Summarize how a nurse would handle physical assessments, examinations, education, and communication differently with children versus adults.

Summarize how a nurse would handle physical assessments, examinations, education, and communication differently with children versus adults.

Children’s Functional Health Pattern Assessment Essay Paper
Children’s Functional Health Pattern Assessment Essay Paper

Address the following based on the above assessment findings. Expected answers will be 1-2 paragraphs in length. Cite and reference outside sources used.

1) Compare and contrast identified similarities as well as differences in expected assessment across the childhood age groups. There are so many differences from the toddler stage to school age. The body and mind go through so many changes. Children are learning so much from being able to drink from a cup, control their bladder and bowels, brushing their teeth, learn values and beliefs, discover independence. Children’s Functional Health Pattern Assessment Essay Paper


There are so many challenges that they may face as they discover the environment around them. The people that they will meet on the playground, in the library, the store and at school, will help shape their lives. As you have seen that the toddler age child needs structure and guidance while they learn how to do everyday tasks on their own. The preschool child still needs structure and guidance but may start to do things on their own like pour their own milk to dressing themselves. The school age child is learning independence, learning how to be independent, seeking there self-concept and sense of identity.Children’s Functional Health Pattern Assessment Essay Paper

2) 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. A nurse should always introduce themselves first then they need to be calm, speak softly and earn the child’s trust. Children need to know the step by step process of what will happen, they are usually scared and need reassurance. Get to know what they like, if a child brings in a stuff animal, ask the child what the name is. Let them know you care about them, and what they care about.Children’s Functional Health Pattern Assessment Essay Paper

They need to be involved as much as they can in their care. Their parents also need to be involved with whatever is going on with their child. Consider the families cultural differences and spirituality regarding treatment, examinations, assessments, communication. When assessing an adult you should introduce yourself first, answer any questions they may have regarding their assessment, treatment and any education that may be given. Ask if they want anyone else involved with their treatment. Make sure all their questions are answered.Children’s Functional Health Pattern Assessment Essay Paper


How a child develops. (2011, January 1). Retrieved from

Jarvis, C. (2012). Physical Examination & Health Assessment 6th ed. St. Louis, MI: Mosby.

Edelman, C., & Mandle, C., (2010). Health promotion through the life span. 7thed. St. Louis, MI: Mosby.

As an early years practitioner it is your job to ensure that you meet children’s learning needs and understand and work with all children’s learning needs. It is important that you provide different kinds of opportunities also focus on individual children’s learning needs each and every child is unique and all learn at different rates. When in a setting it is important that you plan an enabling environment that children will find challenging but will allow them to learn in different areas.Children’s Functional Health Pattern Assessment Essay Paper

The United Nations Convention on the Rights of the Child (UNCRC) is a legally-binding international agreement setting out the civil, political, economic, social and cultural rights of every child, regardless of their race, religion or abilities. The (UNCRC) was brought together to focus on children’s rights, it is there to show that children’s have rights and their safety is priority as they are more vulnerable. The (UNCRC) states that all children’s wants and learning needs should be met, also it has 5 core rights these being;- The right to life The right to his or her own name and identity The right to be protected from abuse or exploitation. Children’s Functional Health Pattern Assessment Essay Paper

The right to an education The right to having their privacy protected To be raised by, or have a relationship with, their parents The right to express their opinions and have these listened to and, where appropriate, acted upon The right to play and enjoy culture and art in safety

The (UNCRC) has two main articles that state that children have the right to an education so as a practitioner it is your job to ensure that you are meeting the educational needs for the children within your setting. (Article 28- Right to education)Every child has the right to an education. Primary education must be free. Secondary education must be available to every child. Discipline in schools must respect children’s dignity. Richer countries must help poorer countries achieve this. (Article 29-Goals of education)

Education must develop every child’s personality, talents and abilities to the full. It must encourage the child’s respect for human rights, as well as respect for their parents, their own and other cultures, and the environment. ess.pdf When in a setting it is important that you ensure that you and parents are working together to ensure that that child is learning the best possible way. It is key to ask parents to. Children’s Functional Health Pattern Assessment Essay Paper

encourage their children and help their child out at home. As a practitioner it is your job to ensure that all children are learning some that you can do is send things home for the parent and child so they can learn and have fun at the same time. As an early years practitioner you will recognise that children’s play is closely linked to their learning and development. Children learn in so many different ways but you will notice that they learn mainly through play. When children are able to do many different activity’s that allows them to lean but have fun at the same time thy will find what they are doing fun and will engage the children. It is important that when in you your setting you set up a variety of educational activity’s this way the children will be able to choose freely what they want to do.Children’s Functional Health Pattern Assessment Essay Paper

Play is essential to every part of children’s lives and is important to their development. It provides the children with different ways of doing things children will want to explore and learn new things. The Early years Foundation Stage (EYFS) is a piece of frame work that relates to children from birth to five years old and id there to ensure that every child has the best possible start to in life and to make sure that all children are given support that enables them to fulfil the potential. It is important that as a practitioner you understand that children develop quickly and the children’s experiences between birth and age five have a major impact on their future lives. The EYFS specifies requirements for learning and development and for safeguarding children and promoting their welfare. The learning and development requirements cover:Children’s Functional Health Pattern Assessment Essay Paper

The Seven Areas Of Learning And Development which must shape activities and experiences (educational programmes) for children in all early years settings which are described below; The Early Learning Goals that providers must help children work towards. The goals summarise the knowledge, skills and understanding that all young children should have gained by the end of the Reception year, ie. the year that they turn five years old; Learning Goals. Assessment Arrangements For Measuring Progress when and how practitioners must assess children’s achievements, and when and how they should discuss children’s progress with parents and/or carers. The Safeguarding and Welfare Requirements cover the steps that providers must take to keep children safe and promote their welfare. Children’s Functional Health Pattern Assessment Essay Paper

Learning and development requirements
There are six areas covered by the early learning goals and educational programmes:
Personal, social and emotional development
Communication, language and literacy
Problem solving, reasoning and numeracy
Knowledge and understanding of the world
Physical development
Creative development. There are many different theorists that relate to children’s play and provide the importance of it one of the theorists being Lev Vygotsky, Vygotsky believed that imaginative play was crucial to a child’s normal development also he believed that play and activity gives children much keener experiences of pleasure than play.Children’s Functional Health Pattern Assessment Essay Paper

He saw that play was important to a child he said that early years play built the foundations of a child’s early life due to the child being able to learn from all the different kinds of activity’s he stated that there was many different kinds of things that would act as the stepping stones of the child’s future development. “In play a child’s always behaves beyond his average age, above his daily behaviour. In play it is as though he were a head taller that himself.”

Children with learning disabilities are smart or smarter than their peers, but may have difficulty with things like reading, writing, reasoning, and organizing information by themselves. A learning disability is a lifelong issue that cannot be cured or fixed with a snap of the fingers. Children who have the right support and intervention can succeed in school. Then later they will be able to go and be successful later in life. Children with learning disabilities need the support of parents, school and their community to be successful.Children’s Functional Health Pattern Assessment Essay Paper

Parents need to be able to encourage children with their strengths, know what their weaknesses are, and be able to understand the educational system to be able to work with professionals. Learning Disabilities cannot be categorized into one diagnosis. Learning disabilities are caused by biological factors that are caused by differences in the structure and functioning of the nervous system. Many people, both in the local and professional community, use the terms handicap and disability interchangeably, but they are not.

A learning disability means that preschoolers are unable to complete tasks in a certain way. Children with learning disabilities have a hard time functioning in areas such as sensory, physical, cognitive, and other areas. Handicap means that preschoolers are unable to function and cope in their environment. These children have impairments such as cerebral palsy or down syndrome. In 1991, the federal government amended the disabilities label to “Individuals with Disabilities Act” (PL 102-119).Children’s Functional Health Pattern Assessment Essay Paper

This act allowed states to be able to not identify with one of the thirteen federal disability labels, but to classify preschoolers with special needs. (Kilgo, pg 27) With the new changes professionals were able to use new terms like developmentally delayed and at risk when identifying children. Developmentally delayed is determined on the basis of various developmental assessments and/or an informed clinical opinion. Children starting at the age of three years old can now be identified for services. Delays can be expressed in a difference between a child’s chronological age and his/her performance levels.Children’s Functional Health Pattern Assessment Essay Paper

Delays occur when a child does not reach his/her developmental milestones at the expected age level or time. If a child is slightly behind it is not considered a delay until he/she are lagging in two or more areas of motor, language, social or thinking skills. Developmental delays are usually diagnosed by a doctor or medical professional based on strict guidelines and take more than one visit to diagnose. Parents or childcare providers are usually the first to notice children not progressing at the same rate as other children. Testing will help to gauge a child’s developmental level.

At risk describes children with exposure to certain adverse conditions and circumstances known to have a high probability of resulting in learning and development difficulties? (Kilgo, pg 28) These children have not been identified as having a disability, but as children who may be developing conditions that will limit their success in school or lead to disabilities. There are three factors that can result in a child’s environment. The first is established risk/genetic. This could be where a child is born with cerebral palsy, Down syndrome, or spinal bifida.Children’s Functional Health Pattern Assessment Essay Paper

Biological risk means that a child has a history of pre- or post- natal conditions that heighten the chance of development. These could be conditions such as premature births, infants with low birth weights, maternal diabetes, and bacterial infections like meningitis or HIV. Environmental risks are considered biologically typical, meaning they are environmental conditions that are limiting or threating to the child’s development. All three at risk factors can result in cognitive, social, affective, and physical problems. (Kim, pg. 4) Some signs of learning disabilities in young children are:

• A toddler may reach developmental milestones quite slowly. • The child may have trouble understanding the concept of time. Is the child confused by the use of words like “tomorrow”, “today”, and “yesterday”? • Young children have a lot of energy, but some have an excessive amount of kinetic energy, known as hyperactivity. • A child that has difficulty distinguishing right from left may have difficulty identifying words. • A child with a learning disability often masters several areas, while failing in two or more areas.Children’s Functional Health Pattern Assessment Essay Paper

A child that is perceived as disobedient may actually have difficulty understanding and following instructions. Once a child has been identified as having a possible learning disability, assessments need to be completed. An assessment is the process of gathering information for the purpose of making a decision about children with known or suspected disabilities in the area of screening, diagnosis, eligibility, program planning, and/or process monitoring and evaluation. (Kilo, pg. 90) Children’s Functional Health Pattern Assessment Essay Paper

During the assessment, evaluations should be accomplished with the e goal of identifying developmentally ppropriate goals, identifying unique styles and strengths, looking at parent goals and outcomes for their children, reinforcing family’s competence and worth, and creating a sense of shared commitment between families, schools, and professionals. Families possess a wealth of information and should play a very active role in the decision making, planning, and evaluations of their children. Schools are required to foster a child’s education, offering and supporting the needs of each child through a series of individualized instructions and interventions.Children’s Functional Health Pattern Assessment Essay Paper

School districts must provide documentation stating that the student has received the required instruction by qualified personnel. These interventions help teachers and staff to educate and foster the needs of children with learning disabilities. Assessments are an ongoing process. The initial assessment should be used to screen, diagnose, and check for eligibility for services. Ongoing assessments are to focus on a child’s skill level, needs, background, experiences, and interests, as well as the family’s preferences and priorities.

Over the years practice has shown that there is a link between assessments and curriculum to provide for the needs of the child. It is important to keep records of a child’s progress. A very useful way is through portfolio assessments. These portfolios can be considered a looking glass into a child’s growth. Portfolios also help teachers and team members to keep observations and comments about a child’s activities and behaviors. The information collected can help meet many of the required criteria for planning and monitoring.Children’s Functional Health Pattern Assessment Essay Paper

An important responsibility of an educator is to have an environment that will both nurture and foster learning. When designing an environment childcare providers should use best practice guidelines from places like National Association of Education of Young Child (NAEYC) and National Association of Family Childcare (NAFCC). Environments should look at available space, age of children, visual appeal, safety and health, and organization. (Perri Klass, pg. 46) Always remember that environments exert powerful influences on children and help to play a vital role in children’s lives.

Activity areas should include gross- motor, quiet/calm, discover, dramatic, therapeutic, and arts and crafts areas. Rooms should not have furniture that is used to separate centers or activities but should use things like lower lightening, parachutes hanging from the ceiling and area rugs to help children understand the use of different centers. The main goal of childcare providers and educators is to provide the best possible services for children with learning disabilities by providing services “as early and comprehensively as possible in the least restrictive setting”.Children’s Functional Health Pattern Assessment Essay Paper

Services and interventions should be supported in the most natural environments that will include the child’s primary care giver. Individual Education Plans (IEP) plays a large role in the education process of children with learning disabilities. These IEP’s require professionals, parents, and caregivers to work together as a team. They hold teams to accountability standards for the care of children with disabilities. A child’s IEP helps to furnish an instructional direction, sort of like a blueprint of care, to measure the effectiveness and progress of children.Children’s Functional Health Pattern Assessment Essay Paper

If an IEP is carefully written and appropriate goals are set, it will provide special education services to a child that will be reflected throughout his/her life. In the field of early childhood education, the definition of special needs has drastically changed for children with learning disabilities over the years. We live in a very diverse society of languages, foods, music, values and religious beliefs that brings us the strengths of our nation.


Every day the makeup of our society changes and so does the needs of our children, especially those of children with learning disabilities. Our community is seeing a growing need for services for children with learning disabilities. Young children with learning disabilities need to receive services at the earliest age possible. Parents need to remember that learning disabilities do not go away overnight and for some children it takes years of recognizing, expressing, thinking, and problem solving to succeed at being the young adult that they are meant to be. Children’s Functional Health Pattern Assessment Essay Paper

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