Pediatric Journal

Christine McMillen

TRI-RIVERS SCHOOL OF NURSING

LPN TO RN Program

LPN to RN Transition Course

Pediatric Developmental Assessment and Interventions Assignment

Child’s Initials MD        Age 10    Gender F        Race Caucasian

1.        What brings this child to the school nurse’s office today?  Blood sugar check.

2.        Is there any significant medical history that remains pertinent to the case today? Type 1 diabetes, and gluten intolerance.

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3.        What interventions were used to manage this child’s condition? Insulin pump and patient education.

4.        What pertinent teaching was given [or would be indicated]? Pt. educated on diet.                   

5.        Was there a need to involve family in the course of caring for this child?  If so, how did the school nurse approach this?   Not at this time, Christy (school nurse) has spoke with parents previously.

6.        How did the school nurse communicate with the child?  The school nurse educated the patient on diet and importance of monitoring blood sugar.  Child verbalized understanding.

7.        If you were the nurse caring for this child, what interventions might you do for this child?                                                                                                                        issues.  I think a big challenge for this child would be diet since she has a gluten intolerance as well as diabetic diagnosis.  I would ask the child what kind of foods she enjoyed and base my education around her response, trying to incorporate foods she enjoys into my care plan.

Reason for presenting to the school nurse:

Cognitive / Intellectual Development

        The child was in the developmental age expected for Piaget’s stage of intellectual and cognitive development. The child was in the concrete operational stage. Although, during this stage children begin to think about how other people might think and feel which in this case may be difficult for the child because of her using an insulin pump and leaving class several times a day to have blood sugar monitored. Interventions, as discussed before, would include: diet and medication education.  Also the school nurse, Christy, is working on a presentation to present to the class regarding the patient’s diabetes diagnosis due to the child having difficulty at previous school.  Unfortunately, in this case, the difficulty was with the staff and not the students.  I believe Christy’s presentation will be very beneficial for the child.