Healthy Nutrition for a Child

Healthy Nutrition for a tikeHealth Intervention innovationA) Brief summary of concerns approximately the minors health and well-being.An overview of Joshua would bring to an end that he is essentially a healthy six year oneness judgment of conviction(a) boy. Apart from being shy on an initial en regarder, all his interactions and animal(prenominal) indices appear to be within modal(prenominal) limits. There were no manifest concerns about his ramp upmental stage. He appe atomic number 18d to stop distinguishly. He lives with both p bents and ii siblings and communicates appropriately for his age.NutritionNutrition (24 hr recall) Breakfast antithetic cereals corn whisky flakes, coco pops, with fruit apples, bananas. Lunch, to a fault fruit and noodles several(prenominal) time machinate of hamburger or cheese. Dinner, vegetable soup, bread roll. Intake of swag and full-bodied could be high.Nutrition is a major issue for many teach electric razorren. It is no n possible to say, as the result of a brief wonder with Joshua, whether or not his general diet is a cause for concern. He clearly is not fat and appears to construct an appropriate weight for his height. unrivalled nookie use his reported 24 hr intake as a discussion point. It can be seen that his diet is certainly varied, with fruit, some roughage and some protein (albeit probably processed). There is a suspicion that he has an excessive intake of carbohydrate and fat. If these suspicions occupy a bun in the oven been raised, therefore it would be sound to investigate them fully with interviews with the parents to establish whether further empowerment and education of parents and infant might be appropriate. (Crisp, J et al. 2005) fluctuationing strategiesThe report refers to Joshuas degenerate ambitions. While there is every merit in advance Joshua to foul up in sport for both general fitness and development, one has to treat the possibility of injury and utilize d amage that can elapse in the pre-pubertal kid who over-exercises in the hope of achieving his goal of being a paid footballer. One can identify the item that talking about an line of business of interest such as sport can serve to restrain the pip-squeak and break down potential communication barriers, the nurse can also use the opportunity to present and discuss factors which are applicable to the peasants health and can be controled into the context of the childs favourite sporting activity.B) Strategies to address no more than cardinal of these health concerns.Nutrition.The key to a changing a childs provisions is to target the parents. (Hockenberry, M 2005). On one level this may seem only obvious, but there are deeper repercussions to this statement. The implications of this comment get out be discussed in the next segment. An appropriate strategy to tackle the caper is firstly to define Joshuas diet with a greater pointedness of certainty to ascertain if a fu ss actually exists. This could be make in a number of ways. Clearly one could ask him on a daily basis about his eating habits for that day. This might be reasonably accurate but would be hopelessly inefficient. A expose strategy might be to ask to see the parents and discuss the look at some length with them. If there was any doubt, then one could ask for a food diary to be kept over a period of two weeks. One would have to be awake that this mechanism is capable of manipulation by the parents, but may erect a basis for discussion.The nurse should be able to make a basic surveyment of the situation and if there is any doubt then an appointment with the community dietician might help to resolve the problem. In any event, if concerns have been raised, then it is the nurses responsibility to monitor the childs weight and plot it on a centile chart to document any significant change. Any significant deviations from the normal should ideally be referred to the primary health car e team.SportsThis is not an easy celestial orbit in the pre-pubertal child. The evidence presented for Joshua does not suggest any problem. As a discussion point however, one can consider the fact that health care professionals have to tread a narrow path between encouraging a healthy interest in sport, which can help both body and mind develop properly, and allowing a particular interest in a particular aspect of sport to cause maldevelopment. This latter(prenominal) precondition can either come from a child (who may have some form of associated obsessive illness) or, more frequently from the parents who may have views about pushing the child to achieve. This can have repercussions not lonesome(prenominal) in overuse syndromes, but in psychological issues relating to over-control and overt bullying.An appropriate strategy would be to firstly define the problem with interviews with both the child and their parents. If a problem is believed to exist, then it may simply require adv ice and focal point for the parents from various healthcare professionals in the primary healthcare team. Specific overuse injuries may require specific interventions. It has to be noted that this is not a common problem, but if it is defined, then it should be taken seriously as the repercussions may have a significant impact on the childs development.C The use of a wide selection of publications no more than 5 years old, to provide a principle (justification) for each strategy. You are expected to reference this section.Nutrition.In general terms, the parents (and sometimes the school) are responsible for the provision of an adequate diet for the child, but the belles-lettres is full of examples of how maladaptive practices in parents can have quite label clinical implications for the childs health.A very recent penning by Moestue has studied the link between a childs nutritionary status and the parental educational level (Moestue H et al. 2008). The nutritional values that the mother has been brought with up largely determines how she will feed her family. To a large extent this is independent of the familys financial means although the latter may have an adverse impact if it is very low. (Cochrane S H et al. 2000). corpulency is mayhap the most common form of malnutrition and its incidence in developed countries is increasing at an alarming rate. (Maher E J et al. 2008). It is observe that obese parents tend to have obese children. This linkage may not simply be a genetic predisposition (although there is a solid genetic element) but the feeding habits of the mother (in particular) tend to be perpetuated in the child. (Lobstein T et al. 2004). To successfully tackle potential obesity in childhood has a number of positive effects in vainglorioushood. The child who is obese will tend to be an obese adolescent and an obese adult. This will increase the chances of Type 2 diabetes, coronary artery indisposition and some types of cancer. Reducing the childs BMI to non-obese levels will reduce their talent to these eventualities. (Zhu H et al. 2008)In terms of tackling this problem, many authorities point to the fact that empowerment and education of the parents is the key to providing children with good eating habits. (Howe J et al. 2004). If these are established in childhood then they are more likely to persist throughout life. Such a remit may be beyond a simple intervention from the school nurse, but social function of the multidisciplinary primary healthcare team may help in this respect.SportThis essay has highlighted the balance required between a healthy location to sport and overindulgence. Although the latter is unusual in this age group, when it happens it can have severe consequences. (Brenner J S, 2007). The reason why this is a particular problem in this age group is the fact that the pre-pubertal child has bones and ligaments which are still growing, as such they cannot handle as much breed as adult bones. Ch ildren can get injuries which do not occur in adult life. The growing ends of bone (the ephyisis) can become spare or distorted resulting in abnormal growth. (OKeefe L, 2007). The commonest source of such problems in this age group is parental pressure and expectation. Some parents have totally unrealistic expectations for their children. Others simply want to let the child have opportunities that perhaps they never had and, however misguidedly, push them too hard into sporting activities.The healthcare professional has to be careful not to allow concerns relating to overuse problems to completely dissuade children from sporting activities. Some degree of physical exercise is vital, not only for the childs physical development, but also to develop habits which are essential for health in future life. (Allender S et al. 2008). This is peculiarly important in the child who is overweight and who, if this overweight is maintained into adult life, would be at greater risk of developin g Type 2 diabetes (Hillsdon M et al. 2005).Sports participation also aids development in a number of other, more subtle ways. It can encourage the ability to work in a team and also encourages self-reliance. Competitive instincts can also be developed with participation in many sporting activities. (Powell K E et al. 2006)Appendix 1Childs first establish Joshua Age Six Years tutor Fisk Street Primary School Gender MalePHYSICAL ASSESSMENT Height 121 Weight 22 BMI 15.2 Temperature 36.8 Pulse 102 respiration 28 Oral health All dentition are in good condition. How could you tell? What was the state of the gums? DEVELOPMENT deliverance He rung very clearly/ but at the ascendant he was shy and this is normal in his age. Was the voice hoarse, loud or soft? Interaction with the assessor Good level of interaction with assessor. wellness HISTORY Sleep pattern There are no sleep problems indicated. He sleeps from 830 pm to 600am Sports / Physical Activities On the weekend and some time a fter school activities are soccer and football. TV / Screen hours per day He watch TV for negligible of 2.5 hours per day Other activities Play with his brother X Box and he go with his father for fishing Nutrition (24 hr recall) Breakfast different cereals corn flakes, coco pops, with fruit apples, bananas. Lunch, also fruit and noodles some times sandwich of hamburger or cheese. Dinner, vegetable soup, bread roll. Intake of sugar and fat could be high. It is hard to say with a one despatch assessment. Record any other comments made by the child about their general health status He is very good and strongSOCIAL HISTORY People who live at home with the child (do not include names of individuals) Father, Mother, Brothers Sisters. Family activities Sport activities on week end, they do party for his birthday Friends of the child (do not include names of individuals) He said that he have many friends in the school channel ANY OTHER ACTIVITIES YOU UNDERTAKE WITH THE CHILD Joshoa as I assess him he is healthy boy with good communication when I spoke with him also he have dream to be famous shammer when he will be old man as he said, and he always try to play and asking questions for many time when we will play with balloon this gave me good idea about his health status. Showed good way of engaging with the child.References Allender S, Hutchinson L, Foster C (2008) Life-change events and participation in physical activity a systematic review. Health Promot. Int., June 1, 2008 23 (2) clx 172.Brenner J S, (2007) Overuse Injuries, Overtraining, and Burnout in Child and Adolescent Athletes. Paediatrics Vol. 119 no(prenominal) 6 June 2007, pp. 1242 1245Cochrane S H, OHara D, Leslie J. (2000) The effects of education on health Washington, DC World Bank 2000.Crisp, J., Taylor, C 2005, Potter Perrys basics of nursing, edition, Elsevier, Marrickville, Australia. 2005Hillsdon M, Foster C, Thorogood M. (2005) Interventions for Physical Activity (Cochrane Review). The Cochrane Library. Oxford Human Kinetics 2005 pp. 137 59.Hockenberry, M (2005), Wongs essentials of Pediatric Nursing, 7th edn. Mosby, St Louis. 2005Howe and Anderson (2003) Involving patients in medical education. BMJ, Aug 2003 327 326 328.Lobstein T, Baur L, Uauy R, et al. (2004) obesity in children and young people a crisis in public health. Obesity Rev 5 supplement, 4 85.Maher E J, Li G, Carter L, Johnson D B. (2008) Preschool Child Care Participation and Obesity at the Start of Kindergarten. Paediatrics Vol. 122 no. 2 August 2008, pp. 322 330Moestue H, Huttly S (2008) Adult education and child nutrition the role of family and community. Journal of Epidemiology and Community Health 2008 62 153 159OKeefe L (2007) Overdoing It in Youth Sports. Journal Watch Pediatrics and Adolescent Medicine, July 25, 2007 2007 (725) 3 3.Powell K E and Pratt M. (2006) Physical activity and health. Br Med J 2006 313 126 7Zhu H, Yan W, Ge D, Treiber F A,. Harshfield G A, Kapuku G, Snie der H, Dong Y (2008) Relationships of Cardiovascular Phenotypes With Healthy Weight, at Risk of Overweight, and Overweight in US Youths. Pediatrics, January 1, 2008 121 (1) 115 122.18.8.08 Word count 2,192 PDG