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K is a 7-year-old patient in the outpatient surgery center. For the purpose of this assignment, we will assume that K is a child
K is a 7-year-old patient in the outpatient surgery center. For the purpose of this assignment, we will assume that K is a child who is reaching the typical milestones of a 7-year-old in the domains of development (i.e., identifies to be in first grade, states they are an excellent soccer player, favorite subject is spelling, tells you about their best friends who have fun together and care about one another - don't keep secrets). K is having a tonsillectomy and adenoidectomy. K visited the outpatient surgery two days prior for a pre-operation tour and check-in. During the tour, the child life specialist provided information about the procedure and opportunities for medical play. When the child life specialist enters the patient's room, K says hello but becomes quiet. Both caregivers are present. Caregiver One is sitting beside the patient, and Caregiver Two is nervously pacing the room and appears startled upon the child life specialist's entry. The child life specialist asks K to explain the reason for their visit. K looks to the caregiver beside them and says, "You tell them. I don't want to talk about it." K then places their head on the caregiver's arm. Caregiver One says, "We are here to have our tonsils and adenoids removed so we don't get sick so much!" Caregiver One goes on to say, "Since the tour, K has had some difficulty sleeping. K is confusing the type of sleep for surgery with sleeping at night. K seems to be worried about waking up." K then tells the child life specialist about wanting the caregivers to be able to go to the operating room too and how at school friends were talking about how bad things like the wrong body parts being operated on happen. The child looks at the pacing caregiver from time to time and seems to grip the sheet when doing so. As a child life specialist, you encounter the scenario above. Now, it is time to build on your identification of emotional responses from Module 2 and provide an assessment, plan, intervention, and evaluation. Using the APIE process, answer the following questions. 1. What is the general developmental status of the child? What are specific behaviors related to the observation of the developmental status of the child? What stage of development (infancy, toddlerhood, preschool, school-age, adolescent)? Here is where you describe the behaviors you observed that led to your assessment. An example may be the child held the pencil using all fingers around the pencil, and this is an appropriate grasp for a young preschooler. You are applying the knowledge you have obtained in other classes to show how you assessed development. Assess each domain separately and note behaviors observed that support assessment.
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