Question

Case Study Preschool age Child Early Childhood Development Sally is a 3-year-old girl in the primary care physician’s office. Sally’s mother states that she is having “temper tantrums.” Sally’s mother expresses concern about childhood obesity and is worried that she sleeps too much Subjective Data Mother states Sally eats well. Sally sleeps 11 to 12 hours a day. Sally speaks in four- to five-word sentences. Objective Data Birth weight: 3 kg Today’s weight: 23 kg Height: 90 cm Sally speaks in three- to four-word sentences with a 300-word vocabulary

- What information can Sally’s nurse give about her temper tantrums?

- What is the goal of discipline for a preschooler?

- What is the recommend sleeping guidelines for a preschooler? (CITE reference)

- What are the appropriate interventions to address problems with sleeping in the preschooler?

- What immunizations should the child have for this age?

- What are the common intestinal parasitic diseases in children?

- What medications and dosages are recommended for treating intestinal parasitic diseases in children?

- What is the anticipatory guidance for the preschool-age children?

Answer 1

1.Temper tantrums are violent emotional outbursts ,usually in responce to frustation. tirdness, hunger.. child may scream , cry , roll on the floor , throw things , viiolence ,holding breath,  hitting ...

equaly common in males and females .and occur in the age of 1 to 3 yrs,. it is normal part of child development.

steps to stop temper tantrum are stay calm , distract him , try humors , help undo frustations , dont give in to demands

2. the goals of discipline for a preschooler are , to assist children inndeveloping skills for making decisions and helping them gradually gain self control to be responsible for their own behavior ,

methodes include , show and tell (teach them right and wrong in simple calm words)

set limits  

give consequences, hear them out , give them your protection , catch them being good

3.according to american accademy of pediatrics (AAP) , a preschool age (3 to 6 yr age ) should have 10 to 12 hours of sleep per day.. usually gomto bed between 7 pm to 9pm and wake up around 6 am to 8 am.

4. intervention to address the sleeping problem in preschool child are

know how much sleep child should bde getting

make bedtime a routine and constant time for sleep everyday

make ideal enviornment for sleeping

turn off lights

avoid meals and caffeine bdefore going to sleep.

5. the immunisation which are covered upto 3 yr child are

BCG , Hep B -0 , OPV -0 doses at birth

OPV - 1 , 2 , 3 - at 6 wks m 10 wks , 14 wks

DPT -1 , 2 , 3 - at 6 wks , 10 wks , 14 wks   

Hep B - 1, 2 ,3 - at 6 wks , 10 wks , 14 wks

measles at 9 months  of age along with vit A (1 st dose)

DPT booster , measls 2 nd dose , opv booster , japanese encephalitis vaccine given at 16 to 24 months

vitamin A 2nd to 9 th dose every 6 months upto 5 years.

6. these child play in soli and eating foods without proper washing leads to infections with parasite like giardiasis , ascariasis , thread worms ,trichuriasis  

7. these intestinal parasites are destryed by drugs such as albendazole 200mg one tablet at bedtime and followed by same dose 2wks later for copmlete killing of parasites inlkuding cyst forms.

8 , anticipiated guidence( proactive councelling that address the significant physiical ,emotional , psychological and developmental changes that will occur in children during the interval between health supervision visits) for preeschool childrens are regarding nutrition , injury prevention , behavior managment ,developmental stimulation ,sex education , and general health education .