Please respond to the Essay below.
Use at least one scholarly source other than your textbook (Sewell, J. (10/2015). Informatics and Nursing: Opportunities and Challenges, 5th Edition [VitalSource Bookshelf version]. Retrieved from vbk://9781496321275) to connect your response to national guidelines and evidence-based research in support of your ideas. This is required
Adult and pediatric preventative care visits are encouraged to keep up with good health and to prevent preventable diseases from occurring. There are differences between adult and pediatric preventative care visits that will be further dissected. In adult preventative care visits are defined within a primary prevention, secondary prevention screening, and tertiary prevention and the focus is to prevent disease from worsening (Sullivan, 2019) Examples of primary preventions are vaccines, immunization, as well as hand washing techniques, and even teaching (Sullivan, 2019). Secondary prevention is detecting a disease early giving more options for interventions to make the disease even worse and example would be a mammogram to screen for breast cancer (Sullivan, 2019) Tertiary prevention’s goal is to halt or delay a disease of its complications and disability which is most of where most Americans are visiting their physicians (Sullivan, 2019). If more and more patients were active in adult preventative care visits there would be less interventions and treatments. In the health care system, ambulatory medical offices are the largest and widest used health care segment (Sullivan, 2019). Pediatric preventative care visits differ because most of the subjective information comes from the parents or guardians (Sullivan, 2019). This gives the provider a challenge to carefully observe the relationship between care provider and the pediatric patient as well as formulate provider’s own objective data. For example, Francesco and colleagues provided a case study where a pediatric patient with who underwent renal joint surgery that was not needed at all before a diagnosis of Munchausen syndrome was made due to factitious disorders because the 13-year-old boy showed that the boy was handling his prepuce to make scars (Francesco, Valentina, Emanuela, Gabriele, Augusto, Giovanni, & Susanna, 2018). “It is recommended that pediatricians include factitious diagnoses in the differential diagnosis of a persistent and unexplained medical condition” (Francesco et al., page 1, 2018). This is important because as mentioned pediatricians rely on what patient and what parent is telling them and it takes one doctor to notice that something is not right to make the diagnosis and prevent further unnecessary interventions. Therefore, in pediatric patients, age plays an important role when conducting well-child care visits or preventative visits that tools for documentation of preventative care was made called the Early and Periodic Screening, Diagnosis, and Treatment program where this ensures that child’s health needs are met before becoming more costly (Sullivan, 2019). The components of a pediatric preventative care visit include the following: growth screening, developmental screening, lab test screening, assess the immunization status and administer them as needed, anticipatory guidance, counseling, and education, and risk factor identification (Sullivan, page 94, 2019).
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