NUR 634 Topic 15 DQ 2

Discussion: Review the physical exam techniques and communication and interpersonal skills outlined in the topic’s assigned Bates’ Physical Examination

NUR 634 Topic 15 DQ 2 Assessment Description

Review the physical exam techniques and communication and interpersonal skills outlined in the topic’s assigned Bates’ Physical Examination Videos and write a reflection on the following:

1. Identify three physical techniques that you learned from the videos.
2. Discuss 3 aspects of pediatric history or physical examination that differ from adult examination and support your response with two APRN references.
3. Identify two communication or interpersonal techniques you have learned to successfully interact with children in the health care environment.

Scholarly resources are not required.

American Association of Colleges of Nursing Core Competencies for Professional Nursing Education

This assignment aligns to AACN Core Competencies 1.2, 1.3.

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NUR 634 Topic 15 DQ 2 Sample

Bate’s physical examination videos have been crucial in my pediatric rotation. They have equipped me with the necessary skills that are crucial in my current and future practice. For instance, I have learned how to perform a head–to–toe examination for the pediatric population and the significance of any abnormal findings, such as bulging and sunken fontanelles. I can also identify dysmorphic features that are characteristic of certain diseases such as Down’s syndrome. Additionally, I have learned how to diagnose rickets based on physical examination findings (Gentile et al., 2021). The findings include hypotonia, rachitic rosary, widened metaphysis, and a pigeon-shaped chest. I have also learned how to examine patients likely to have malnutrition. NUR 634 Topic 15 DQ 2 I have learned how to perform a mid-upper arm circumference, head circumference, and abdominal circumference.

I have noted that some aspects of pediatric history and physical examination differ from those in adults. For example, while obtaining a history from the guardian, I have noted the importance of obtaining information about growth and developmental milestones (Tesfay et al., 2021). This enables the healthcare provider to identify if there were any delays in developmental milestones that may need further evaluation. In addition, I have also noted the importance of obtaining an immunization history for the child to ensure that the child’s vaccinations are up to date. NUR 634 Topic 15 DQ 2 I have also noted that the neonatal and early infancy physical examination has to include primitive reflexes examination to check for central nervous system activity.

During my rotation, I have learned the importance of using simple and easy-to-understand language while engaging with children. This enhances communication and understanding while allowing them to ask questions in areas they might not understand (Appiah et al., 2022). I have also learned the importance of incorporating play among the pediatric population to make the environment friendlier and reduce anxiety in the healthcare facility.

NUR 634 Topic 15 DQ 2 References

Appiah, E. O., Appiah, S., Kontoh, S., Mensah, S., Awuah, D. B., Menlah, A., & Baidoo, M. (2022). Pediatric nurse-patient communication practices at Pentecost Hospital, Madina: A qualitative study. International Journal of Nursing Sciences, 9(4), 481-489. https://doi.org/10.1016/j.ijnss.2022.09.009

Gentile, C., & Chiarelli, F. (2021). Rickets in Children: An Update. Biomedicines, 9(7). https://doi.org/10.3390/biomedicines9070738

Tesfay, H., Sebsibe, G., & Tesfaye, T. (2021). Practice of Early Childhood Developmental Milestone Assessment and Its Determinants Among Health Professionals Working at Public Hospitals in Addis Ababa, Ethiopia: A Cross-Sectional Study. Pediatric Health, Medicine and Therapeutics, 12, 521-532. https://doi.org/10.2147/PHMT.S300397  NUR 634 Topic 15 DQ 2