Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and possible differential diagnosis.

Describe your clinical experience for this week.Did you face any challenges, any success? If so, what were they?Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and possible differential diagnosis.What did you learn from this week’s clinical experience that can beneficial for you as an advanced practice nurse?Support your plan of care with the current peer-reviewed research guideline.sample classmate post:As my days in the pediatric clinic, rotation comes to an end, I look back at all the patients and families I have met, the many skills and knowledge I have gained, as well as all of the experiences I have encountered. I have gained much experience that I will gladly take on with me into my future clinical rotations as well as take with me as a practicing nurse practitioner. One of the most important and simple things I learned is of great importance as a health care professional and nurse practitioner is the importance of communication and patient education. One of the patients I saw this week that required much information and patient education was a young mother who came into the clinic with her newborn infant daughter. Her newborn, who is a week old came into the clinic with complaints of intolerances to her formula she was being fed with. Her mother states her newborn daughter was having multiple loose stools per day. These stools looked to the mother yellow in color and seedy in texture. She also noticed her infant was increasingly fussy and colicky after feedings, often spit up her formula after feeding, and seemed to the mother to have stomach cramps after feeding. Infantile colic represents a major cause of discomfort and distress for the infant, caregivers, and even healthcare providers. Despite 50 years of research, its pathogenesis is not fully understood, and optimal management is debated. The etiology of infant crying is multifactorial and related to feeding difficulties and disorders, dysmotility, hormone alterations, or behavioral factors. The concept of aberrant gut microbiota in infants suffering from colic has been developed, suggesting its influence on gut motor function and gas production and emphasizing a possible role for chronic inflammation. Colic is reported to occur equally frequently in breastfed and bottle-fed infants and both sexes. Colic causes stress in the family and impairs family and infant quality of life (Daelemans, 2018). The mother states that it is often frustrating not knowing exactly when her infant is feeling because she cannot verbalize with her, and often resorts to learning her infant’s cues.When interviewing the mother of the infant, she explains to my preceptor and I that she feeds the infant almost an entire bottle of Enfamil NeuroPro formula every 4 hours for the infant. When assessing the infant it is clear to see the infant’s abdominal area is bloated and she also had a soiled diaper with a seedy, watery stool. The infant was recently fed before coming to their appointment this morning and the infant is colicky while being assessed. My preceptor educated the mother on the possibility of the infant having an intolerance to the formula being fed to the infant and the possibility that the infant would benefit from having the formula changed to a different one. My preceptor then stepped out and quickly returned with four large bottles of a new formula called Nutrramigen by Enfamil. This new formula is a hypoallergenic infant powder formula with iron that will assist the infant in the management of the colic. She educated the mother on this new formula that is just as nutritionally complete as the other formula given, it is a probiotic which will help support the infant’s digestive health, is easier to digest, and it will also reduce the infant’s chance of having loose stools. Education was given to the mother on the benefits of feeding this formula over others. One of the main benefits being that this type of formula is considered to be a hydrolyzed protein which provides the infant relief from colic pains. Hydrolyzed protein formulas have been developed for infants at high risk for cow milk protein allergy and preterm infants who are intolerable to intact cow-milk based standard infant formulas when breastfeeding is not available. More recently, there has been growing evidence that preterm infants fed hydrolyzed infant formulas have a better feeding tolerance, as indicated by higher gastrointestinal transport rates, more rapid gastric emptying, less gastro-esophageal reflux, and more rapid establishment of full enteral feeding. As a result, replacing intact protein with hydrolyzed protein in infant formulas might also have beneficial effects on improving feeding tolerance in healthy term infants, especially during the early postnatal period (Wu, 2017). The mother was advised to feed the baby this formula in increments of 10 ml, and burping the infant in between. The infant should not feed to the point of spitting up because this also causes abdominal pain, diarrhea, and spit ups.This week in the pediatric clinic taught me the benefits of educating the mother and families on their infant’s nutrition and feedings. When patients and families are more knowledgeable about their infant’s care and health, they are better able to ensure continuity of care and reduces complications. A better-educated family results in a healthier and happier infant.ReferencesDaelemans, S., Peeters, L., Hauser, B., & Vandenplas, Y. (2018). Recent advances in understanding and managing infantile colic. F1000Research, 7. DOI: 10.12688/f1000research.14940.1Wu, S. L., Ding, D., Fang, A. P., Chen, P. Y., Chen, S., Jing, L. P., … & Zhu, H. L. (2017).