Children’s Functional Health Pattern Assessment
Functional Health Pattern Assessment (FHP) | Toddler Erickson’s Developmental Stage: Autonomy vs. Shame/Doubt (Edelman & Mandle, 2010) | Preschool-Aged Erickson’s Developmental Stage: Initiative vs. Guilt (Edelman & Mandle, 2010) | School-Aged Erickson’s Developmental Stage: Industry vs. Inferiority. (Edelman & Mandle, 2010) |
Pattern of Health Perception and Health Management: 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. | They can vocalize when they are sick. ...view middle of the document...
| The child may show poor hygiene and may show lack of interest in their appearance. Caregivers have a tremendous influence on the child at this age. They tend to imitate their health habits. School age children’s development exposes them to dental issues, illness, and accidental injuries. |
Nutritional-Metabolic Pattern: 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. | At this point toddlers are able to feed themselves wither with their hands or with utensils and can drink from a cup. Weaning from breastfeeding and bottles. Transitioning to modified toddler cups and cutlery. Toddlers begin to enjoy finger foods and may perhaps use mealtime as a way to assert a sense of control. | Food preferences start to emerge. Preschoolers may be able to participate in food preparation tasks. They want to engage their independence in simple tasks such as washing vegetables. They enjoy being a part of meal preparation. | School-age children now know the difference of food that is healthy and food that is not. This is of course influenced by the caregiver’s choice of food. An average of 1200 to 1800 calories per day is recommended with the school-aged child. |
| Swallowing or chewing difficulties may be present in the toddler. The toddler is at risk for vitamin and mineral deficiencies. Iron anemia is common related to the transition from breast milk to cow’s milk. Avoid juices and milk at bedtime related to the risk of cavities at this age. | Preschoolers tend to be underweight of overweight. Preschoolers may want to consume more junk food. The preschooler is at risk for developing allergies. Because the preschooler is away during the day at school, they have a tendency to not consume nutritious meals. This is of course dependent upon caregivers. | School-age children may suffer from obesity or anorexia. Cultural factors or poverty may contribute to poor nutrition in school-aged children. Because school-aged children’s families are busy, they have more of a potential for skipped and/or missed meals, which leads to fast food intake. This places the child at risk for obesity and metabolic disorders. This again leads back to parenting. Education is important when it comes to nutrition. |
Pattern of Elimination: 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. | Potty training begins. Caregivers should watch for signs of the need for potty training which include checking for wetness and keeping diapers dry for 2 or more hours. | Preschoolers are able to work on independent toileting. They are aware of basic hygiene after toileting such as washing their hands. ...