Fluent Essays

Please read transcript, I was unable to find the video online so I uploaded the transcript of it.  Review the rubric regarding the information needed for the assignment. An example is provided. [NOISE] >> [INAUDIBLE] >> Well, Hello, good morning to you. My name is Jim. >> All right. >> And I'm your nurse for today. Stacy will be your nurse practitioner, but she just wants me to go over some simple things, just to ask you all about your son. Is that okay? >> Uh-huh. >> All right, well, let's get started. Since your last visit, has there been any major illnesses, hospitalizations, changes, or stresses for your family or child? >> I was in a car accident a couple of months ago, and the pain is really bad, so I haven't been to work for a couple of months, yeah. That's about it. >> Okay, is your child taking a vitamin supplement? >> Yeah. >> Has your child ever had a reaction to a vaccine? >> No but he has all his shots, they're all up to date. I make sure I track of that. >> Is your child still on a bottle? >> Yeah, like about he can [INAUDIBLE] at the hospital he has exciting ones, I just give him meds. And then he's kind of keeps him occupied because it has like some kind of like mountain view or so I could catch them all day and then you don't want to. >> Very well. Does your child sleep through the night? >> Sometimes he sleeps for 10 hours, and I have to get him up. I have to push and push and get him up, and it's rough. I think, I feel like I need some Xanax. Because my anxiety just gets up and sometimes I can't get him to sleep. So if he could get some Xanax or some Benadryl or something to put him to sleep, that would be great. >> Does your child drink or eat food prepared with tap water? >> Yeah. >> Do you have any questions or concerns about your child's bowel movements? >> No. [INAUDIBLE] >> Okay, do you brush your child's teeth with water every day? >> I brush it in the morning and at night. >> Does your child hear and see well? Is there a TV in your child's bedroom? >> [INAUDIBLE] I have to say [INAUDIBLE] [LAUGH]. Okay I'm sorry, what was that? >> Yeah, is there a television in your child's bedroom? >> Yeah, he watches TV every night. That's how he goes to sleep. >> Do you play and read with your child every day? >> I've been trying to play with him, to make sure- [MUSIC] Things is he's always on my phone. No, don't do that. No, don't touch my phone. He's always on my phone. I try to like even like these puzzles, I got him these, and it's like a jigsaw. And he loves cars, so I don't understand why he can't do it. And see, I'll give him the puzzle, look, he don't even know how to put it together. So that's what we're here today at the doctors office, to make sure everything right. >> Okay, we get some nice question. Do you have any concerns about tantrums or disciplining your child? >> No, I tell him no all the time. Like no, no, don't touch that. See, he still touched it. No. >> How about choking? Do you know what to do if your child is choking? >> Do you always cook on the back burners of your stove? Okay, what about the pothead was he keep those pointed away? >> Yeah, he can't get burnt, >> Okay. >> He can't reach out there. >> If you have stairs in your home, do you have a safety gate at the bottom and the top of the stairs? >> Yeah, it's at the bottom and top. We got it too at the basement doors, too, at the top and the bottom. >> Do you keep all medications, household cleaning products, poisons, in a cabinet and kind of out of reach from him? >> Yeah, but, so like sometimes I forget where I put my cigarettes. I have a cigarette and on the floor I'm gonna have one table here around because one time he grabbed a cigarette and he started chewing on it and I was okay because you [INAUDIBLE] he wants to get swallowed up and he almost swallowed it. I think he swallowed it I'm not really sure. I thought he was in control because I got that phone number in my phone. That's what got me last time. So, yeah, we try to make sure we keep [INAUDIBLE] my cigarette. Sometimes I smoke in the living room, or the kitchen, or the bedroom. But I made sure that I don't smoke in his bedroom. But I smoke everywhere else but just not in his bedroom, because that's where he is. >> Okay. And you said you have the poison controls number in your phone. >> Yeah. >> Okay, so you get it readily available in your house, in other places as well too? >> Yeah, I got that. >> Do you place your baby in the car seat, facing backwards in the backseat? >> No, he faces forward, just like everybody else in the car. When I turn around, when I'm driving, I need to be able to see him. >> Do you watch your child at all times around water, like in a bathtub, pools, the ocean? >> Yeah, >> Does your child show affection by hugging or kissing you? >> Yeah, all the time, watch. Hey, bud, give mom a kiss. Give mom a kiss. Give mom a kiss. Give mom a kiss. [SOUND] Yeah, give mom a kiss. >> Yeah buddy. Does your child walk well? >> Yes. >> Does he say two to three words at a time? >> Yeah. [INAUDIBLE] >> What about things that you do? Does he imitate you or does he imitate activities? >> Yeah, he [INAUDIBLE] >> Does he try to feed himself with a spoon or fork? Does he follow simple directions? >> Yeah, he does. The phone ringing, hold on one second I probably. A text another. >> Okay I have a couple more questions for you. >> Okay. >> Then I'll be out your way all right. >> All right, okay. >> Does your child listen to a story? >> Yeah, we love stories. I just have to read? >> Yeah. >> Watch. Read. Read. Yeah. Iguana baby. Turn the page. Turn the page. Good job. >> All right, big man, and final question, does your child indicate what he wants about pulling or tugging or groaning, pointing no draw some kind of action? >> Sometimes I get appointed was a male male or something, you know. He'll be like [INAUDIBLE], so I'll be [INAUDIBLE]. What's the better. >> Okay, wow. >> [INAUDIBLE], stuff like that. You don't throw that to my anxiety pills. Always throwing my pills away. They gave them to me after my car accident because my nerves was bad. Here, put that right there. Pills everywhere. Yeah, put it back in the, put them back where you got in from. >> Okay, well, that's my phone press. That's my final question. That's all the info I need from you right now. Like I said, a follow on me Stacy will be right in and she's gonna follow up everything else. Okay. All right, so she'll be right in just a few minutes are thank you so much for your time. Requirements 1. Read transcript 2. As you review the video, observe the parent-child and the parent-provider interactions. Pay particular attention to the parent's responses to the provider's questions making note of inappropriate and appropriate responses. 3. Choose five (5) topics from the following categories to complete the assignment: · Cognitive Developmental Milestones · Physical Developmental Milestones · Social-Emotional Developmental Milestones · Safety · Alcohol/Substance Use · Environmental Health Risks · Temper Tantrums and Discipline · Sleep Routines · Car Seat Safety · Healthy Teeth 4. You will develop and complete a table for each one of the five (5) categories using the example below as a guide. (Note: There are at least 10 categories addressed in the video, you must choose five (5) and create a separate table for each one). 5. For each of the tables, complete each section: 5. Issue: Category name 5. Negative interaction/behavior: What did you see or hear that was inappropriate? 5. Positive interaction/behavior: What did you see that was appropriate? 5. Guidelines/recommendation: What does the research recommend? 5. Scholarly reference: Must be in APA format within the table. 5. Professional/Ethical Communication: How will provide non-judgmental and non-bias education regarding issue identified? Needs to be at least 3 sentences. Helpful Hints: Acknowledge how they feel, state the facts and provide education or re-frame the approach. 1. Scholarly references should be peer-reviewed, preferably a Clinical Practice Guideline (CPG), intended for providers (MDs, NPs) and no more than 5 years old (unless it is a clinical practice guideline's most recent update). Preparing the Paper 1. The table provided below is an example only. It cannot be used to satisfy the requirements for any part of the assignment. 2. You may format your tables according to your preference, but APA format is required for the reference column. You must complete tables for 5 categories/issues EXAMPLE: Clinical Pearl Issue # 1 Category NUTRITION Issue - Pertinent Negative What did you see that was inappropriate? Mom stated she feeds her son a McDonald's happy meal every night for dinner and makes sure he gets fruit punch soda, so that he can have his fruit for the day. Pertinent Positive What did you see that was appropriate? Mom's awareness of the importance of fruit in her child's diet. Guidelines or Recommendations Offer variety of healthy foods such as whole-grain breads, cheese, yogurt, cooked lean meat, poultry, fish, eggs, fruits and vegetables. Give 2 cups (16 oz.) of milk per day. Use whole milk to help with growth and development. Reference Hagan, Jr, J.F., Shaw, J.S., & Duncan, P.M. (2017). Bright futures: Guidelines for health supervision of infants, children, and adolescents. (4th ed.). https://brightfutures.aap.org/Bright%20Futures%20Documents/BF4_POCKETGUIDE.pdf Professional/Ethical Communication by Nurse Practitioner to Parent How will you provide non-judgmental and non-bias education regarding issue identified? Needs to be at least 3 sentences. Helpful Hints: · Acknowledge how they feel. · State the facts. · Provide education or re-frame the approach. "I see that you are trying to give your son fruit within his diet. For his age, fruit is very important for his growth and development. McDonald's has the option to substitute French-fries for apple slices or you can provide your son with milk instead of fruit punch or soda. Those are a few ways that you can help to introduce fruit and limit soda." Rubric Clinical Pearl Case Study Assignment Clinical Pearl Case Study Assignment Criteria Ratings Pts This criterion is linked to a Learning OutcomeTable #1 The student includes all of the required elements: 1. A single issue or topic is chosen and identified by the category name. 2. The student notes one negative interaction or behavior for the chosen issue (i.e., what was seen or heard that was inappropriate). 3. The student notes one positive interaction or behavior for the chosen issue (i.e., what was seen or heard that was appropriate). 4. The student provides the current recommendation for the identified issue. 5. Reference is listed in APA format and is a scholarly source (peer reviewed, intended for providers and within the last 5 years unless it is the latest edition of a CPG). 6. Professional/Ethical Communication: The student demonstrates how to provide non-judgmental and non-bias education regarding the issue identified (which is at least 3 sentences). (6 required elements) 20 pts Excellent All 6 elements are present. 19 pts Very Good 5 elements are present. 18 pts Satisfactory 4 elements are present. 10 pts Needs Improvement 3-4 elements are present. 0 pts Unsatisfactory 0-1 elements are present. 20 pts This criterion is linked to a Learning OutcomeTable #2 The student includes all of the required elements: 1. A single issue or topic is chosen and identified by the category name. 2. The student notes one negative interaction or behavior for the chosen issue (i.e., what was seen or heard that was inappropriate). 3. The student notes one positive interaction or behavior for the chosen issue (i.e., what was seen or heard that was appropriate). 4. The student provides the current recommendation for the identified issue. 5. Reference is listed in APA format and is a scholarly source (peer reviewed, intended for providers and within the last 5 years unless it is the latest edition of a CPG). 6. Professional/Ethical Communication: The student demonstrates how to provide non-judgmental and non-bias education regarding the issue identified (which is at least 3 sentences). (6 required elements) 20 pts Excellent All 6 elements are present. 19 pts Very Good 5 elements are present. 18 pts Satisfactory 4 elements are present. 10 pts Needs Improvement 3-4 elements are present. 0 pts Unsatisfactory 0-1 elements are present. 20 pts This criterion is linked to a Learning OutcomeTable #3 The student includes all of the required elements: 1. A single issue or topic is chosen and identified by the category name. 2. The student notes one negative interaction or behavior for the chosen issue (i.e., what was seen or heard that was inappropriate). 3. The student notes one positive interaction or behavior for the chosen issue (i.e., what was seen or heard that was appropriate). 4. The student provides the current recommendation for the identified issue. 5. Reference is listed in APA format and is a scholarly source (peer reviewed, intended for providers and within the last 5 years unless it is the latest edition of a CPG). 6. Professional/Ethical Communication: The student demonstrates how to provide non-judgmental and non-bias education regarding the issue identified (which is at least 3 sentences). (6 required elements) 20 pts Excellent All 6 elements are present. 19 pts Very Good 5 elements are present. 18 pts Satisfactory 4 elements are present. 10 pts Needs Improvement 3-4 elements are present. 0 pts Unsatisfactory 0-1 elements are present. 20 pts This criterion is linked to a Learning OutcomeTable #4 The student includes all of the required elements: 1. A single issue or topic is chosen and identified by the category name. 2. The student notes one negative interaction or behavior for the chosen issue (i.e., what was seen or heard that was inappropriate). 3. The student notes one positive interaction or behavior for the chosen issue (i.e., what was seen or heard that was appropriate). 4. The student provides the current recommendation for the identified issue. 5. Reference is listed in APA format and is a scholarly source (peer reviewed, intended for providers and within the last 5 years unless it is the latest edition of a CPG). 6. Professional/Ethical Communication: The student demonstrates how to provide non-judgmental and non-bias education regarding the issue identified (which is at least 3 sentences). (6 required elements) 20 pts Excellent All 6 elements are present. 19 pts Very Good 5 elements are present. 18 pts Satisfactory 4 elements are present. 10 pts Needs Improvement 3-4 elements are present. 0 pts Unsatisfactory 0-1 elements are present. 20 pts This criterion is linked to a Learning OutcomeTable #5 The student includes all of the required elements: 1. A single issue or topic is chosen and identified by the category name. 2. The student notes one negative interaction or behavior for the chosen issue (i.e., what was seen or heard that was inappropriate). 3. The student notes one positive interaction or behavior for the chosen issue (i.e., what was seen or heard that was appropriate). 4. The student provides the current recommendation for the identified issue. 5. Reference is listed in APA format and is a scholarly source (peer reviewed, intended for providers and within the last 5 years unless it is the latest edition of a CPG). 6. Professional/Ethical Communication: The student demonstrates how to provide non-judgmental and non-bias education regarding the issue identified (which is at least 3 sentences). (6 required elements) 20 pts Excellent All 6 elements are present. 19 pts Very Good 5 elements are present. 18 pts Satisfactory 4 elements are present. 10 pts Needs Improvement 3-4 elements are present. 0 pts Unsatisfactory 0-1 elements are present. 20 pts This criterion is linked to a Learning OutcomeLate penalty deductions Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment. Quizzes and discussions are not considered assignments and are not part of the late assignment policy. 0 pts Manual deduction 0 pts Manual deduction 0 pts Total Points: 100