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NRP 571 Buddy Theodore Reflection

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NRP 571 Buddy Theodore Reflection

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Buddy Theodore



University of Phoenix

NRP 571




Buddy Theodore Reflection

Health promotion starts at a young age and can have lasting effects for decades. Key

components of pediatric health promotion include age appropriate development of the child,




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health supervision visits, integration of physical examination finding with health promotion,

immunizations, screening procedures and anticipatory guidance (Bickley, Szilagyi, & Bates,

2017).

Five Open-Ended Questions with Rationales for HPI

One of the first questions that was asked during the visit with Buddy was his age.

Engaging a child in age appropriate conversation is important in gaining the child’s confidence

and decreasing their fear from the beginning of the visit (Bickley, 2017). Another important

question that is important to ask during the visit is “What brings you in today?” Since this is

Buddy’s first visit at the clinic, it is important to have a baseline of information regarding the

patient’s medical history, medication reconciliation and review and to address the patient and

parent’s concerns in order to build a trusting relationship. Buddy’s mother Jill was asked about

his immunizations being up to date. The rationale for this question is because vaccine-

preventable diseases have a costly impact, resulting in doctor’s visits, hospitalizations, and

premature deaths (CDC, 2018). Another important questions which was asked during the visit

was regarding any complications during Buddy’s birth or during his mother’s pregnancy. The

rationale for this is because the American Academy of Pediatrics recommends developmental

screenings during preventative health visits to identify any developmental delay and seek

intervention if needed (AAP, 2020). Lastly, a significant question to ask is regarding Buddy’s

family and family life. Buddy lives with his two mothers and recently relocated due to one of his

parent’s work. An annual health supervision visit provides the examiner an opportunity to assess

the child’s mental, physical, developmental, parent-child relationship and the child’s relationship

with peers and school performance (Bickley, 2017).




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Uploaded on
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