Advanced Health Assessment & Diagnostic Reasoning.

Posted: November 27th, 2022

Advanced Health Assessment & Diagnostic Reasoning.


An annotated bibliography is a combination of the words annotation and bibliography. An annotation is a set of notes, comments, or critiques. A bibliography is a list of references that helps a reader identify sources of information. An annotated bibliography, then, is a list of references that not only identifies the sources of information but also includes information such as a summary, a critique or analysis, and an application of those sources’ information.Advanced Health Assessment & Diagnostic Reasoning.


Your Module 2 Assignment (due in Week 5) will be a paper on nurse leadership during transitions of care for two selected entities. In preparation for that paper, you will develop an Annotated Bibliography and submit it to your Instructor for feedback. To prepare: Select a transition of care (hospital, specialty care, rehabilitation, nursing home, homebound, etc.). Use the Walden Library and other reputable academic resources to locate 5 scholarly resources on nurse leadership during this transition of care. Identify what constitutes effectiveness (i.e., cost, care management, best/effective providers, best setting, sustaining outcomes) for this transition of care within each setting. What evidence supports this transition of care or transition of care intervention? Review the Writing Center resources on annotated bibliographies and scholarly writing. Also review the Week 4 Assignment Rubric for specific details about the requirements for your annotated bibliography. Assignment Create an annotated bibliography of the 5 scholarly resources you located on your selected transition of care. Follow the annotated bibliography format presented in the Writing Center resource. *Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at All papers submitted must use this formatting.Advanced Health Assessment & Diagnostic Reasoning.

Advanced Health Assessment & Diagnostic Reasoning
Health Issues and Risks that are Relevant to the Child
There are various health risks and issues associated with underweight in children and adolescents. According to Ochiaiet al. (2017), underweight in the pediatric population is associated with health issues such as scoliosis, pubertal delay, osteoporosis, and mental health disorders. Therefore, the health issues and risks relevant to the child include hair, skin or teeth problems because lack of adequate nutrients can lead to skin thinning, dry skin, loss of hair, and poor dental health. In addition, the underweight is associated with poor health and hence the child is at risk of becoming sick frequently due to lack of the required nutrients and poor immunity (Patel et al., 2018). Consequently, the child may get sick more often and infections such as flu. The child can also develop anemia because of low blood counts and experience headaches, dizziness and fatigue. Moreover, the child is likely to experience impaired and low growth being children require nutrients to develop and grow healthy bones and thus lack of enough nutrients may lead to poor development(Ochiai et al., 2017).Advanced Health Assessment & Diagnostic Reasoning.
More importantly, the child is at risk of developing mental health problems associated with body appearance and body image dissatisfaction. For example, the child in this case study was bullied for having a different appearance (underweight). Physical appearance is a common reason for bullying and bullying is associated with body dissatisfaction and social consequences allied to the appearance, for instance, discrimination and stigma (Waseem et al., 2014). Children who are bullied because of their weight are at higher risk of developing psychological morbidities like depression, low self-esteem and anxiety (Ochiaiet al., 2017).Advanced Health Assessment & Diagnostic Reasoning.

Additional Information Needed to further Assess Weight-Related Health
Additional information to further evaluate the weight-related health for this child includes the family history because some individuals have low BMI because of the physical traits and genetics that run in the family. Secondly, it would be necessary to assess the metabolism rate for the child because individuals with high metabolism tend not to gain weight as expected. There is also a need to assess the physical activities for the child because high levels of physical activities can burn significant calories resulting in low body weight. More importantly, information regarding if the child has any chronic illness because some illness and diseases may make it difficult to gain weight while other conditions can reduce the appetite and hence lead to low weight (Maris & Nicholls, 2016).Advanced Health Assessment & Diagnostic Reasoning.
Gathering the Information in a Sensitive Fashion
The healthcare provider should avoid appearing too personal when gathering information and thus avoid asking overly personal questions. This is because if the patient feels that the healthcare provider is asking overly personal questions, they may be reluctant to provide such information. In addition, it would be important to ask questions respectfully and use open-ended questions in order to give the patient an opportunity to frame their answers and share information from their own perspective. It is also important to avoid being judgmental or offeringpersonal opinions when gathering information.
Questions to ask about the Child to Gather More Information
1. How would you describe your diet at home?Advanced Health Assessment & Diagnostic Reasoning.
2. Please tell me of any health problem the child may have had throughout her life?
3. How active is the child physically? Does she engage in extreme physical activities?
4. Did the weight loss for the child occur gradually or suddenly?
5. In the last four weeks, was there a day any person in the family stayed hungry due tolack of money to buy food?
6. Within the last year, is there a time you were worried that food would run out before getting money to purchase more food?

Strategies to Encourage Parents/Caregivers to be Proactive about their Child’s Health and Weight
• The nurse should encourage the caregivers and parents to promote healthy eating patterns for the child by ensuring that the child is given food frequently but in small portions and giving nutritious snacks. The parents and caregivers should also model healthy eating for the child
• Parents and caregivers should be encouraged to support changes in the lifestyle behaviors of the child such as taking meals together with the child in order to encourage the child to eat and finish her food portions (Ochiai et al., 2017).
• The parents and caregivers should actively encourage the child to eat and encourage small incremental changes that are sustainable and the child is likely to maintain in the long-term. The parents and caregivers should help improve the self-esteem of the child since she is being bullied by affirming that she is beautiful but needs to improve her food consumption to stay healthy (Avis et al., 2015).Advanced Health Assessment & Diagnostic Reasoning.

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