Tami Brethorst wellness Assessment Assessment of the Infant and Child November 11, 2012 history: Name: dress Ellen Berntson Gender:Female DOB/Age:October 15, 2008; Four-year-old consort:Caucasian Address:945 87th Ave. W., Duluth, MN 55808 remember:218.269.1251 School crisscross Level:NA Source of Data: find and patient role Immunizations:Up-to-date Allergies/Reactions:None PRESENTING PROBLEM: Gracie Berntson is brought in by her stay put for a four-year thoroughly child care exam. Mother has no specific health concerns regarding common health, but does discuss several(prenominal) toileting issues that Gracie is having. Gracie corresponds her stools and as a result has stool staining on her underwear and large, chafed intestine movements. Mother states that Gracie is a healthy, developmentally normal four-year-old. omen ANALYSIS OF PRESENTING PROBLEM: Gracie has fears regarding having a gut movement. She will hold her stool and then when she finally does realise a bowel movement it is larger in diam and painful to pass. This has been a bit of a vicious cycle. Gracie did non have this job when potty training; however, this has become more(prenominal) of an issue in the past year. Mother and father burst Gracie prunes daily, juices, and water. This issue has been going away on for the past year.
No aggravating or alleviating factors that mother can pinpoint. CURRENT MEDICATIONS: 1.Gummi multivitamin 1 daily; culture dose taken 11/11/2012; taking for general health ALLERGIES: No cognize allergies to medications; no environ mental allergies; no provender allergies C! URRENT health check TREATMENTS: Gracie is healthy and undergoing no current medical run examination treatments. PAST HEALTH HISTORY: ·Mothers health Status and Pregnancy History: Mother has several medical conditions including type 1 diabetes, hypertension, hypothyroidism, hyperlipidemia, celiac disease, diabetic retinopathy, and she is a smoker. During her agnate quality she had hypothyroidism, hypertension, and diabetes...If you want to get a full essay, shape it on our website: OrderCustomPaper.com
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