the kid have?
• What do you usually feed the kid for meals and snacks?
• What kind of appetite does the child have, and does he have any changes in how he eats or chews his food?

To better comprehend the child’s eating and exercise routines, it is crucial to gain a sense of her daily schedule (Odei Obeng Amoako et al., 2022). Additionally, it’s critical to comprehend the child’s regular diet to spot any possible nutritional deficits. The kid should also be questioned about any changes in appetite and any problems chewing or eating since these might indicate malnutrition, which may be a role in the child’s low weight.

Strategies to address the patient’s weight-related health

I would collaborate with the parent to develop a strategy that would encourage the kid to eat more healthfully and exercise more often to make sure the youngster reaches and maintains a healthy weight. The first step is to have a conversation with the parents or other primary caregivers and emphasize the value of a healthy diet and frequent exercise (Zaidman et al., 2022). The next step is to create a standard chart with appropriate serving sizes for nutritious meals, snacks, and chances for exercise. This would include urging the parent to boost their consumption of protein, vitamins, and regionally accessible supplements each day. Additionally, I would collaborate with the parents or other primary caregivers to identify any obstacles to the youngster eating healthier or exercising more, and then support them in coming up with solutions.

Conclusion

The patient, who is 7 years old, is severely underweight. She is more prone to diseases and infections and may find it harder to recover from them. Very underweight children have significant or small micronutrient deficiencies, which compromise their immune systems. It would be crucial to learn more about the child’s past, food, level of exercise, and any medical issues or medicines she may be taking to examine her weight-related health in further detail. I would work with the parent to create a plan that would motivate the child to eat healthier and exercise more often to ensure that the child achieves and maintains a healthy weight.

References

Golubnitschaja, O., Liskova, A., Koklesova, L., Samec, M., Biringer, K., Büsselberg, D., Podbielska, H., Kunin, A. A., Evsevyeva, M. E., Shapira, N., Paul, F., Erb, C., Dietrich, D. E., Felbel, D., Karabatsiakis, A., Bubnov, R., Polivka, J., Polivka, J., Birkenbihl, C., & Fröhlich, H. (2021). Caution, “normal” BMI: health risks associated with potentially masked individual underweight—EPMA Position Paper 2021. EPMA Journal, 12(3). https://doi.org/10.1007/s13167-021-00251-4

Odei Obeng‐Amoako, G. A., Stobaugh, H., Wrottesley, S. V., Khara, T., Binns, P., Trehan, I., Black, R. E., Webb, P., Mwangome, M., Bailey, J., Bahwere, P., Dolan, C., Boyd, E., Briend, A., Myatt, M. A., & Lelijveld, N. (2022). How do children with severely underweight and waste respond to treatment? A pooled secondary data analysis to inform future intervention studies. Maternal & Child Nutrition, 19(1). https://doi.org/10.1111/mcn.13434

South, C. A., Keown-Stoneman, C. D. G., Birken, C. S., Malik, V. S., Zlotkin, S. H., Maguire, J. L., Birken, C., Maguire, J., Allen, C., Anderson, L., Arafeh, D., Jaleel, M., Keown-Stoneman, C., Levy McFarlane, N., Omand, J., Aglipay, M., Bayoumi, I., Borkhoff, C., Carsley, S., & Cost, K. (2022). Underweight in the First 2 Years of Life and Growth in Later Childhood. JAMA Network Open, 5(7), e2224417. https://doi.org/10.1001/jamanetworkopen.2022.24417

Zaidman, E. A., Scott, K. M., Hahn, D., Bennett, P., & Caldwell, P. H. (2022). Impact of parental health literacy on the health outcomes of children with chronic disease globally: A systematic review. Journal of Paediatrics and Child Health, 59(1). https://doi.org/10.1111/jpc.16297

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*Assignment Option 2: Child Health Case:
Case #1

• 7 year old severely underweight Hispanic female in 2nd grade who lives with her overweight mom during the week and her normal-weight father on the weekends.

You are allowed to make up information regarding the details of the case, medications, vital signs and development of the suggested case.

For this Assignment, you will  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.

• 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.
  • Based on the risks you might identify 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.
• Assignment (3–4 pages, not including title and reference pages):

  Assignment: Child Health Case:
  Include the following:

• An explanation of the health issues and risks that are relevant to the child you were assigned.
• 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.
• Provide at least two strategies you could employ to encourage the parents or caregivers to be proactive about their child’s health and weight.
• course resources are linked here and below. https://www.cdc.gov/obesity/childhood/

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Criteria	Ratings					Pts
In 3–4 pages, address the following: An explanation of the health issues and risks that are relevant to the child you were assigned.	25 to >24.0 pts Excellent The response clearly, accurately, and in detail explains the relevant health issues and risks for the assigned child.	24 to >23.0 pts Good The response accurately explains the relevant health issues and risks for the assigned child.	23 to >17.0 pts Fair The response vaguely and with some inaccuracy explains the relevant health issues and risks for the assigned child.		17 to >0 pts Poor The response is inaccurate and/or missing explanations of the relevant health issues and risks for the assigned child.	25 pts
Describe additional information you would need in order to further assess his or her weight-related health.	25 to >24.0 pts Excellent The response clearly and accurately describes detailed additional information needed to further assess the child’s weight-related health.	24 to >23.0 pts Good The response accurately describes additional information needed to further assess the child’s weight-related health.	23 to >17.0 pts Fair The response vaguely and with some inaccuracy describes additional information needed to further assess the child’s weight-related health.		17 to >0 pts Poor The response is inaccurate and/or missing a description of additional information needed to further assess the child’s weight-related health.	25 pts
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.	20 to >17.0 pts Excellent The response clearly and accurately identifies and describes in detail any risks to the child’s health. The response clearly and accurately identifies and describes in detail further information needed to gain a full understanding of the child’s health, with a detailed explanation of how to gather that information in a way that is	17 to >14.0 pts Good The response accurately identifies and describes any risks to the child’s health. The response accurately identifies and describes further information needed to gain a full understanding of the child’s health, with a clear explanation of how to gather that information in a way that is sensitive to the child.	14 to >13.0 pts Fair The response vaguely and with some inaccuracy identifies and describes any risks to the child’s health. The response vaguely identifies and describes further information needed to gain a full understanding of the child’s health, with a vague explanation of how to gather that information in a way that is sensitive to the child.	13 to >0 pts Poor The response identifies inaccurately and/or is missing descriptions of any risks to the child’s health. The response identifies inaccurately and/or is missing descriptions of further information needed to gain a full understanding of the child’s health, with an inadequate or missing explanation of		20 pts

 

Criteria	Ratings							Pts
	sensitive to the child.						how to gather that information in a way that is sensitive to the child.
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.	10 to >9.0 pts Excellent The response clearly and accurately lists three or more specific questions that would gather more information about the child. Specific questions are carefully worded to clearly demonstrate sensitivity to the parent(s) or caregiver(s) of the child.		9 to >8.0 pts Good The response lists three specific questions that would gather more information about the child. Specific questions are worded to demonstrate sensitivity to the parent(s) or caregiver(s) of the child.		8 to >7.0 pts Fair The response lists three questions with wording that is vague and lacking specificity for gathering more information about the child. Some wording of the questions lacks sensitivity to the parent(s) or caregiver(s) of the child.		7 to >0 pts Poor The response lists two or fewer confusing or inadequate questions, or is missing questions, for gathering more information about the child. Wording of questions provided lacks sensitivity to the parent(s) or caregiver(s) of the child.	10 pts
Provide at least two strategies you could employ to encourage the parents or caregivers to be proactive about their child’s health and weight.	5 to >4.0 pts Excellent The response clearly describes two or more detailed strategies to encourage the parent(s) or caregiver(s) to be proactive about the child’s health and weight.	4 to >3.0 pts Good The response describes at least two strategies to encourage the parent(s) or caregiver(s) to be proactive about the child’s health and weight.		3 to >2.0 pts Fair The response vaguely describes two strategies to encourage the parent(s) or caregiver(s) to be proactive about the child’s health and weight.		2 to >0 pts Poor The response inadequately describes one strategy or is missing strategies to encourage the parent(s) or caregiver(s) to be proactive about the child’s health and weight.		5 pts

Criteria	Ratings										Pts
Written Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well- developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused– neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria.	5 to >4.0 pts Excellent Paragraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria.			4 to >3.0 pts Good Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. Purpose, introduction, and conclusion of the assignment are stated, yet are brief and not descriptive.			3 to >2.0 pts Fair Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time. Purpose, introduction, and conclusion of the assignment are vague or off topic.			2 to >0 pts Poor Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. No purpose statement, introduction, or conclusion were provided.	5 pts
Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation	5 to >4.0 pts Excellent Uses correct grammar, spelling, and punctuation with no errors.	4 to >3.0 pts Good Contains a few (1 or 2) grammar, spelling, and punctuation errors.			3 to >2.0 pts Fair Contains several (3 or 4) grammar, spelling, and punctuation errors.			2 to >0 pts Poor Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.			5 pts
Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running heads, parenthetical/in-text	5 to >4.0 pts Excellent Uses correct APA format with no errors.		4 to >3.0 pts Good Contains a few (1 or 2) APA format errors.			3 to >2.0 pts Fair Contains several (3 or 4) APA format errors.				2 to >0 pts Poor Contains many (≥ 5) APA format errors.	5 pts

Criteria	Ratings				Pts
citations, and reference list.
Total Points: 100