Childrens Functional Health Pattern Assessment
Functional Health Toddler
Pattern Assessment Ericksons Developmental Stage:
Autonomy VS Shame and Doubt
(FHP)
Pattern of Health -Parents incorporate
Perception and Health healthy life styles/routines
Management: and assist child in washing
-Hand and brushing teeth
List two normal assessment findings before bedtime.
that would be characteristic for each
age group. -A toddler will say that
they are sick when they
List two potential problems that a nurse feel bad. The health of the
may discover in an assessment of each child depends on parents.
age group.
-Trouble swallowing.
-Respiratory and ear
infections, cavities if
parents do not brush the
teeth well.
Nutritional-Metabolic --Often progress from
Pattern: breast feeding to using
Sippy cups and spoons.
List two normal assessment findings -Picky eaters.
that would be characteristic for each
age group. -Parents may gradually
reduce milk intake.
List two potential problems that a nurse
may discover in an assessment of each
age group.
-Food allergies..
-Become malnourished
due to switch from breast
milk to solid foods
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Preschool-Aged School-Aged
Ericksons Developmental Stage: Ericksons Developmental Stage:
Initiative VS Guilt Industry VS Inferiority
-Encouraged to learn -Understands what it
basic hygiene as hand. means to be healthy or
sick.
-Able to verbally tell the -May learn how to deal
adult where the pain is at. with minor ailments and
how to get their inhaler
during asthmatic crisis.
-Culture influences their
view on health and illness.
-Sees dirty hands as a -Tend not to care about
norm. their appearance or their
-Could be picked on hygiene.
child is small -If the parents
are practicing poor health
habits, the school-aged
child is prone to copy
-May enjoy helping -Understands healthy
family cook meals, assist snacking.
the family with simple -Obesity and anorexia.
kitchen chores like -Skipping meals and
washing apple. eating fast foods due to
their busy schedule may
-Parents gives child lead to metabolic
healthy snacks. problems.
- Obesity and
underweight as many
preschoolers would like
to eat junk food a lot like
fries and burgers.
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.
Pattern of Activity and
Exercise:
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.
Cognitive/Perceptual
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.
-Able to flush toilet with
assistance from parents.
-Able to wash hands with
assistance.
-Child does not show
interest in washing hands.
-There may be failures if
parents rush to toilet train.
-Repetitive activities
practice new skill.
-learns to crawl, walk, sit
stand and run.
-More prone to injuries
because they dont know
their limits.
-Risk of poisoning.
-Able to recognize home.
-Parents allows toddler to
play safely.
-Allowed to play
unsupervised leads to
injuries.
-Not able to recognize
their house and common
places.
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-Child is able to hold -Have full control over
bladder and undress self. bladder and bowel
-Toilet training, but may
forget to flush and wash -pattern of elimination is
hand after bathroom, like that of an adult.
needs a gentle reminder -uses bathroom
unassisted.
-Forcing child may lead -May still wet bed at night
to constipation. -constipation and other
-Encopresis and enuresis, health issues in the future
child be bullied for
wetting himself
Increased confidence and -Motor skills, able to
coordination. engage in sports.
-Able to balance, catch -very active physically.
and throw ball.
-Not allowed to assist -Want to watch TV all day
leads to poor Not socializing leading to
coordination, shy away psychosocial abnormal
from activities. behavior.
-Decreases confidence,
tend to play alone and
have social issues.
-Mastery of handwriting -Abstract thinking.
and vision coordination. -Develops problem
-Distinguishes past and solving skills and starts
present. asking the what if
-Develops imaginary questions.
friend.
-Has difficulty - Learning disabilities.
distinguishing past and -School-
present. aged childrens
-Child has difficultly Environment and their
coordinating hand and culture start to discourage
vision. or encourage them from
learning.
Starts to understand other
peoples feelings.
Pattern of Sleep and Rest: -Takes at least 2 of 30- -Take a nap a day -Sleeps at least 8hrs at
List two normal assessment findings
60minutes naps a day -Sleeps at least 8-10hrs at night.
that would be characteristic for each -Sleeps 12 hrs. at night night -Do not need bedtime
age group. Established bed time -Bedtime reading helps routine as sleep pattern
routine. to put child to sleep has changed. Has
cognition of sleep
List two potential problems that a nurse deprivation.
may discover in an assessment of each
age group.
-Child is cranky and -Easily gets tired. -Child may be late to
fussy. Falls asleep when tired wake up due to stay up at
-Child constantly refuses night watching movies.
-Restlessness. to sleep tiring parents. -May become clumsy or
sleepy during the day
-Sleep walking at night.
Pattern of Self-Perception -Explores new things like -Child shows talent and -Good self-esteem
and Self-Concept: crawling, climbing. hobbies. should be in be any
Tasking new things -Develops a positive healthy school-aged child.
List two normal assessment findings influence - Wants to master
that would be characteristic for each
age group. -Child gets frustrated whatever they do, and
when things dont go their they get more competitive.
List two potential problems that a nurse way i.e. tantrums
may discover in an assessment of each
age group.
-Can injure self during -Child shows no interest -Children that have any
tantrums. in talents and hobbies disabilities could worry
-Behavioral issues and if about what their peers
toddler does not respond -Speech pattern disorder think of them.
more at this age may -They could have bad
mean sensory problems hygiene and could just not
care about their
appearance overall.

Role-Relationship Pattern: -Sibling rivalry -Checks in with parents - Haves a best friend
and takes roles in the usually of sane sex.
List two normal assessment findings -Baby talks their way out family -Starts to understand their
that would be characteristic for each
age group. of issues -Have peers and role role more in the family.
models, sees themselves
List 2 potential problems that a nurse
as care givers
may discover in an assessment of each -Sibling rivalry if not -Negative reinforcement -Prefer spending time with
age group.
handled well may create a leads to bad behavior friends than family
lifelong tension. leading to estrangement
-Rivalry between them from family.
and care givers -If behavior is
Unable to maintain uncontrolled, may lead to

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Sexuality Reproductive
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.
Pattern of Coping and
Stress Tolerance:
List two normal assessment findings
that would be characteristic for each
age group.
List wo potential problems that a nurse
may discover in an assessment of each
age group.
Pattern of Value and
Beliefs:
List two normal assessment findings
that would be characteristic for each
age group.
-May like one parent more relationships and peers
than the other leading to
crying when left with that
parent.
-Has no perception of
gender.
-Curious about their body
during diaper change.
-Sex organs are called
other name confusing
child.
-If child cries a lot during
diaper change may mean a
sign of abuse.
-Always stressed and
throws less tantrums
-Identification of stressors
and parents gives positive
reinforcement.
-Bad behavior and
tantrums persists.
-Sees tantrums as a way of
getting what she wants.
-Giving more attention
and praise when they do
what is right.
-Control behavior and do
right
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problems in the future.
-Explores and -Has full perception of
investigative concerns to sexuality
their own bodies. -May be curious to
-Have a perception of explore other sexuality,
gender, ask genital starts to develop breast
questions. and pubic hair.
-Unable to recognize -may wear more revealing
other gender. clothes to expose
-Child is punished for themselves to the opposite
normal bodily gender.
exploration. -May be asking questions
which parents perceive as
embarrassing and not
different between gender.
-Able to verbalized stress -Competition, homework
and parents gives support and family issues can
and reinforcement overload the amount of
-Understands stressors stress a child has.
and able to verbalize it. -Death of
parents, becoming
homeless can be some of
many problems that might
cause stress.
Blamed imaginary -May not be able to
friends for bad behavior. identify and cope with
Child becomes stressors like school work
overstressed and not able and home work.
to identify it -May loose interest in
school or social events.
Parental control over -Able to identify right
what they see on TV from wrong.
-able to control their -Shares opinion with peers
emotions more, start to influence them or gain
attending church and acceptance.
religious functions. -Cultural and religious
List two potential problems that a nurse
values will start to
may discover in an assessment of each influence them greatly
age group.
-Many parents only attend -Watching of -They could lie a lot,
to their toddlers if they inappropriate shows and the parent should top
are being bad, which is learning bad things. this behavior as soon as it
unhealthy for the kid. -Can act out in public. is found because it can
Parents have to always lead to more serious lies
reward good behavior or in the future.
the child will keep -Some children may not
doing bad things to get show many respect for
attention. other people or their

Short Answer Questions

Address the following based on the above assessment findings. Expected answers will be 1-2
paragraphs in length. Cite and reference outside sources used.

1) Compare and contrast identified similarities as well as differences in expected assessment

across the childhood age groups.

According to (Javis, 2012), children should be treated as equal partners in the health care
triad. In the assessment of a child, the nurse should be in mind that she is not only caring for
the child but the parent as well.

Before the nurse assess the child, she should interact with the parent first to give the child the
opportunity to watch, see and develops trust and confidence, and accept the nurse. In
assessing the toddler and preschool, the child sits on the lap of the care giver and media and

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 reading materials are used to distract the child, the parent gives all the medical history but in
a school age child, the child lays on the examination couch and the nurse maintains privacy
and provides care at an eye level. Preschool children are more cooperative during physical
examinations when they are allowed to actively participate, such as holding the equipment,
examining you as you examine them. Provide simple explanations about the procedure
(Hoffman, 2001).

2) Summarize how a nurse would handle physical assessments, examinations, education, and
communication differently with children versus adults. Consider spirituality and cultural
differences in your answer.

In examining a child, the nurse should use simple words that can be easily understood by
the child, use of dolls and pictures to demonstrate and relay information, use of pictures , the
nurse should make the child comfortable and not forceful approach. Always check with the
care giver when dealing with a child (Eldeman, 2010).

School-age children often enjoy actively participating in their examination and care. Allow
them choices within acceptable limits. Provide simple explanations. Remember that they
are modest and proud. Respect their modesty and keep them covered and screened when
possible. Do not embarrass them especially in front of other children.
School-aged children are well coordinated and more safety-conscious. Usually may
ambulate freely. Keep bed in low position and side rails down during day unless otherwise
ordered (Hoffman, 2001).

In conclusion, culture, spirituality of parents or belief system, affects the health and
wellbeing of a child .In parents who do not belief in immunization, the child could be found
with so many preventable childhood diseases. In parts of Africa where they belief that giving
children meat and eggs will make them to steal, such children lack protein and are often
malnourished. In orthodox people who dont believe in going to the hospital may result to
going the shrine or temple or seek the opinion of their religious leader first in illness
situations.

References

Eldeman .L. Mande .L.(2010). Health Promotions Throughout lifespan (7th ed),
http://pageburstls.elservier.com.

Hoffman.T, L. (2001). Age-Specific Competency Review and Testing.

http://www.au.af.mil/au/awc/awcgate/army/erickson_stages.htm.

Jarvis, C. (2016). Physical Examination and Health Assessment, 7th Edition. Retrieved from
http://pageburst.elsevier.com/books/9781455728107.

2016. Grand Canyon University. All Rights Reserved.

 2016. Grand Canyon University. All Rights Reserved.