Discussion reply to Cristina.

Dear writer, I need a discussion reply to a fellow classmate’s clinical post. Please, do not critique their paper but rather add to their original point. Please do not speak in the third person, speak as if I am the one writing the reply. the example you may things like. Gilberte great discussion or it sounds like you had an interesting clinical experience this weel.. I agree with you…., or I would like to add …so on and so forth. if you have any questions let me know. I will attach the class book to use it as a reference. Students discussion to reply to:As my time in the Pediatric clinic rotation comes to an end this week, I look back at all the experiences I had, the patients and families that I encountered, as well as all the skills and knowledge that I gained during my time in the clinic. I have gained much valuable knowledge, newly acquired skills, as well as much experience that I will gladly take on with me into my future clinical rotations as well as in the future as a practicing nurse practitioner. One of the most important things I have learned during this rotation has been the importance of communication and patient education. I believe these both go hand in hand and are at the forefront of patient care and well-being.One of the final patients I have encountered during my time in Pediatric clinic rotations that made an impact on me was a young infant coming in for her 1-year wellness checkup. In today’s visit, the infant tripled her birth weight. She currently weighs 21 pounds and measures 25 inches. The infant has been solely breastfed for the last year and her mother states she has latched well throughout the year and does not feed well with formula which she has made the intent to try with the infant. The infant has begun to try a variety of soft foods such as bananas, yogurt, oatmeal, small amounts of chicken, avocado, and whole-grain pancakes. Her mother has begun introducing small amounts of new foods every week or so, making sure she is aware of choking hazards and being aware of potential allergies. The infant voids and stools and couple times a day, and has not had constipation or diarrhea. She naps a couple of times a day and sleeps about 10 hours throughout the night. Her mother considers her a happy infant, she laughs, follows with her eyes, and can say words such as “mama”, and “dada”. She can sit up and stand with assistance. Like sitting, standing typically begins with manual support of balance. Infants pull to stand and hold themselves upright by gripping furniture for support. Toward the end of the first year, they stand freely and cruise holding furniture for support. Locomotion in prone, sitting, crawling, and upright postures appear only after infants can keep balance in one place, and transitions between postures (shifting from prone to sitting, sitting to standing, and so on) typically emerge last (Adolph, 2017).In today’s visit, the infant will receive all of her 1-year immunizations, including Hib, PCV13, IPV, MMR, Varicella, and Hepatitis A. Vaccination is a major, but simple and cost-effective public health intervention in the prevention of infectious diseases, especially in children. Vaccination is considered as one of the biggest achievements of the twentieth century and as one of the most cost-effective measures in the prevention of childhood diseases. In 1974, the World Health Organization (WHO) launched a worldwide vaccination program known as the Expanded Program of Immunization (EPI), which has been considered one of the major public health interventions aimed at reducing infant morbidity and mortality (Chiabi, 2017). It is important to educate families on the importance of vaccination for their children and how this is one of the simplest ways to protect and prevent their children from contracting serious illness and complications of vaccine-preventable diseases.The last point that my preceptor and I spent time speaking to the family about was child-proofing the home. Unintentional injury prevention research focuses on parental supervision as critical to reducing toddler injury. The haven that is home is full of hidden dangers—childproofing your home protects both your children and your property. Childproofing can save minor injury, and often permanent disability or in some cases lives. Unintentional injuries, or what is commonly called accidents—such as falls, drowning, poisoning, insect bites, and traffic-related accidents, continue to be the leading cause of death for children between the ages of one and four and the second leading cause of hospitalization for the same age group, after medically-related complications (Dao, 2019). We spent time speaking to the mother about installing childproof protection around the family’s pool, installing gates around areas where the infant can access easily, as well as keeping medicine and other medications in proper, sealed containers to prevent ingestion. The child should be placed in a rear-facing car seat until the age of 2, should use SPF 30 and proper clothing when outside in the sun, and to schedule the infant’s first visit to the dentist. Patient education is important during a wellness visit. Through communication and education, we the primary care nurse practitioners are better able to assess, diagnose, and treat our patients and their families.ReferencesAdolph, K. E., & Franchak, J. M. (2017). The development of motor behavior. Wiley Interdisciplinary Reviews: Cognitive Science, 8(1-2), e1430.Chiabi, A., Nguefack, F. D., Njapndounke, F., Kobela, M., Kenfack, K., Nguefack, S., … & Angwafo, F. (2017). Vaccination of infants aged 0 to 11 months at the Yaounde Gynaeco-obstetric and pediatric hospital in Cameroon: how complete and how timely?. BMC pediatrics, 17(1), 206.Dao, A., & McMullin, J. (2019). Unintentional injury, supervision, and discourses on childproofing devices. Medical anthropology, 38(1), 15-29.