Child Observation Essay

I should have asked if the patient was taking any prescribed medications, over the counter medications, herbs or supplements. I should have asked about any significant family history, surgical history, recent illnesses, recent travel, any accidents, and past medical history (Cash & Glass, 2015). Family history includes reviewing family medical problems, congenital illnesses, or developmental delays. Social history is equally important part of the well child visit. It helps us identify risk for child injury and maltreatment as well as factors contributing to children’s illnesses (Pierce, Kaczor & Thompson, 2014). Also, social history should be asked at every visit because family environment might have changed and can affect child’s development.

Different intervention is needed based on their answers. I asked if she was involved in any activities. Pt stated “playing outside”. I should have inquired what kind of activities, how often is she playing and if she was being supervised. I should have asked if patient had any seasonal allergy and allergy to the medication or food. School age children have rapid maturation of the immune system during middle childhood and hence allergic conditions may appear (Burns et al., 2016). I did a great job asking parents if they had any questions because it creates a foundation for the health supervision visit (Balog, Hanson & Blashke, 2014). However, I asked about the parents concern only at the beginning of the visit. According to Balon et al. (2014), it is necessary to obtain parents and patients concern towards the beginning and the end of the well child visit. This is because some of the concerns like affordability, or family issue are uncovered after the patient or parent builds the relationship with the provider. I asked the parents if the patient had recently received flu vaccine, parents stated she has not received any recent vaccination. When offered, they refused the flu