Developmental Assessment and the School-Aged Child

This topic will focus on children and how to assess for and address their developmental needs. The Search Institute is a nonprofit organization that conducts and applies research to promote positive youth development. In 1994, the Search Institute published "What Kids Need to Succeed" with 40 Developmental Assets for raising children. Please review the 40 Developmental Assets documents located in topic Resources.

You will create a plan using the nursing process (Assessment, Diagnosis, Planning, Implementation, and Evaluation [ADPIE]) that will focus on the given age group:

A-F: 3 to 5 years – Early childhood

Use the attached template (NRS-420-RS-T2EarlyChildhoodTemplate.docx) based on your assigned age group to successfully complete the assignment from the perspective of a nurse working at your state's Department of Human Services.

You are required to cite a minimum of three peer-reviewed sources to complete this assignment. Sources must be published within the past 5 years, appropriate for the assignment criteria, and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide.

This assignment uses an attached rubric (NRS-420 Rubric – Developmental Assessment and the School-Aged Child.pdf). Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

American Association of Colleges of Nursing Core Competencies for Professional Nursing Education

This assignment aligns to AACN Core Competencies 1.1, 1.3.

NRS-420 Topic 2 Developmental Assessment Case Study

Age Group 3 to 5: Early Childhood

Scenario:

Shakayla is a 4-year-old biracial (African American/Caucasian) female who was born suffering from Neonatal Opioid Withdrawal Syndrome (NOWS). Shakayla was placed into foster care at birth and her mother (age 18) entered a residential substance abuse treatment program. Her biological father's whereabouts have been unknown since her birth. Shakayla was weaned off opioids, and her mother completed residential treatment. Shakayla was placed back into her mother's care with the support of the Department of Human Services (DHS) and a safety plan in place. When Shakayla was 36 months old her mother was arrested for prostitution, possession of a narcotic, and endangering a minor (Shakayla). Shakayla was placed back into foster care. Her mother served a 60-day prison sentence and was then released to the Drug Court Treatment Program for further rehabilitation. During this time her mother completed her GED. Her mother is now established in an apartment in supportive housing for recovering women and their children.

Shakayla, at the age of 4, has been reunited with her mother. Shakayla's mother has secured a job working at Walmart as a cashier. Shakayla has been enrolled in Head Start and goes to the YMCA for childcare after her morning Head Start class. At Shakayla's recent visit with a pediatrician prior to being returned to her mother's care she was found to be meeting developmental norms for her age. She is in the 30th percentile for height and 50th percentile for weight for her age. Vision and hearing are normal. Shakayla has severe dental erosion.

Shakayla enjoys Head Start and playing with the other children. She loves her teacher and enjoys music. Shakayla enjoys looking at books but walks away if asked a question about the story or what a word is on the page. Shakayla has difficulty with sharing and there have been several incidents at Head Start of her being aggressive with the other children. Shakayla is fearful around authority figures and men. During the parent/teacher conference at Head Start, Shakayla's mother stated she does not feel confident in her parenting skills. She states she is struggling with just maintaining her sobriety, working, and dealing with the stress of trying to make ends meet. She very much wants to be a good mom and does not want to lose Shakayla back to foster care.

Nursing Process:

Assessment, Diagnosis, Planning, Implementation, and Evaluation (ADPIE)

As the Department of Health Services nurse assigned to review this case, you will complete the ADPIE utilizing the "40 Developmental Assets for Children" resource located in topic Resources. You are required to cite a minimum of three peer-reviewed sources to complete this assignment. Sources must be published within the past 5 years, appropriate for the assignment criteria, and relevant to nursing practice.

Assessment

Summarize the relevant data obtained during your assessment about the patient's health status, including physical, psychological, sociocultural, spiritual, and economic factors that are affecting the patient.

Diagnosis

Part 1. Review the "40 Developmental Assets for Children," located in topic Resources. Determine two components of the Developmental Assets (Support, Empowerment, Boundaries and Expectations, Constructive Use of Time, Commitment to Learning, Positive Values, Social Competencies and Positive Identity) that need to be addressed for this patient.

Part 2.

Define the two components selected and describe your rationale.

Planning

Part 1. Create a plan of care for this patient taking into account their health problems and needs.

Part 2. Describe how each of the two components of the Developmental Assets identified above would be addressed; include specific examples in your recommendations and discussion.

Part 3. Provide at least one community resource for each of the selected Developmental Asset components.

Part 4. Discuss how cultural or religious beliefs may impact the plan of care.

Implementation

Discuss how the four metaparadigm concepts (person, environment, health, and nursing) support the implementation of your plan of care.

Evaluation

Explain how you would evaluate the implementation of your plan of care to determine if it was effective.

References

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Developmental Assessment and the School-Aged Child – Rubric

Assessment 18 points

Criteria Description

Summary of the relevant data obtained during assessment about the patient's health

status, including physical, psychological, sociocultural, spiritual, and economic factors

that are affecting the patient.

5. Target 18 points

Summary of the relevant data obtained during assessment about the patient's

health status, including physical, psychological, sociocultural, spiritual, and

economic factors that are affecting the patient is thorough.

4. Acceptable 16.02 points

Summary of the relevant data obtained during assessment about the patient's

health status, including physical, psychological, sociocultural, spiritual, and

economic factors that are affecting the patient, is detailed.

3. Approaching 14.22 points

Summary of the relevant data obtained during assessment about the patient's

health status, including physical, psychological, sociocultural, spiritual, and

economic factors that are affecting the patient is present.

2. Insufficient 13.5 points

Summary of the relevant data obtained during assessment about the patient's

health status, including physical, psychological, sociocultural, spiritual, and

economic factors that are affecting the patient is lacking detail or is incomplete.

1. Unsatisfactory 0 points

Summary of the relevant data obtained during assessment about the patient's

health status, including physical, psychological, sociocultural, spiritual, and

economic factors that are affecting the patient is omitted.

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https://www.gce.com/

Diagnosis: Part 1 9 points

Criteria Description

Determination of two components of the Developmental Assets that need to be

addressed for this patient.

5. Target 9 points

Determination of two components of the Developmental Assets that need to be

addressed for this patient is thorough.

4. Acceptable 8.01 points

Determination of two components of the Developmental Assets that need to be

addressed for this patient is detailed.

3. Approaching 7.11 points

Determination of two components of the Developmental Assets that need to be

addressed for this patient is present.

2. Insufficient 6.75 points

Determination of two components of the Developmental Assets that need to be

addressed for this patient is lacking detail or is incomplete.

1. Unsatisfactory 0 points

Determination of two components of the Developmental Assets that need to be

addressed for this patient is omitted.

https://www.gce.com/

Diagnosis: Part 2 9 points

Criteria Description

Definition of two components selected and explanation of rationale for selecting the

two components.

5. Target 9 points

Definition of two components selected and explanation of rationale for selecting

the two components is thorough.

4. Acceptable 8.01 points

Definition of two components selected and explanation of rationale for selecting

the two components is detailed.

3. Approaching 7.11 points

Definition of two components selected and explanation of rationale for selecting

the two components is present.

2. Insufficient 6.75 points

Definition of two components selected and explanation of rationale for selecting

the two components is lacking detail or is incomplete.

1. Unsatisfactory 0 points

Definition of two components selected and explanation of rationale for selecting

the two components is omitted.

https://www.gce.com/

Planning: Part 1 8 points

Criteria Description

Creation of plan of care for patient, taking into account their health problems and

needs.

5. Target 8 points

Creation of plan of care for patient, taking into account their health problems and

needs is thorough.

4. Acceptable 7.12 points

Creation of plan of care for patient, taking into account their health problems and

needs, is detailed.

3. Approaching 6.32 points

Creation of plan of care for patient taking into account their health problems and

needs is present.

2. Insufficient 6 points

Creation of plan of care for patient, taking into account their health problems and

needs is lacking detail or is incomplete.

1. Unsatisfactory 0 points

Creation of plan of care for patient, taking into account their health problems and

needs is omitted.

https://www.gce.com/

Planning: Part 2 8 points

Criteria Description

Description of how each of the two components of the Developmental Assets

identified above would be addressed, including specific examples in recommendations

and discussion.

5. Target 8 points

Description of how each of the two components of the Developmental Assets

identified above would be addressed, including specific examples in

recommendations and discussion is thorough.

4. Acceptable 7.12 points

Description of how each of the two components of the Developmental Assets

identified above would be addressed, including specific examples in

recommendations and discussion, is detailed.

3. Approaching 6.32 points

Description of how each of the two components of the Developmental Assets

identified above would be addressed, including specific examples in

recommendations and discussion is present.

2. Insufficient 6 points

Description of how each of the two components of the Developmental Assets

identified above would be addressed, including specific examples in

recommendations and discussion is lacking detail or is incomplete.

1. Unsatisfactory 0 points

Description of how each of the two components of the Developmental Assets

identified above would be addressed, including specific examples in

recommendations and discussion is omitted.

https://www.gce.com/

Planning: Part 3 8 points

Criteria Description

Provision of at least one community resource for each of the selected Developmental

Assets components.

5. Target 8 points

Provision of at least one community resource for each of the selected

Developmental Assets components is thorough.

4. Acceptable 7.12 points

Provision of at least one community resource for each of the selected

Developmental Assets components is detailed.

3. Approaching 6.32 points

Provision of at least one community resource for each of the selected

Developmental Assets components is present.

2. Insufficient 6 points

Provision of at least one community resource for each of the selected

Developmental Assets components is lacking detail or is incomplete.

1. Unsatisfactory 0 points

Provision of at least one community resource for each of the selected

Developmental Assets components is omitted.

https://www.gce.com/

Planning: Part 4 8 points

Criteria Description

Discussion of how cultural or religious beliefs may impact the plan of care.

5. Target 8 points

Discussion of how cultural or religious beliefs may impact the plan of care is

thorough.

4. Acceptable 7.12 points

Discussion of how cultural or religious beliefs may impact the plan of care is

detailed.

3. Approaching 6.32 points

Discussion of how cultural or religious beliefs may impact the plan of care is

present.

2. Insufficient 6 points

Discussion of how cultural or religious beliefs may impact the plan of care is lacking

detail or is incomplete.

1. Unsatisfactory 0 points

Discussion of how cultural or religious beliefs may impact the plan of care is

omitted.

https://www.gce.com/

Implementation 11 points

Criteria Description

Discussion of how the four metaparadigm concepts (person, environment, health, and

nursing) support the implementation of plan of care

5. Target 11 points

Discussion of how the four metaparadigm concepts (person, environment, health,

and nursing) support the implementation of plan of care is thorough.

4. Acceptable 9.79 points

Discussion of how the four metaparadigm concepts (person, environment, health,

and nursing) support the implementation of plan of care is detailed.

3. Approaching 8.69 points

Discussion of how the four metaparadigm concepts (person, environment, health,

and nursing) support the implementation of plan of care is present.

2. Insufficient 8.25 points

Discussion of how the four metaparadigm concepts (person, environment, health,

and nursing) support the implementation of plan of care is lacking detail or is

incomplete.

1. Unsatisfactory 0 points

Discussion of how the four metaparadigm concepts (person, environment, health,

and nursing) support the implementation of plan of care is omitted.

https://www.gce.com/

Evaluation 11 points

Criteria Description