Childrens Functional Health Pattern Assessment

Functional Health Toddler Preschool-Aged School-Aged

Pattern Assessment Ericksons Developmental Stage: Ericksons Developmental Stage: Ericksons Developmental Stage:

(FHP)

Pattern of Health AUTONOMY VS INITIATIVE VS GUILT INDUSTRY VS

Perception and Health SHAME INFERIORITY
Management: 1)very active
1)between 12-13 mths can 2) assertive 1)Healthy and Clean teeth
List two normal assessment findings walk alone 2)Bumps and bruises
that would be characteristic for each
age group. 2) picky eaters

List two potential problems that a nurse
may discover in an assessment of each
age group.
1)child still crawling 1)slow to interact with 1)teeth decayed
2)over or under weight others 2)bruising that is in
2)withdrawn different stages of healing

Nutritional-Metabolic
Pattern: 1)wgt and hgt within 1)Wet mucus membranes 1)red to pink lips
recommend standards 2)over or under weight 2)should have 20 baby
List two normal assessment findings 2)picky eater teeth and start getting or
that would be characteristic for each
age group. have 6 y/o molars

List two potential problems that a nurse

may discover in an assessment of each
age group.
1)assessing child to be
over or under
recommended wgt for
his/her age group
2)shows signs of
dehydration- sunken eyes,
turgor slow recoil
1)Parent allowing child
to eat whatever he/she
wants because child is a
picky eater
2)child shows signs of
dehydration
1)bluish lips possibly due
to decreased oxygen sat o
HGB
2)malocclusion or
improper growth of teeth

Pattern of Elimination: 1)Potty trained

1)starting to potty train 1)potty trained
List two normal assessment findings 2)Stool trained
that would be characteristic for each
age group. 2)may have bouts of 2)continue with potty
diarrhea/constipation training of stool
continence
List two potential problems that a nurse 1)constipation from 1)Becomes encopresis 1)Becomes encopresis
may discover in an assessment of each
age group. withholding stool when previously potty when previously potty
2)constipation trained trained

2016. Grand Canyon University. All Rights Reserved.

Pattern of Activity and 1)no pain on palpation of 1)throws ball overhead 1)ability to skip
Exercise: muscle masses
2)good muscle strength 2) ability to stand on one
List two normal assessment findings 2) be able to walk without bilaterally foot for 20sec
that would be characteristic for each
age group. assistance

1)possible injuries 1)unilateral muscle 1)difficulty in motor

List two potential problems that a nurse
may discover in an assessment of each
strength may be function
age group. 2)Growers Sign (unusual associated with nerve 2)frequent falls or
muscle weakness which injury. difficulty dressing or
could be muscular 2)bilateral muscle feeding self
dystrophy) weakness may result
from Down syndrome
Cognitive/Perceptual
Pattern: 1)up to 20 word 1)3 word sentences 1)vocabulary increases to
vocabulary 2000 words
List two normal assessment findings 2)points to desired objects 2)understands plurals
that would be characteristic for each
age group. 2)can categorize objects

List two potential problems that a nurse 1)doubt own ability 1)inattentiveness, 1)inattentiveness,
may discover in an assessment of each hyperactivity and hyperactivity and
age group.
2)overly dependent impulsivity. impulsivity

2)slow to interact with 2)lacks confidence in self

others
Pattern of Sleep and Rest:
List two normal assessment findings
1)sleep 11-14 hrs/24hrs 1)sleep 11-13 hrs/24hrs 1)sleep 9-11hrs/24hrs
that would be characteristic for each
age group. 2)nap once a day 2)starting to not nap 2) usually does not nap
during the day during day

List two potential problems that a nurse

may discover in an assessment of each
age group.
1)resist to go to sleep 1)sleep walking 1)poor or inadequate slee

2)nightmares 2)sleep terrors 2)bedtime resistance

2016. Grand Canyon University. All Rights Reserved.

Pattern of Self-Perception AUTONOMY VS INITIATIVE VS GUILT INDUSTRY VS
and Self-Concept: SHAME INFERIORITY
List two normal assessment findings
that would be characteristic for each
age group. 1)wants to pick own 1)initiate activity with 1)develops self confidenc
clothes others 2)sense of pride in own
List two potential problems that a nurse 2)choose what to eat 2)makes up games accomplishments
may discover in an assessment of each
age group.

1)withdraws from others 1)lacks confidence in self 1)doubts self

2)doubts self 2)withdraws from others 2)feelings of inferiority

Role-Relationship Pattern:
List two normal assessment findings
that would be characteristic for each
age group.
1)parent teaching child 1)parent teaching child 1)relationship between
parents well established
2)child wanting autonomy 2)child wants to explore

List 2 potential problems that a nurse

may discover in an assessment of each
age group.

1)parent overly protective 1)parent overly

disciplinary 1)withdrawn or afraid of
2)child afraid to explore parent
2)parent does not allow
child to explore 2) rebellious of parent
authority

Sexuality Reproductive 1)should be able to 1)Bartholin and Skene 1)female breast

Pattern: palpate testicles in glands should not be development between 11-
scrotum or inguinal canal palpable in females 14
List two normal assessment findings vaginal opening
that would be characteristic for each
age group. 1) Breast
List two potential problems that a nurse
1)unable to palpate development in
may discover in an assessment of each testicles females before
age group.
age of 6 abnormal
2)
Pattern of Coping and
Stress Tolerance:
List two normal assessment findings
that would be characteristic for each
age group.

2016. Grand Canyon University. All Rights Reserved.

 List wo potential problems that a nurse
may discover in an assessment of each
age group.

Pattern 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.

Short Answer Questions

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.

Each age group has different developmental stages that should follow a pattern to provide the
healthcare worker with a clear picture of the childs physical and psychological health. For
example, if the nurse finds that the patients muscles are symmetrically weaker than that of
the average child she could suspect Downs syndrome. Or if the nurse finds the toddler aged
child withdraws when presented with a new environment, she could assess that the parents
may need to have education in child development stages and ways they can encourage their
child to develop her independence of choice when in different environments.

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.

Children are still developing their confidence and feelings of security in their world and
environment. When approaching a child regarding invasive touching and handling, the nurse
should first establish a relationship with the parent and child. Allow the child to play, color or
talk depending on their developmental stage. For instance, a toddler would probably need to
sit with his/her parent and read a book or sing finger play songs where the school age child

2016. Grand Canyon University. All Rights Reserved.

 might just need to be shown pictures of procedures. Each developmental stage needs to be
treated in different ways in order for the nurse to get the best response from the child during
the physical assessment. The nurse also needs to ask the parent/guardian questions regarding
childs developmental miles stones and at what age they were accomplished or if they have
been accomplished.

About Kids Health. Cognitive Development in School-Age Children. Retrieved from

http://www.aboutkidshealth.ca/En/HealthAZ/DevelopmentalStages/SchoolAgeChildren/P
ages/Cognitive-Development.aspx

ATI.NURSING EDUCATION. Physical Assessment (Child). Retrieved from

http://atitesting.com/ati_next_gen/skillsmodules/content/physical-assessment-
child/equipment/ap_nuero.html

Encyclopedia of Childrens Health. Parent Child Relationships. Retrieved from

http://www.healthofchildren.com/P/Parent-Child-Relationships.html

McLeod, S. A. (2013). Erik Erikson. Retrieved from www.simplypsychology.org/Erik-

Erikson.html

National Sleep Association. CHILDREN AND SLEEP. Retrieved from

https://sleepfoundation.org/sleep-topics/children-and-sleep/page/0/3

Willacy, H PhD, Lowth, M PhD. (2014). Gait abnormalities in children. Patient Supported
Medical Information and Support. Retrieved from http://patient.info/doctor/gait-
abnormalities-in-children

2016. Grand Canyon University. All Rights Reserved.