Health Case Study Assignment Paper

Health Case Study Assignment Paper

The discussion focuses on a 13-year-old overweight Asian American male, a foster child whose foster parents have normal weight. The main areas to be evaluated include explaining the case study health issue, additional information concerning the patient’s weight-related health, identifying and describing the risks, and considering information necessary to understand the child’s health. The discussion will also provide at least three specific questions and two strategies for the child’s health and weight Health Case Study Assignment Paper

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Health Issue

Childhood overweight and obesity are more associated with psychological, behavioral, and health issues. The case study patient is a foster child living with foster parents meaning that the child may have developed poor dietary habits before adoption. Such factors may impact his development and growth, thus increasing his chances of developing various chronic illnesses associated with being overweight, like Type 2 diabetes, dyslipidemia, and hypertension (Kartiosuo et al., 2019)Health Case Study Assignment Paper. The child has a higher chance of developing psychological issues like depression and anxiety since overweight children tend to experience bullying by their peers and develop low self-esteem and in most cases, these children may perform poorly. Hence, considering that the foster parents have normal weight, they may also develop psychological problems like stress since most people are not aware that the child is adopted and thus may end up criticizing the parents for failing to safeguard the child’s health. As Kartiosuo et al. (2019) accentuate, when children become overweight and obese, they have a higher chance of being overweight and obese as adults. Hence the need to manage the condition of the case study patient early to minimize chances of developing other chronic conditions like Type 2 diabetes, dyslipidemia, and hypertension.

Additional Information

Health assessment is essential for clinicians since it provides crucial details concerning the overall patient’s health. In that case, the clinician needs to assess the nutritional factors concerning the patient and his foster parents more. Hence, the additional information needs to include the kind of food they currently consume as a family, how often the parents buy fast food, and the parent’s view of the patient’s current weight. As Wu et al. (2020) indicate, approximately 20 percent of Asian American children have been overweight; males record a higher number than females at 24.9 percent and 15.2 percent, respectively. Hence, the clinician will need to assess the patient’s body mass index (BMI), including the foster parents, to confirm that they are healthy. Hence, the clinician needs to take the child’s height and weight measurements to accurately calculate the patient’s BMI to confirm the patient’s actual BMI. Other information concerns the patient’s medical and family history, if any, for a comprehensive assessment of potential risks that the patient may face.

Patient’s Risks and Further Information

The case study patient may face various individual, environmental, and genetic risks. The individual factors include failure to adhere to physical activities considering that his weight may limit the activities the child may carry out, including long TV hours. These risks may also contribute to a higher BMI, considering that children must engage in aerobic activities for 60 minutes (Li et al., 2023). The other risk concern an environmental risk at home and school. For instance, since the child is a foster child, there is a higher possibility that the foster parents have a go-slow in limiting his unhealthy dietary behaviors. That is because they will limit the patient’s chances of developing low-self esteem since they want to offer him a sense of belonging. At school, there is a high possibility of the case study patient developing mental health issues due to possible bullying, which may impact the child’s performance and self-esteem. If not well intervened, such issues may lead to adverse effects like suicide (Wu et al., 2020). Concerning genetic risk factors, it is evident that Asian Americans have ancestry patterns of Type 2 diabetes which is mainly characterized with overweight. In such a case, the patient may have a greater risk of developing other cardiovascular diseases like hypertension and Type 2 diabetes, which may affect the relationship between the patient and the foster parents when managing such conditions.

At Least Three Specific Questions

The case study patient condition requires additional information to expand on patient health information for proper assessment and creation of an effective treatment plan. Hence, the targeted questions to the patient and the parents will be as follows; Health Case Study Assignment Paper

1. How many times do you engage in physical activities weekly? – The question will be essential since the clinician will know if the patient engages in physical activities and formulate ways to enroll the patient in age-related aerobic activities.
2. How many times a day do you consume fast food like fries? – The question will be necessary to determine if fast food contributes to the patient’s weight.
3. Do you face any problems in school that may affect your social life? – The question will be crucial to assess the possibility of a patient developing any mental health issue to include it in patient education to prevent adverse effects.
4. Do you have any information concerning the family history of the patient?- The question will be directed to the foster parents to assess the probability of genetics playing any role in the patient’s condition.

At Least Two Strategies

Patient education is crucial when managing a patient’s health condition. According to Ball et al. (2019), patient education is a great avenue that enables the clinician to create rapport and trust with their patients as they increase the patients’ and families’ knowledge concerning their risk factors. For instance, the case study patient will require information concerning overweight risk factors and possible ways to manage the issue. Also, considering that the patient is a foster child to foster parents, they need to acknowledge the nutritional behaviors and physical activities that they need to help the patient refrain from eating too much fast food and watching tv for long hours respectively. That is because their association relationship may limit the parents’ reactions, which may deteriorate the patient’s condition (Ball et al., 2019)Health Case Study Assignment Paper. Also, since the patient can easily read and understand instructions, the healthcare needs to increase his literacy on better nutrition and ways to deal with bullying to prevent adverse effects like developing chronic cardiovascular diseases like hypertension and mental health issues like depression and anxiety.

The other strategy would be recommending health programs that deal with overweight children. Programs like the Supplemental Nutritional Program for Women, Infants, and Children are essential since the patient and the foster parents will meet other individuals with similar problems, thus gaining more courage to deal with the issue (Anderson et al., 2019). In such programs, the patient and his foster parents will learn more about healthy nutrition and activities they need to adopt for positive patient outcomes.

Conclusion

The discussion has addressed a case study concerning a foster Asian American male who lives with foster parents. Currently, the patient is overweight, and they are seeking health intervention. In that regard, the discussion assessed the additional information the clinician needs to assess for comprehensive patient information, like the patient’s BMI. Also, there has been an assessment of the risk factors that the patient may have, including environmental, individual and genetic factors that may play a part in the patient’s current condition. Regardless of such risk factors, the main strategies that may be helpful to the patient and the foster parents include patient education and enrolling them in a program that deals with overweight children Health Case Study Assignment Paper.

References

Anderson, P. M., Butcher, K. F., & Schanzenbach, D. W. (2019). Understanding recent trends in childhood obesity in the United States. Economics & Human Biology, 34, 16–25. https://doi.org/10.1016/j.ehb.2019.02.002

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s Guide to Physical Examination-E-Book: An Interprofessional Approach (9^th ed.). Elsevier Mosby.

Kartiosuo, N., Ramakrishnan, R., Lemeshow, S., Juonala, M., Burns, T. L., Woo, J. G., Jacobs, D. R., Daniels, S. R., Venn, A., Steinberger, J., Urbina, E. M., Bazzano, L., Sabin, M. A., Hu, T., Prineas, R. J., Sinaiko, A. R., Pahkala, K., Raitakari, O., & Dwyer, T. (2019). Predicting overweight and obesity in young adulthood from childhood body-mass index: comparison of cutoffs derived from longitudinal and cross-sectional data. The Lancet Child & Adolescent Health. https://doi.org/10.1016/s2352-4642(19)30204-4

Li, Z., Daniel, S., Fujioka, K., & Umashanker, D. (2023). Obesity among Asian American people in the United States : A review. Obesity, 31(2), 316–328. https://doi.org/10.1002/oby.23639

Wu, Y.-K., Berry, D. C., & Schwartz, T. A. (2020). Weight Stigmatization and Binge Eating in Asian Americans with Overweight and Obesity. International Journal of Environmental Research and Public Health, 17(12), 4319. https://doi.org/10.3390/ijerph17124319 Health Case Study 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.

TO PREPARE

• 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 it relates 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.

THE ASSIGNMENT

Assignment (3–4 pages, not including title and reference pages):

Assignment: Child Health Case:
Include the following: Health Case Study Assignment Paper

• An explanation of the health issues and risks that are relevant to the child you were assigned. 13-year-old overweight Asian American male foster child with normal weight foster parents
• 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.

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

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• 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)Health Case Study Assignment Paper

RUBRIC

NURS_6512_Week_3_Assignment_1_Rubric