Compare the physical assessment of a child to that of an adult. In addition to describing the similar/different aspects of the physical assessment, explain how the nurse would offer instruction during the assessment, how communication would be adapted to offer explanations, and what strategies the nurse would use to encourage engagement.
Comparing The Physical Assessment of a Child to That of an Adult
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Comparing The Physical Assessment of a Child to That of an Adult
The nursing process is the same both in adults and children. However, the assessment process might have both similarities and differences. In both adult and pediatric patients, the assessment provides objective and subjective data (Angelina, 2018). In both cases, the nurse carries out inspection by systematic and deliberate visual observations. The nurse first surveys an entire area of the body and then focuses on specifics, such as color, shape, size, and movement.
However, there are some differences between assessments for adults and assessments for children. Adult assessment involves both observation and asking questions. However, children (depending on their age) may not be able to explain their feelings, therefore, parents or guardians will speak on their behalf (Ball et al., 2017). Also, additional assessments that are lacking in adults may be performed such as motor skill assessment and head circumference.
In adults, the instruction would be given directly to the patient, however, when dealing with children, instruction is provided to their guardians or parents. Instructions may be provided in the absence of the child as opposed to adult patients (Angelina, 2018). Communication with children includes smiling faces and being friendly to the child. The caregiver may explain to the child what is happening if he/she has reached school age. To enhance engagement with the child, the caregiver must be friendly to build a therapeutic relationship with the patient. The parent or guardian may be allowed to play with the child to enhance engagement (Ball et al., 2017). Also, the child may be begged by Watching bubble guppies or other kids’ games. The nurse may keep the conversation going to enhance engagement.
References
Angelina. W. (2018). Four major difference between pediatrics and adults’ nurses. Nurse. Org. https://nurse.org/articles/differences-between-pediatrics-adults/
Ball, J., Bindler, R. M. G., Cowen, K. J., & Shaw, M. R. (2017). Principles of pediatric nursing: Caring for children. Pearson.