health promot case stud

Prevention of Disease Case Study

Question One

The nurse would collect information about the child's physical health to assess Ricky. According to Martin et al. (2019), the nurse would obtain a history of the child's eating habits and be aware of any changes in appetite or refusal to eat. The nurse would inquire about any recent illnesses or injuries that might have affected his appetite or ability to swallow food. The nurse would also collect information about the child's emotional health. Ricky's physical health can be assessed by noting signs of dehydration, fever, and changes in blood pressure. Ricky's emotional health can be evaluated by recording anxiety symptoms, such as restlessness and irritability when preparing or eating food. In addition, Shatkin (2019) supports that the nurse would collect information about the family's socioeconomic status and diet.

Question Two

The nurse would first want to ascertain whether or not Ricky's refusal to eat is due to any underlying medical condition. She would next like to determine whether or not Ricky is experiencing any pain or discomfort with eating, as this could be a symptom of an underlying medical condition (Lumba et al., 2018: Martin et al., 2019). The nurse should also ask Ricky's mother about his recent behavior at school, including whether there were any new friends or activities that he joined or participated in recently. If there were any changes, the nurse should inquire about them so she can further explore the issue of Ricky. The question to the mother should follow the following criteria. Nurses would ask the following questions: what are the child's eating and dietary pattern? How has this changed over time, and why? What are his preferences, likes, dislikes, and favorite foods? Is he eating enough at meals? Does he have a problem with food? If so, what is it?

Question Three

The extended family residing far away influences the family's approach to health promotion. The extended family can also help by being available for play dates or visits when needed since the parents have a tight schedule as full-time workers (McNeil, Campbell & Crews, 2018). They can also support other activities essential to the child's development, such as school events or celebrations like holidays with Ricky. As such, Ricky feels it is necessary to have a close relationship with his family, so he may be stressed about not being able to visit them often. Dallacker, Hertwig, and Mata (2018) argue that their child is not getting to see them as much as he would like. It also means that he will not be able to spend as much time with extended family as he would like.

Question Four

There are several factors to consider when determining whether malnourishment is a factor in a family of Ricky's. If the family is experiencing any other issues, it might contribute to Ricky's refusal to eat. If so, you may consider those factors in evaluating their situation. For example, if the family has recently experienced a divorce proposal or other significant life change, Lumba et al. (2018) support that it may be difficult for them to focus on nutrition concerns when trying to cope with their own emotional needs. Or if another child in the household shows signs of malnutrition, such as not gaining weight or being underweight. Another factor is if the family is currently experiencing a period of economic hardship. This entails whether the household income is significantly lower than previously and whether the family's food budget has been cut (Panda, 2019). This could mean they must make difficult choices about what they eat and how much they spend on groceries.

References

Dallacker, M., Hertwig, R., & Mata, J. (2018). The Frequency of Family Meals and Nutritional Health in Children: A Meta‐Analysis. Obesity Reviews, 19(5), 638-653.

Lumba-Brown, A., Yeates, K. O., Sarmiento, K., Breiding, M. J., Haegerich, T. M., Gioia, G. A., ... & Timmons, S. D. (2018). Centers for Disease Control and Prevention Guideline on The Diagnosis and Management of Mild Traumatic Brain Injury Among Children. JAMA Pediatrics, 172(11), e182853-e182853.

Martin, M. A., Perry-Bell, K., Minier, M., Glassgow, A. E., & Van Voorhees, B. W. (2019). A Real-World Community Health Worker Care Coordination Model for High-Risk Children. Health Promotion Practice, 20(3), 409-418.

McNeil, J. C., Campbell, J. R., & Crews, J. D. (Eds.). (2018). Healthcare-Associated Infections in Children: A Guide to Prevention and Management. Springer.

Panda, P. K. (2019). Metabolic Syndrome in Children: Definition, Risk Factors, Prevention and Management—A Brief Overview. Pediatr Oncall J, 16, 67-72.

Shatkin, J. P. (2019). Mental Health Promotion and Disease Prevention: it's About time.