Here are the instructions for my Discussion Question for this week. This is a case study and at the end there are 3 questions to answer.

Week 8: Discussion Part one

Initial Visit: Meet the Family 

Background: Field Family: Mother: Michelle age 25, Father: Mike age 27, Daughter: Jennifer age 5, Son: Rey age 18 months. Maternal Grandmother: Mary age 48, Paternal Grandfather: Tom age 52.

Setting:Rural U.S.

Office: Rural, NP owned, Family Practice Clinic

Today is a busy day in your rural family practice clinic. You are reviewing the chart of your next appointment and realize that there is very little information and that you are scheduled to do well-child exams on a male age 18 months and female age 5 years, who appear from last names to be siblings. Your office schedules 20 minutes each for well-child exams. Upon entering the room, you note a Caucasian woman who appears in her early 30s who sits focused on paperwork, a male toddler climbing on the exam table to reach up and take the otoscope off of the wall, while a preschool-aged appearing female is sitting at your computer pretending to type on the keyboard.

As you introduce yourself, the mother stands abruptly and grabs the toddler off of the exam table, smacking his hand and causing him to cry, while simultaneously yelling “I told you to stop it!” She states, “I am so sorry. They usually behave. I am Michelle, and this is Rey and Jennifer.” You then inquire as to the reason for their visit, as you always do. The mother reports they recently moved to the area to live with her parents due to a recent separation from her husband, and she is there to have a physical exam before they lose her husband’s health insurance benefits. She reports that the children are currently healthy and have a regular pediatrician back at home.

HPI: The mother denies any recent illnesses in either child and reports they are here for their check-up. She does report that since moving in with her parents recently, it has been difficult to get the children to go to bed at night and stay in bed and expresses extreme frustration with this. She reports that they are eating three meals per day and two snacks, one at bedtime and one in the afternoon between lunch and dinner. They do brush their teeth twice a day, ride in car seats in the car, and play vigorously both indoors and outdoors at home. She also verbalizes extreme concern of their impending loss of health insurance.

PMH: Jennifer: Full-term gestation, born cesarean section, weight. 7lb 4 oz. There were no complications in pregnancy, but the mother did smoke 1 PPD throughout pregnancy. There were no hospitalizations—NKDA. The daily medication was chewable children’s multivitamin with iron. Rey: Born at 34 weeks gestation via cesarean section, weight. 5lb 1 oz. The mother developed preeclampsia and gestational diabetes. The mother quit smoking when she found out she was pregnant. Rey has allergies per mother and sometimes takes Cetrizine syrup half a teaspoon once daily, PRN congestion, and a children’s chewable multivitamin daily.

ImmunizationsThe mother has no immunization records with her at this timeon either child. She reports some immunizations given, but cannot remember last date.

Social History:Both children currently live with their mother and maternal grandparents for the last 8 weeks. Their father is involved but lives 2 hours away in the state capital where he works. Jennifer will be starting kindergarten this fall in the community’s elementary school.

Family History: They are maternal and paternal smokers. The mother has been one since age 16 at 1PPD until 18 months ago. The father continues to smoke. There were no diseases reported in either parent. Mother has a history with gestational diabetes and preeclampsia.  MGM has a history of hyperlipidemia, Type 2 DM, and Hypertension. They are Latin American in descent, emigrated from Cuba in the 1970s. MGF has a history of hypertension, hyperlipidemia, and an MI with stenting 2 years ago.  The mother has two siblings; one who died in an MVA 5 years ago at the age of 18 a younger brother, and an older sister who is 32 and lives in a large urban city in the Midwest with her family, and she is in good health. Other family members died of old age. She is unaware of paternal familial health history.

Please  answer the following questions):

1.- What would you like to focus on during your visit today?

2.- Would a family assessment tool be appropriate?

3.- What other historical information would you like to have at this visit?

Order Solution Now

Click HERE to order a unique plagiarism free paper done by 

professional writers and delivered before your deadline

In the dynamic world we currently live in, it’s becoming increasingly difficult for students to balance academics, co-curricular activities and entertainment among others. Students are required to submit countless assignments in a short time frame. These assignments should not be taken lightly as they form a major part of the grade when it comes to the end of the semester. Understanding the value of education and how these grades are important to students, Infinite Essays has made it its mission in life to offer customized essays to students at an affordable cost.

Click HERE to order a unique plagiarism free paper done by 

professional writers and delivered before your deadline

There are plenty of reasons why you should order a paper with Infinite Essays. We have reliable writers who are also very competent. They have over the years managed to work under tight schedules and deadlines. Whenever you order an essay with Infinite Essays, you are guaranteed a fast turnaround of your project and this is done on time. Other than writing custom papers, our writers provide value added services that include academic assistance in the areas that they have specialized in. We ensure that the work that we offer is free of plagiarism. Infinite Essays does not condone plagiarism in whatsoever manner. Our writers are very experienced and can handle of sorts of formats such as Turabian, Chicago, Harvard as well as APA and MLA. Infinite Essays covers a wide range of topics. At the moment, we specialize with over 68 topics. We understand the importance of maintaining confidentiality when dealing with our clients. It’s for this reason that we will never reveal the identity of our clients to whoever may be interested. Finally, we offer the most competitive rates in the industry.

Click HERE to order a unique plagiarism free paper done by 

professional writers and delivered before your deadline

Whenever you want to make an order with us, you will use our automated online ordering system. If you are having some difficulties of any sort, feel free to contact our live support and they will be more than happy to assist you. Ensure that you fill all the relevant information regarding your order. This is the area where you have to include the deadline of your assignment, the formatting style to be used and even the kind of academic paper you desire. The more information you give to our writers, the better.

Click HERE to order a unique plagiarism free paper done by 

professional writers and delivered before your deadline

Brief explanations of how our services work 1. Provide us with the necessary instructions. Go to the Order Now page and click the order now button. This is the part where you have to attach all the relevant attachments. At the same time, remember to add the instructions sheet here. Once you are sure that you have submitted all relevant information, please submit the final draft to us. 2. The second step will involve paying for the services. This is where an invoice will be sent to you. However, the easiest process is clicking the payment link and following all the prompts that come along. At the moment, all payments are made through PayPal only. 3. Working on your paper. Once you have made the payment, we will assign the order to a writer who will follow the instructions. Remember that our writers will spend countless hour laboring to ensure that the work they provide is meticulously researched. 4. Download your paper. When the writer is finished with the assignment, they will submit it to our writers who will then go through the paper to ensure that the paper has followed all instructions and there are no grammatical errors. We will then forward a copy of the assignment to your email. 5. Tell your friends. We always happy to receive a referral. Whenever a friend tells us that you recommended our services to them, we will give you a 40 percent discount for your next order. Whenever you have provided us with the necessary details, we will forward them to qualified writers who will handle the assignment for you. Remember that the writers will begin working on the assignment immediately. This is the sole reason we encourage our clients to provide their exact specifications during the first time.

Click HERE to order a unique plagiarism free paper done by 

professional writers and delivered before your deadline

Tackling an order may be challenging but we always offer the best. Before the assignment can be passed to you by our writers, it will be passed through a team of qualified editors and proofreaders to ensure that the paper is accurate and of the required quality. Once the editors are satisfied with the assignment, they will forward the assignment to your account and a copy to your email.

Click HERE to order a unique plagiarism free paper done by 

professional writers and delivered before your deadline

Discounts We offer the best prices in the industry. We currently have a 20 percent discount for all of our customers. If you feel the budget is putting a strain on you, contact our live support and they might consider you case. We treat each case differently. Remember that our main goal is to continue with education transformation. At the moment, we only accept payments in form of PayPal.

Click HERE to order a unique plagiarism free paper done by 

professional writers and delivered before your deadline

Why Choose Us While there are many companies in the writing service industry claiming to offer platinum services, none can match the services offered by Infinite Essays. Some of our writers have been with us since 2010. The testimonials that have been written by some of our happy customers is an indication of the good services that we offer.

Click HERE to order a unique plagiarism free paper done by 

professional writers and delivered before your deadline