Children’s Functional Health Pattern AssessmentFunctional Health Pattern Assessment (FHP)ToddlerErickson’s Developmental Stage:Autonomy versus shame and doubt Preschool-AgedErickson’s Developmental Stage:Initiative versus guilt School-AgedErickson’s Developmental Stage:Industry versus inferiorityPattern of Health Perception and Health Management:List two normal assessment findings that would be characteristic for each age group.
List two potential problems that a nurse may discover in an assessment of each age group.1. Dependent on parental figures for health management2. May request health management activities but only because they are part of a routine set by parental figures. 1. Becomes upset over minor injuries 2.
Pain and illness viewed as punishment 1. Perceiving symptoms 2. Abstract causes of illness including karma, evil eye, and etc1. May not be receiving proper care due to parental figures health perception2. May be subject to environmental health concerns such as lead, poisoning and iron deficiency if parental figures are unaware of concerns 1.
Not Brushing their own teeth2. Not selecting appropriate clothing for weather 1. No understanding of the germ, punishment or external forces theories 2. Cavities caused by not brushing teeth Nutritional-Metabolic Pattern:List two normal assessment findings that would be characteristic for each age group. List two potential problems that a nurse may discover in an assessment of each age group. 1. Eating a variety of healthy finger foods2.
No longer being breastfed 1. 5 servings of fruit or vegetables per day2. 20-25 grams of fiber daily 1. 1200-1800 calories daily 2. May still dislike vegetables 1.
Cavities from use of juice at bedtime2. Iron Deficiency 1. High salt and sugar intake 2. Food allergies 1.
Diabetes, anemia, hypertension2. Food insecurity Pattern of Elimination:List two normal assessment findings that would be characteristic for each age group. List two potential problems that a nurse may discover in an assessment of each age group. 1.
Toilet training 2. Ability to maintain a dry diaper for two hours1. Independent toileting 2. Forgetting to flus or wash hands 1. Bladder and bowel control2.
Enuresis under 6 years old 1. Inability to communicate voiding sensation2. Inability to walk and retrieve objects from the floor by stooping 1. Bedwetting2. Encopresis 1. Diurnal enuresis2. Complete incontinence Pattern of Activity and Exercise:List two normal assessment findings that would be characteristic for each age group.
List two potential problems that a nurse may discover in an assessment of each age group. 1. Parallel Play2. Ability to dress and undress themselves in simple clothing 1.
Increased motor skill coordination 2. Modeling behavior 1. Participation is sports 2.
Ability to pedal a bicycle 1. More than 2 hours spent in front of the television 2. Lack of want to explore their surroundings and learn new things 1. Inability to separate from their parents 2. Inability to dress themselves 1. Inability to dress themselves by age 52. Lack of hand eye coordination by age 10Cognitive/Perceptual Pattern:List two normal assessment findings that would be characteristic for each age group.
List two potential problems that a nurse may discover in an assessment of each age group. 1. Egocentrism2. Object permanence 1.
Concrete thought process2. Centering 1. Cooperative actions 2. Basic math skills 1. Having an understanding of less than approximately 400 words2.
Lack of a spectrum of interests and activities could be indicative of Autism 1. Amblyopia2. Heterotropia1. Egocentric2. Inability to classifyPattern of Sleep and Rest:List two normal assessment findings that would be characteristic for each age group. List two potential problems that a nurse may discover in an assessment of each age group. 1. 12 hours of sleep per 24 hour period2.
Rituals before bed time 1. Getting 8-12 hours of sleep a night 2. Prolonging bedtime up to 30 minutes 1.
Receive 8-12 hours of sleep per night 2. No longer need naps 1. Night terrors2. Lack of security objects such as a blanket or stuffed animal 1. Less than 30-60 minute naps 2. Not having a bedtime ritual 1.
Sleepwalking2. Sleep talkingPattern of Self-Perception and Self-Concept:List two normal assessment findings that would be characteristic for each age group. List two potential problems that a nurse may discover in an assessment of each age group. 1. Saying “No” even when the toddler wants an object2. Temper Tantrums 1. Increase in imagination2. Developing a sense of initiative 1.
Developing a sense of worth2. Mastering a skill 1. Continued Dependency 2. Lack of exploring surroundings and relationships 1. Low self-esteem 2.
Lack of task or social ordinated tasks 1. Inferiority2. Lack of self-concept Role-Relationship Pattern:List two normal assessment findings that would be characteristic for each age group. List 2 potential problems that a nurse may discover in an assessment of each age group. 1. Imitating behavior 2. Associated people with their roles in regards to the toddler.
( Example: mom feeds the toddler and dad plays with them)1. Understanding gender expectations 2. Imitating older siblings 1.
Increased independence 2. Socialization skills increase 1. Regression2. Continued sibling fighting even after established rules and lack of gain for the toddler1. Not viewing the family as an important aspect of their life2.
Not using play as a stress reducer 1. Gang involvement 2. Lack of limit setting in the homeSexuality – Reproductive Pattern:List two normal assessment findings that would be characteristic for each age group. List two potential problems that a nurse may discover in an assessment of each age group.
1. Genitalia exploration2. Masturbation 1. Questioning the opposite sex’s genitalia function 2. Identifying with their own gender 1. Exploratory behavior 2.
Menstrual cycles 1. Alternative names for genitalia 2. Evidence of sexual abuse 1. Lack of support from parental figures about sexual curiosity2.
Negative body image 1. Sexual abuse 2. STIsPattern of Coping and Stress Tolerance:List two normal assessment findings that would be characteristic for each age group. List wo potential problems that a nurse may discover in an assessment of each age group. 1. Imitation of parental figures behavior 2. Regression during periods of stress1. Projection2.
Denial 1. Recognize symptoms of stress 2. Ability to develop coping mechanisms 1. Violent behavior towards siblings 2.
Lack of preparation for stressful events 1. Increase in temper tantrums 2. Extreme regression 1. Somatization2.
DepressionPattern of Value and Beliefs:List two normal assessment findings that would be characteristic for each age group. List two potential problems that a nurse may discover in an assessment of each age group. 1.
Sense of security2. Learned values and beliefs from parental figures 1. More interest in life and death 2. Expressing values by stating whether or not they like the activity or object 1. Concern for group values by approximately age 132.
Following the rules to avoid trouble until 10-13 years of age 1. Receiving attention from parental figures when misbehaving only 2. Parental; figures expecting the toddler to understand religious traditions because they have memorized words1. Guilt2. Low self esteem 1.
Stealing 2. CheatingShort Answer QuestionsAddress the following based on the above assessment findings. Expected answers will be 1-2 paragraphs in length. Cite and reference outside sources used.Compare and contrast identified similarities as well as differences in expected assessment across the childhood age groups.While researching the expected assessment findings in the toddler, pre-school, and school age groups many similarities are found in the value section. In all of the age groups, children’s values are generally determined by their parental figures.
This includes morals as well as health. The ageless, nature versus nurture question immediately comes to mind in regards to morals and health values. The evidence seems to point to all values being a learned behavior that a healthcare provider must address with the parental figures in order to ensure success for the child.
The remaining assessment findings were expected as a health care provider with a background in pediatrics. Summarize how a nurse would handle physical assessments, examinations, education, and communication differently with children versus adults. Consider spirituality and cultural differences in your answer.
When assessing a child, the healthcare provider must determine the cultural beliefs of the parents before beginning. In some cultures, it is an absolute sin to touch a child and could lead to illness. In other cultures, the healthcare provider would need to address only the matriarch or patriarch about the child’s care. Healthcare providers should simply ask the parental figure if there are any special considerations prior to performing the assessment as they would ask any adult.
Toddlers and preschool children should be on or near their parental figures lab to encourage a feeling of safety and security. These children should also be given choices during the assessment to promote autonomy and self-esteem. School age children have a general understanding of their health and can answer health related questions without issue, but a parent should always be present to assist unless abuse is suspected. Reference: Edelman, C.
L., Mandle, C. L., Kudzma, E. C., M, C.
L., Carole Lium Edelman APRN MS CS BC CMC, ; Carol Lynn Mandle PhD AP RN CNS FNP (2013). Health promotion throughout the life span (HEALTH PROMOTION THROUGHOUT THE LIFESPAN ( EDELMAN)) (7th ed.). Philadelphia, PA, United States: Elsevier Health Sciences. (pp. 455-544)
