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Neurological conditions Nursing Essay

March 25, 2016

Neurological conditions Nursing Essay

Assessment, diagnostic testing, and management of neurological conditions in a pediatric patient ¥ Differential diagnoses for presentation of symptoms involving the nervous system in pediatric patients ¥ Assessment and evaluation of cognitive perceptual problems in pediatric patients After completing your research, consider this scenario pertaining to neurological disorders in pediatrics: Chloe is a six-month-old female who was born premature at thirty weeks’ gestation. She comes to your office for a well-infant examination. This is her first visit to your rural clinic practice. She was followed up by a neurologist and developmental specialist prior to her family moving to your community. Chloe’s past medical history is significant because she was premature, stayed in the NICU for a month, and has a grade 2 intraventricular bleed. The developmental history reveals that Chloe continues to have some poor neck control and has recently been having some staring episodes. She has not had any of her immunizations because her mother is afraid Chloe could become autistic. Chloe feeds poorly and was seeing a speech pathologist and occupational therapist before she relocated. You, unfortunately, do not have the luxury of her previous medical records to date. Please address the following questions pertaining to this scenario: ¥ What do you believe is your best course of action for this appointment? ¥ What specific assessment tools can you use to guide you in your evaluation? ¥ What would you expect a normal six-month-old to be doing? ¥ How long do you have before Chloe should “catch up” developmentally? ¥ Given Chloe’s history, do you think she will? Why or why not? References no more than FIVE years


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