Discuss the Use of an Assessment Tool When Caring for a Child

Commentary 1: Discuss the use of an assessment tool when caring for a child and their family In the following commentary I am going to reflect upon what I have learned about conducting the new born baby assessment regularly carried out on the neonatal unit. To write about the new born baby assessment it is important to understand what assessments are, why assessments are important and how this particular assessment is an essential part of nursing. “Assessment forms the first part of any nursing activity and is the first step in the nursing process.
Without a comprehensive assessment of the child and family’s needs, care cannot be planned, delivered or evaluated effectively. ” (Great Ormond Street Hospital 2012). Examination of a new born infant allows nurses to assess and monitor a new born baby’s condition and promptly identify any abnormalities in order to treat and give appropriate care as early as possible. It is an important part of overall care contributing to the baby’s wellbeing and survival (NNF Teaching Aids: Newborn Care 2010).
Over the time I have spent so far on the neonatal unit I have learned about the physical assessment of new born babies and observed the trained staff carrying out these assessments day to day. The assessment of a new born infant involves the checking of several aspects of the baby’s anatomy; the Brain (the control centre for all organs), the Heart (pumps the 80mls of blood around the baby’s body), the Lungs (provides o2 for the body’s organs and muscles), and the Kidneys and Liver (filters toxins out the body to be excreted). These vital organs are the key to the baby’s survival in life.

To begin to asses these organs is by examining the skin as this is the easiest organ to view and the examination is non-invasive so therefore should not distress the baby. The skin can be a key indicator of if something is wrong. The nurses and I looked at the colouring, the texture, the nails, and looked closely for any presence of rashes. The skin regulates body temperature (Ross and Wilson 2010) therefore monitoring a baby’s temperature is an important part of caring for a baby. The skin is also the baby’s first stage of protection from infection forming a barrier between its self the outside environment.
The head is another important indicator of what is going on within the baby. We examined the fontanel as this can swell or sink to show signs of dehydration or Hydrocephalus. A dry mouth can also be an indication of Dehydration. During birth the baby’s head can change shape due to the sutures in the skull (as seen in the diagram, Nucleusinc 2010) therefore it was important for us as nurses to check the sutures and the overall shape of the head and look for any bruising or swelling caused by trauma to the skull during birth.
It was important to observe and record the baby’s activity eg Agitated, Alert, Active as this will forms the baseline for further assessments of the baby and could help identify any neurological abnormalities. The next stage of the physical examination was the eyes. A discolouration of the whites of the eyes could be an early indication of Jaundice and be a warning to start treatment. Staring or bloodshot eyes could indicate a raised intracranial pressure or raised a blood pressure.
Pre-term babies are often on o2 therefore checking the lung function, the patency of the airway and the o2 delivery method is important in order to maintain o2 saturations above 95%. Having conducted the physical assessment of the baby the digestive system needed to be assessed. This was done by a physical examination of the abdomen and by looking at the method of feeding (Breast, Bottle, NG Tube, OG Tube, JJ Tube, or PEG) and the amount of milk to be administered (amount per day: ml/kg/day times baby’s weight divided by the number of feeds to give in 24 hours).
The Neonatal Unit’s policy is for the preterm baby is to start them on 60ml/kg/day +30ml per day up to 150ml and for the term baby to give 40ml/kg/day + 20ml per day up to 150ml. After this the doctors take over calculating feed volumes. These feeds are then recorded on a feeding chart and totaled at the end of every 24 hour period to monitor fluid intake. The initial assessment of a new born infant is a complicated process but is vital in providing the best possible care for the baby.
The initial assessment acts as a baseline for further care to be compared with. Without an assessment important information and signs may be missed with awful consequences. Although I have observed and assisted with the assessment process I do not yet feel comfortable performing this assessment on my own as I feel I have a lot more to learn so as I don’t miss something or disregard any of my findings as insignificant. References: Boston Children’s Hospital (n. d. Assessments for newborn babies. [online] Available at: http://www. childrenshospital. org/az/Site600/mainpageS600P1. html [Accessed: 22/07/2012]. | Healthy Babies (1997) Guide for Newborn Physical Assessment, Anticipatory Guidance and Health Teaching. Vermont: Maternal and Child Health Home Visiting Nursing Standards and Competencies. | Macqueen, S. et al. (2012) The Great Ormond Street Hospital Manual of Children’s Nursing Practices. Chichester: Blackwell Publishing Ltd, p. 2. NNF Teaching Aids: Newborn Care (2010) Examination of a newborn baby. [online] Available at: http://www. newbornwhocc. org/pdf/teaching-aids/2010/Examinationofanewbornbaby-ENC6. pdf [Accessed: 22/07/2012]. | Nucleusinc (2010) Skull sutures in infants and fetuses. [online] Available at: http://www. nucleusinc. com [Accessed: 22/07/2012]. | Waugh, A. and Grant, A. (2010) Ross and Wilson Anatomy and Physiology in Health and Illness. 11th ed. Churchill Livingstone, p. 354-358. |

Don't use plagiarized sources. Get Your Custom Essay on
Discuss the Use of an Assessment Tool When Caring for a Child
Just from $13/Page
Order Essay
Order a unique copy of this paper
(550 words)

Approximate price: $22

Basic features
  • Free title page and bibliography
  • Unlimited revisions
  • Plagiarism-free guarantee
  • Money-back guarantee
  • 24/7 support
On-demand options
  • Writer’s samples
  • Part-by-part delivery
  • Overnight delivery
  • Copies of used sources
  • Expert Proofreading
Paper format
  • 275 words per page
  • 12 pt Arial/Times New Roman
  • Double line spacing
  • Any citation style (APA, MLA, Chicago/Turabian, Harvard)

Our guarantees

At Solution Essays, we are determined to deliver high-quality papers to our clients at a fair price. To ensure this happens effectively, we have developed 5 beneficial guarantees. This guarantees will ensure you enjoy using our website which is secure and easy to use.

Money-back guarantee

Most companies do not offer a money-back guarantee but with Solution Essays, it’s either a quality paper or your money back. Our customers are assured of high-quality papers and thus there are very rare cases of refund requests due to quality concern.

Read more

Zero-plagiarism guarantee

All our papers are written from scratch and according to your specific paper instructions. This minimizes any chance of plagiarism. The papers are also passed through a plagiarism-detecting software thus ruling out any chance of plagiarism.

Read more

Free-revision policy

We offer free revisions in all orders delivered as long as there is no alteration in the initial order instruction. We will revise your paper until you are fully satisfied with the order delivered to you.

Read more

Privacy policy

All data on our website is stored as per international data protection rules. This ensures that any personal data you share with us is stored safely. We never share your personal data with third parties without your consent.

Read more

Fair-cooperation guarantee

Ordering and sending money to us is an indication that you are purchasing our products and services. To have business talks laid out in the official language, you can check on our terms and conditions and get more information about this.

Read more

Calculate the price of your order

550 words
We'll send you the first draft for approval by September 11, 2018 at 10:52 AM
Total price:
$26
The price is based on these factors:
Academic level
Number of pages
Urgency
Order your essay today and save 20% with the discount code: LEMONADEPlace Order
Live Chat+1(978) 822-0999EmailWhatsApp