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Case Study Assessment Of Nutrition In Children Assignment Paper

Case Study Assessment Of Nutrition In Children Assignment Paper

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In the United States, childhood and adolescent obesity and overweight is a serious public health issue. Twenty percent of children and adolescents in the US are classified overweight or obese (CDC, 2022). According to studies, children of African American and Hispanic descent are the most severely impacted, indicating that the issue also has an ethnic component (Ells et al., 2018). Additional investigation has demonstrated that the social determinants of health (SDOH) that apply to poor disadvantaged minority communities and a vast majority of White people differ, which accounts for the ethnic discrepancy. For example, minority children from low-income families are unable to profit from frequent meals high in fresh fruits and vegetables, due to low family incomes or socioeconomic position. In addition to having numerous risk factors, being overweight or obese also includes a genetic component. This essay examines the situation of an 8-year-old boy who was born into a family of overweight parents.  Case Study Assessment Of Nutrition In Children Assignment Paper

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Health Risks and Issues Explained

Obesity and overweight pose numerous harmful health hazards. Initially, they increase the risk of tissue insulin resistance, which, if left unchecked, ultimately results in an occurrence of type II diabetes mellitus. Chronic diabetes therapy is necessary for this condition, which can lead to more severe problems such nephropathy (Hammer & McPhee, 2018). The emergence of hyperlipidemia, characterized by elevated triglyceride, low-density lipoprotein (LDL) cholesterol, and decreased high-density lipoprotein (HDL) cholesterol levels, represents the other risk. These increase the risk of acute coronary syndrome, which includes angina and myocardial infarction, and make one susceptible to coronary artery disease.

Obesity and overweight will also promote the emergence of high blood pressure. Regrettably, hypertension exacerbates the other chronic illnesses linked to obesity and overweight previously described. This indicates that being overweight or obese has a vicious cycle effect on one’s entire health risk picture.

Additional Information Required

To improve the assessment of the child’s weight-related health, further details are required. These details include (Ball et al., 2019; Dains et al., 2019): Case Study Assessment Of Nutrition In Children Assignment Paper

  1. Birth weight: It is critical to determine if the infant was overweight at birth. This could be an indication of pre-diabetes or gestational diabetes in the mother.
  2. Diet: It will be important to ascertain the kind of diet the youngster consumes on a regular basis. This is due to the fact that diet is crucial to the onset and management of obesity and overweight.
  3. Physical activity: It’s also critical to ascertain the child’s level of exercise outside of school. For example, if the youngster spends nearly the whole day indoors watching television instead of playing outside, this could contribute to their obesity.
  4. School feeding program: It is critical to ascertain the nutritional significance of the food the child is served at school (Jacob et al., 2019). For example, they might be consuming some unhealthy, low-cost, sugar-sweetened beverages.

Risks and Further Information Required Gaining a Complete Comprehension of the Child’s Health

Acute coronary syndrome (ACS), as well as long-term physical health issues, is a hazard as was previously mentioned. According to Hammer and McPhee (2018), the ailments include hypertension, hyperlipidemia, type II diabetes, and coronary artery disease. Also, a complete medical history in the past along with the family’s medical history will be crucial in identifying any genetic component to the overweight condition. This is crucial, particularly in light of the fact that both biological parents of the child are overweight as well.  Case Study Assessment Of Nutrition In Children Assignment Paper

Three Specific Questions for Gathering Further Information

The following three queries would be made while taking into consideration the parents’ and caregivers’ sensitivities as well as complete cultural sensitivity:

  • Does the youngster have a tendency to overindulge in junk food and sugar-sweetened refreshments?
  • Do you frequently purchase and cook fresh produce?
  • What activities does the youngster often engage in when not in school, at home?

Two Strategies for Encouraging the Parents to be Proactive on the Child’s Health and Weight

The child’s weight, health, and general wellness can all be improved by the parents and other caregivers using a variety of techniques. We talk about two of these here. The first is making sure the child is not exposed to inexpensive, sugar-sweetened beverages or junk food. The child receives money from their parents to purchase items, so they have some control over what the child purchases. To the extent that the parents’ financial ability permits, fresh fruits and vegetables will be served with every meal as part of this dietary approach. Limiting the child’s television viewing time while encouraging them to engage in physical activity like walking, jogging, running, or just playing with their friends are all part of the second tactic (Hampl et al., 2023)Case Study Assessment Of Nutrition In Children Assignment Paper. These will aid in burning calories.

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Conclusion

Overweight and obesity in children and teenagers is a serious public health concern in the United States. Because of this, parents and other adults who care for children are urged to follow up on the health and weight of any youngsters who may be overweight or obese. They have several options for how to go about doing this. Diet and exercise are the most effective.

References

Ball, J., Dains, J.E., Flynn, J.A., Solomon, B.S., & Stewart, R.W. (2019). Seidel’s guide to physical examination: An interprofessional approach, 9th ed. Elsevier.

Centers for Disease Control and Prevention [CDC] (2022, April 01). Childhood overweight & obesity. http://www.cdc.gov/obesity/childhood/

Dains, J.E., Baumann, L.C., & Scheibel, P. (2019). Advanced health assessment and clinical diagnosis in primary care, 6th ed. Elsevier Mosby.

Ells, L.J., Rees, K., Brown, T., Mead, E., Al-Khudairy, L., Azevedo, L., McGeechan, G.J., Baur, L., Loveman, E., Clements, H., Rayco-Solon, P., Farpour-Lambert, N., & Demaio, A. (2018). Interventions for treating children and adolescents with overweight and obesity: An overview of Cochrane reviews. International Journal of Obesity42(11), 1823–1833. https://doi.org/10.1038/s41366-018-0230-y

Hammer, D.G., & McPhee, S.J. (Eds). (2018). Pathophysiology of disease: An introduction to clinical medicine, 8th ed. McGraw-Hill Education.

Hampl, S.E., Hassink, S.G., Skinner, A.C., Armstrong, S.C., Barlow, S.E., Bolling, C.F., Avila Edwards, K.C., Eneli, I., Hamre, R., Joseph, M.M., Lunsford, D., Mendonca, E., Michalsky, M.P., Mirza, N., Ochoa, E.R., Sharifi, M., Staiano, A.E., Weedn, A. E., Flinn, S.K., … Okechukwu, K. (2023). Executive summary: Clinical practice guideline for the evaluation and treatment of children and adolescents with obesity. Pediatrics, 151(2). https://doi.org/10.1542/peds.2022-060641

Jacob, C.M., Hardy-Johnson, P.L., Inskip, H.M., Morris, T., Parsons, C.M., Barrett, M., Hanson, M., Woods-Townsend, K., & Baird, J. (2019). A systematic review and meta-analysis of school-based interventions with health education to reduce body mass index in adolescents aged 10 to 19 years. International Journal of Behavioral Nutrition and Physical Activity, 18(1), 1-22. https://doi.org/10.1186/s12966-020-01065-9 Case Study Assessment Of Nutrition In Children Assignment Paper

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.

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.

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.

PROMPT / CASE STUDY FOR ASSIGNMENT:

8-year-old overweight male foster child with normal weight foster parents and overweight biological parents.

  • 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 they relate 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. Case Study Assessment Of Nutrition In Children Assignment Paper

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.

RESOURCES / AVAILABLE REFERENCES:

  • Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2023). Seidel’s guide to physical examination: An interprofessional approach(10th ed.). St. Louis, MO: Elsevier Mosby.
    • Chapter 3, “Examination Techniques and Equipment”
      This chapter explains the physical examination techniques of inspection, palpation, percussion, and auscultation. This chapter also explores special issues and equipment relevant to the physical exam process.
    • Chapter 8, “Growth and Nutrition”
      In this chapter, the authors explain examinations for growth, gestational age, and pubertal development. The authors also differentiate growth among the organ systems.
  • Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Student checklist: Health history guideDownload Student checklist: Health history guide. In Seidel’s guide to physical examination (9th ed.). St. Louis, MO: Elsevier Mosby.
    Credit Line:  Seidel’s Guide to Physical Examination, 9th Edition by Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. Copyright 2019 by Elsevier Health Sciences. Reprinted by permission of Elsevier Health Sciences via the Copyright Clearance Center.
  • Centers for Disease Control and Prevention. (2021, April 9). Childhood overweight & obesityLinks to an external site..http://www.cdc.gov/obesity/childhood/
    This website provides information about overweight and obese children. Additionally, the website provides basic facts about obesity and strategies to counteracting obesity.
  • Dains, J. E., Baumann, L. C., & Scheibel, P. (2019). Advanced health assessment and clinical diagnosis in primary care (6th ed.). St. Louis, MO: Elsevier Mosby.
    Credit Line: Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th Edition by Dains, J.E., Baumann, L. C., & Scheibel, P. Copyright 2019 by Mosby. Reprinted by permission of Mosby via the Copyright Clearance Center.

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    • Chapter 1, “Clinical Reasoning, Evidence-Based Practice, and Symptom Analysis”
      This chapter introduces the diagnostic process, which includes performing an analysis of the symptoms and then formulating and testing a hypothesis. The authors discuss how becoming an expert clinician takes time and practice in developing clinical judgment.
  • Nyante, S. J., Benefield, T. S., Kuzmiak, C. M., Earnhardt, K., Pritchard, M., & Henderson, L. M. (2021). Population‐level impact of coronavirus disease 2019 on breast cancer screening and diagnostic procedures Links to an external site..Cancer, 127(12), 2111–2121. https://doi.org/10.1002/cncr.33460
  • Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2011). History subjective data checklist. In Mosby’s guide to physical examination(7th ed.). St. Louis, MO: Elsevier Mosby.
    Credit Line: Mosby’s Guide to Physical Examination, 7th Edition by Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. Copyright 2011 by Elsevier. Reprinted by permission of Elsevier via the Copyright Clearance Center.
  • Sullivan, D. D. (2019). Guide to clinical documentation(3rd ed.). Philadelphia, PA: F. A. Davis.
    • Chapter 2, “The Comprehensive History and Physical Exam” (Previously read in Week 1)
    • Chapter 5, “Pediatric Preventative Care Visits” (pp. 91 101) Case Study Assessment Of Nutrition In Children Assignment Paper

 

Criteria Ratings Pts
This criterion is linked to a Learning OutcomeIn 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
This criterion is linked to a Learning OutcomeDescribe 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
This criterion is linked to a Learning OutcomeIdentify 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 sensitive to the child.

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 how to gather that information in a way that is sensitive to the child.

20 pts
This criterion is linked to a Learning OutcomeTaking 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
This criterion is linked to a Learning OutcomeProvide 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
This criterion is linked to a Learning OutcomeWritten 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
This criterion is linked to a Learning OutcomeWritten 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
This criterion is linked to a Learning OutcomeWritten Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running heads, parenthetical/in-text citations, and reference list.
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.

 

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