Assessment of a child

CASE STUDY: Preschool Child: Ricky Ricky, age 4 years, arrives in the clinic with his mother. Ricky lives with his mother and father, who both work full-time, and his infant sister. Their extended family lives in a different state more than 100 miles away. Both parents are of average height and in good health. Ricky’s mother mentions that Ricky often expresses frustration, particularly in regard to food. Conflict over food occurs every day. Mealtime is a battle to get him to eat, unless his mother feeds him. Ricky’s baby sister seems to tolerate all baby foods but requires her mother to spoon-feed. Ricky’s mother is quite frustrated and concerned that he will become malnourished. Reflective Questions

  1. What additional assessment information would you collect?
  2. What questions would you ask, and how would you further explore this issue with the mother?
  3. In what ways does the distance of the extended family influence this family’s approach

to health promotion?

  1. What factors would you consider to determine whether malnourishment is a factor in this family?
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Sample Answer

here are some reflective questions for the case study of Ricky, a preschool child:

  1. What are the possible reasons for Ricky’s refusal to eat?
  2. How can Ricky’s parents create a positive mealtime experience?
  3. What role does the extended family play in Ricky’s eating habits?
  4. What resources are available to help Ricky and his family?

Full Answer Section

Here are some possible reasons for Ricky’s refusal to eat:

  • He may be experiencing sensory sensitivities to certain foods or textures.
  • He may be anxious or stressed about something, and food is a way for him to express his feelings.
  • He may be trying to exert control over his environment.
  • He may be mimicking the eating habits of his parents or siblings.
  • He may have a medical condition that affects his appetite.

Here are some ways that Ricky’s parents can create a positive mealtime experience:

  • Make mealtimes relaxed and enjoyable. Avoid forcing Ricky to eat or making negative comments about his food choices.
  • Offer a variety of healthy foods, but don’t force Ricky to eat anything he doesn’t want.
  • Let Ricky help prepare meals and set the table. This can make him feel more involved and interested in eating.
  • Make mealtimes a social time. Talk to Ricky about his day and other things that are going on in his life.

The extended family can also play a role in helping Ricky develop healthy eating habits. They can model good eating habits and provide support to Ricky’s parents.

There are a number of resources available to help Ricky and his family. These include:

  • Registered dietitians: A registered dietitian can assess Ricky’s eating habits and provide personalized advice.
  • Feeding therapy: Feeding therapy can help Ricky develop healthy eating habits and overcome any sensory sensitivities he may have.
  • Parent support groups: Parent support groups can provide much-needed support and advice from other parents who are dealing with similar challenges.

By working together, Ricky’s parents, extended family, and healthcare providers can help him develop healthy eating habits and enjoy mealtimes.

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