CLASS NAME: PRIMARY CARE ACROSS THE LIFESPAN III
LESSON : INFECTIOUS DISEASES; COMMON INJURIES; AND EAR, EYE, AND ORAL DISORDERS
ASSIGNMENT: Symptom-focused history for ear assessment
Introduction
Use your Pediatric Physical Examination: An Illustrated Handbook textbook (Chapter 13) to complete this assignment.
Assignment Guidelines
Using your textbook (Chapter 13), document a symptom-focused history for an ear assessment involving one of the following: ear pain, ear drainage, hearing difficulty, or dizziness/vertigo. Also, include how you would perform the physical assessment and what treatment you would prescribe.
Please provide a medical journal article with a procedure to help with the condition you picked (that is, cerumen impaction removal, Dix-Hall Pike maneuver, and so on).
TEXTBOOK REFERENCE
Garzon Maaks, D. L., Barber Starr, N., Brady, M. A., Gaylord, N. M., Driessnack, M., & Duderstadt, K. (2021). Burns’ pediatric primary care (7th ed.). Elsevier.
Duderstadt, K. G. (2019). Pediatric physical examination: An illustrated handbook (3rd ed.).
Mosby.
Lesson Introduction
This week, we will begin discussing the medical management of pediatric patients when they present to your primary care facility. First, you will read about certain pearls that you need to be aware of when prescribing to the pediatric population, including weight, race, and allergies. We will review multiple infectious diseases and vaccinations that are available to prevent some of these conditions. We will also review performing a school physical and at what age these are required. You will also read and discuss common injuries encountered in a primary care practice and how to treat them appropriately.
Most of your acute visits involving the pediatric population will involve the ears, eyes, mouth, or throat, which are also topics of this week’s lesson. I know some of this will be review, but it is important that you get a good, basic understanding of these disorders and how to treat them using evidence-based practices. We will need to educate parents and caregivers as to when their child has a bacterial infection and needs an antibiotic, and when their child has a virus. It is up to you, as new advanced-practice providers, to help in the crusade to decrease antibiotic resistance. Good luck.
This week reviews the signs and symptoms of multiple common injuries and infectious conditions and how to provide evidence-based treatment. The reading discusses the pearls involved when prescribing to the pediatric population for these conditions. Materials include two great resources for immunization schedules that recognize their role in preventing specific infectious diseases. You will also practice performing a school physical.
This lesson also reviews how to perform a symptom-focused history for ear, eye, and oral disorders, so that an accurate diagnosis and treatment can be provided.
Learning Outcomes
At the end of this lesson, you will be able to:
• Recognize signs and symptoms of multiple common injuries and how to provide evidence-based treatment. (CO2)
• Recognize signs and symptoms of multiple infectious conditions and how to provide evidence-based treatment. (CO2)
• Identify the required immunization recommended for each age group. (CO5)
• Recognize which immunizations will be required during a school physical. (CO5)
• Identify multiple ear disorders seen in the pediatric population and recommend evidence-based treatment. (CO8)
• Perform a symptom-focused history for ear assessment, including physical assessment and treatment. (CO8)
• Identify multiple eye disorders seen in the pediatric population and recommend evidence-based treatment. (CO8)
• Identify multiple oral disorders seen in the pediatric population and recommend evidence-based treatment. (CO8)
Note: You will find a “(CO#)” after each learning objective stated in this course to indicate which Course Outcomes are being addressed. The Course Outcomes are outlined in the Syllabus.
Before attempting to complete your learning activities for this week, review the following learning materials:
Learning Materials
Read the following in your Burns’ Pediatric Primary Care textbook:
• Chapter 26, “Prescribing Medications in Pediatrics”
• Chapter 31, “Infectious Diseases”
• Chapter 22, “Immunizations"
• Chapter 24, “Injury Prevention and Child Maltreatment”
• Chapter 36, “Ear and Hearing Disorders”
• Chapter 35, “Eye Disorders”
• Chapter 23, “Dental Health and Oral Disorders”
Read the following in your Pediatric Physical Examination: An Illustrated Handbook textbook:
• Chapter 13, “Ears”
• Chapter 12, “Eyes”
• Chapter 10, “Head and Neck Assessment”
• Chapter 14, “Nose, Mouth, and Throat”
The readings required in this week’s lesson familiarize you with a multitude of infectious diseases and the role of immunizations. They also review a variety of common injuries and how to treat them, in accordance with the rules applied to prescribing to the pediatric population. These readings also assist you in identifying multiple ear, eye, and oral disorders seen in the pediatric population and recommended evidence-based treatment.
Additional Required Resources:
Review the State of Illinois Certificate of Child Health Examination (PDF) school physical form.
Use this form to help review and perform a school physical. It also shows the intervals at which they are required.
Instructional Materials
The following materials provide a quick resource that recommends at what age each immunization should be administered:
• Review the birth to 18 years and “catch-up” immunization schedules on the CDC websiteLinks to an external site..
• Review the Shots Immunization mobile application on the STFM websiteLinks to an external site..
RUBRIC
Symptom-Focused History for Ear Assessment Rubric
Criteria/Requirement Ratings
Assignment is well written, displaying understanding of content and a degree of critical thinking. Information is not just cut and pasted. Meets expectations
Assignment includes symptom-focused history of an ear condition listed along with physical exam and treatment. Meets expectations
Spelling and grammar are correct; follows APA format for references. Meets expectations
Criteria Ratings
Content Follows directions, answers all questions thoroughly and appropriately
Grasp of significance Projects thorough knowledge and critical understanding of the significance of the assignment to professional development as an FNP.
Clarity and logic All answers are correct with a clear and logical path to reach a solution to the problem presented.
Terminology Uses appropriate terminology correctly throughout.
References Contains no errors in grammar or spelling. Uses references and cites them properly using APA format.
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