Observe the parent-child and parent-provider interactions. Note appropriate and inappropriate responses by the parent.
[NOISE] >> [INAUDIBLE] >> Well, Hello, good morning to you. My name is Jim. >> All right. >> And I’m your nurse for today. Stacy will be your nurse practitioner, but she just wants me to go over some simple things, just to ask you all about your son. Is that okay? >> Uh-huh. >> All right, well, let’s get started. Since your last visit, has there been any major illnesses, hospitalizations, changes, or stresses for your family or child? >> I was in a car accident a couple of months ago, and the pain is really bad, so I haven’t been to work for a couple of months, yeah. That’s about it. >> Okay, is your child taking a vitamin supplement? >> No. >> Has your child ever had a reaction to a vaccine? >> No but he has all his shots, they’re all up to date. I make sure I keep track of that. >> Is your child still on a bottle? >> Umm, yeah, I mean he has… you know, like the bottle he came home with at the hospital. He has the same one, so I just give him this. And then this kind of keeps him occupied because it has some kind of like, Mountain Dew, orange soda type thing. I give that to him all day, and then he don’t really ask for any food. >> Very well. Does your child sleep through the night? >> Sometimes he sleeps for 10 hours, and I have to get him up. I have to push and push and get him up, and it’s rough. I think, I feel like I need some Xanax. Because my anxiety just gets up and sometimes I can’t get him to sleep. So if he could get some Xanax or some Benadryl or something to put him to sleep, that would be great. >> Does your child drink or eat food prepared with tap water? >> Yeah. >> Do you have any questions or concerns about your child’s bowel movements? >> No. He goes to the bathroom every day. >> Okay, do you brush your child’s teeth with water every day? >> I brush it in the morning and at night. >> Does your child hear and see well? >> Mm-hmm. >> Is there a TV in your child’s bedroom? >> Hold on one second, I got this text [LAUGH] Hold on, one second. Oh my goodness [LAUGH] Okay I’m sorry, what was that? >> Yeah, is there a television in your child’s bedroom? >> Yeah, he watches TV every night. That’s how he goes to sleep. >> Do you play and read with your child every day? >> I’ve been trying to play with him, to make sure– [MUSIC] See, he’s always on my phone. No, don’t do that! NO! No, don’t touch my phone! He’s always on my phone. But I try to like, give him these puzzles, I got him a puzzle. And he just can’t even do the puzzle. It’s like a jigsaw. And he loves cars, so I don’t understand why he can’t do it. And see, I’ll give him the puzzle, look, he don’t even know how to put it together. So that’s why we’re here today at the doctors office, to make sure everything right. >> Okay, we’ll get to the next question. Do you have any concerns about tantrums or disciplining your child? >> No, I tell him “no” all the time. Like, no! No! Don’t touch that! See, he still touched it. No. >> How about choking? Do you know what to do if your child is choking? >> Mm-hmm, I took CPR class, I got a card for that. >> Do you always cook on the back burners of your stove? Okay, what about the pot handles, do you keep those pointed away? >> Yeah, he can’t get burned. >> Okay. >> I know he could reach up there. >> If you have stairs in your home, do you have a safety gate at the bottom and the top of the stairs? >> Yeah, it’s at the bottom and top. We got it too at the basement doors, too, at the top and the bottom. >> Do you keep all medications, household cleaning products, poisons, in a cabinet and kind of out of reach from him? >> Yeah, but, so like sometimes I forget where I put my cigarettes. So I had a cigarette on the floor, and I’m gonna have them on the table, and he’ll grab them. Because one time he grabbed a cigarette and he started chewing on it and I was okay because you know, he’s teething. As long as he didn’t swallow, but then he almost swallowed it. I think he swallowed it, I’m not really sure. But I called poison control because I got that phone number in my phone. Because that’s what the doctor told me last time. So, yeah, we try to make sure we keep things, but I can’t ever remember where I put my cigarettes. Sometimes I smoke in the living room, the kitchen, or the bedroom. But I make sure that I don’t smoke in his bedroom. But I smoke everywhere else but just not in his bedroom, because that’s where he is. I know that. >> Okay. And you said you have the poison control’s number in your phone? >> Yeah. >> Okay, so you got it readily available in your house, in other places as well too? >> Yeah, I got that. >> Do you place your baby in the car seat, facing backwards in the backseat? >> No, he faces forward, just like everybody else in the car. When I turn around, when I’m driving, I need to be able to see him. >> Do you watch your child at all times around water, like in a bathtub, pools, the ocean? >> Yeah, >> Does your child show affection by hugging or kissing you? >> Yeah, all the time, watch. Hey, bud, give mom a kiss. Give mom a kiss. Give mom a kiss. Give mom a kiss. [KISSING SOUND] Yeah, give mom a kiss. I don’t know, he don’t want to kiss me. >> Yeah buddy. Does your child walk well? >> Yes. >> Does he say two to three words at a time? >> Yeah. He talk all the time. >> What about things that you do? Does he imitate you or does he imitate activities? >> Yeah, he gets my pot and a spoon and act like he cooking. >> Does he try to feed himself with a spoon or fork? >> Yeah. >> Does he follow simple directions? >> Yeah, he does. The phone ringing, hold on one second, my phone ringing. [LAUGH] A text… [INAUDIBLE]. >> Okay. Now I have a couple more questions for you. >> Okay. >> Then I’ll be out your way, all right? >> All right, okay. >> Does your child listen to a story? >> Yeah, we love stories. Like, does he like to read? >> Yeah. >> Yeah, watch. Wanna read? Wanna read? Yeah. This is Roanoke Baby. Turn the page. Turn the page. Good job. >> All right, big man. And final question, does your child indicate what he wants by pulling or tugging or grunting, pointing– you know, doing some kind of action? >> Sometimes. I mean, he’ll point if he wants some milk-milk or something, you know. He’ll be like, “milk-milk”, or “wa-wa”. [INDAUDIBLE] >> Okay. >> He does stuff like that. You don’t do that to my anxiety pills. Always throwing my pills away. They gave them to me after my car accident because my nerves was bad. Here, put that right there. Pills everywhere. Yeah, put it back in the, put them back where you got them from. >> Okay, well, That’s my final question. That’s all the info I need from you right now. Like I said, following me Stacy will be right in and she’s gonna follow up everything else. >> Okay. >> All right, so she’ll be right in in just a few minutes. Thank you so much for your time.[NOISE] >> [INAUDIBLE] >> Well, Hello, good morning to you. My name is Jim. >> All right. >> And I’m your nurse for today. Stacy will be your nurse practitioner, but she just wants me to go over some simple things, just to ask you all about your son. Is that okay? >> Uh-huh. >> All right, well, let’s get started. Since your last visit, has there been any major illnesses, hospitalizations, changes, or stresses for your family or child? >> I was in a car accident a couple of months ago, and the pain is really bad, so I haven’t been to work for a couple of months, yeah. That’s about it. >> Okay, is your child taking a vitamin supplement? >> No. >> Has your child ever had a reaction to a vaccine? >> No but he has all his shots, they’re all up to date. I make sure I keep track of that. >> Is your child still on a bottle? >> Umm, yeah, I mean he has… you know, like the bottle he came home with at the hospital. He has the same one, so I just give him this. And then this kind of keeps him occupied because it has some kind of like, Mountain Dew, orange soda type thing. I give that to him all day, and then he don’t really ask for any food. >> Very well. Does your child sleep through the night? >> Sometimes he sleeps for 10 hours, and I have to get him up. I have to push and push and get him up, and it’s rough. I think, I feel like I need some Xanax. Because my anxiety just gets up and sometimes I can’t get him to sleep. So if he could get some Xanax or some Benadryl or something to put him to sleep, that would be great. >> Does your child drink or eat food prepared with tap water? >> Yeah. >> Do you have any questions or concerns about your child’s bowel movements? >> No. He goes to the bathroom every day. >> Okay, do you brush your child’s teeth with water every day? >> I brush it in the morning and at night. >> Does your child hear and see well? >> Mm-hmm. >> Is there a TV in your child’s bedroom? >> Hold on one second, I got this text [LAUGH] Hold on, one second. Oh my goodness [LAUGH] Okay I’m sorry, what was that? >> Yeah, is there a television in your child’s bedroom? >> Yeah, he watches TV every night. That’s how he goes to sleep. >> Do you play and read with your child every day? >> I’ve been trying to play with him, to make sure– [MUSIC] See, he’s always on my phone. No, don’t do that! NO! No, don’t touch my phone! He’s always on my phone. But I try to like, give him these puzzles, I got him a puzzle. And he just can’t even do the puzzle. It’s like a jigsaw. And he loves cars, so I don’t understand why he can’t do it. And see, I’ll give him the puzzle, look, he don’t even know how to put it together. So that’s why we’re here today at the doctors office, to make sure everything right. >> Okay, we’ll get to the next question. Do you have any concerns about tantrums or disciplining your child? >> No, I tell him “no” all the time. Like, no! No! Don’t touch that! See, he still touched it. No. >> How about choking? Do you know what to do if your child is choking? >> Mm-hmm, I took CPR class, I got a card for that. >> Do you always cook on the back burners of your stove? Okay, what about the pot handles, do you keep those pointed away? >> Yeah, he can’t get burned. >> Okay. >> I know he could reach up there. >> If you have stairs in your home, do you have a safety gate at the bottom and the top of the stairs? >> Yeah, it’s at the bottom and top. We got it too at the basement doors, too, at the top and the bottom. >> Do you keep all medications, household cleaning products, poisons, in a cabinet and kind of out of reach from him? >> Yeah, but, so like sometimes I forget where I put my cigarettes. So I had a cigarette on the floor, and I’m gonna have them on the table, and he’ll grab them. Because one time he grabbed a cigarette and he started chewing on it and I was okay because you know, he’s teething. As long as he didn’t swallow, but then he almost swallowed it. I think he swallowed it, I’m not really sure. But I called poison control because I got that phone number in my phone. Because that’s what the doctor told me last time. So, yeah, we try to make sure we keep things, but I can’t ever remember where I put my cigarettes. Sometimes I smoke in the living room, the kitchen, or the bedroom. But I make sure that I don’t smoke in his bedroom. But I smoke everywhere else but just not in his bedroom, because that’s where he is. I know that. >> Okay. And you said you have the poison control’s number in your phone? >> Yeah. >> Okay, so you got it readily available in your house, in other places as well too? >> Yeah, I got that. >> Do you place your baby in the car seat, facing backwards in the backseat? >> No, he faces forward, just like everybody else in the car. When I turn around, when I’m driving, I need to be able to see him. >> Do you watch your child at all times around water, like in a bathtub, pools, the ocean? >> Yeah, >> Does your child show affection by hugging or kissing you? >> Yeah, all the time, watch. Hey, bud, give mom a kiss. Give mom a kiss. Give mom a kiss. Give mom a kiss. [KISSING SOUND] Yeah, give mom a kiss. I don’t know, he don’t want to kiss me. >> Yeah buddy. Does your child walk well? >> Yes. >> Does he say two to three words at a time? >> Yeah. He talk all the time. >> What about things that you do? Does he imitate you or does he imitate activities? >> Yeah, he gets my pot and a spoon and act like he cooking. >> Does he try to feed himself with a spoon or fork? >> Yeah. >> Does he follow simple directions? >> Yeah, he does. The phone ringing, hold on one second, my phone ringing. [LAUGH] A text… [INAUDIBLE]. >> Okay. Now I have a couple more questions for you. >> Okay. >> Then I’ll be out your way, all right? >> All right, okay. >> Does your child listen to a story? >> Yeah, we love stories. Like, does he like to read? >> Yeah. >> Yeah, watch. Wanna read? Wanna read? Yeah. This is Roanoke Baby. Turn the page. Turn the page. Good job. >> All right, big man. And final question, does your child indicate what he wants by pulling or tugging or grunting, pointing– you know, doing some kind of action? >> Sometimes. I mean, he’ll point if he wants some milk-milk or something, you know. He’ll be like, “milk-milk”, or “wa-wa”. [INDAUDIBLE] >> Okay. >> He does stuff like that. You don’t do that to my anxiety pills. Always throwing my pills away. They gave them to me after my car accident because my nerves was bad. Here, put that right there. Pills everywhere. Yeah, put it back in the, put them back where you got them from. >> Okay, well, That’s my final question. That’s all the info I need from you right now. Like I said, following me Stacy will be right in and she’s gonna follow up everything else. >> Okay. >> All right, so she’ll be right in in just a few minutes. Thank you so much for your time.
TOPIC:
Select five topics from the following categories to address:
Cognitive developmental milestones
Physical developmental milestones
Social-emotional developmental milestones
Safety
Environmental health risks
Use the Clinical Pearl Worksheet. and complete the table for each one of the five selected topics. For each selected topic, complete the following sections on the table:
Topic name
Negative interaction/behavior: What did you see or hear that was inappropriate?
Positive interaction/behavior: What did you see or hear that was appropriate?
Guidelines and recommendations: What anticipatory guidance would you provide? Support your guidance with clinical practice guidelines or peer-reviewed, scholarly sources appropriate for providers that are no more than 5 years old.
Professional/ethical communication: How will you provide non-judgmental, unbiased education regarding the identified issue? Use the following steps to guide your response
acknowledge how the parent feels
state the facts
provide education or re-frame the approach
Provide a complete APA reference for the chosen scholarly resource
