NRS-420 Topic 2 Developmental Assessment Case Study
Age Group 3 to 5: Early Childhood
Scenario:
Shakayla is a 4-year-old biracial (African American/Caucasian) female who was born suffering from Neonatal Opioid Withdrawal Syndrome (NOWS). Shakayla was placed into foster care at birth and her mother (age 18) entered a residential substance abuse treatment program. Her biological father’s whereabouts have been unknown since her birth. Shakayla was weaned off opioids, and her mother completed residential treatment. Shakayla was placed back into her mother’s care with the support of the Department of Human Services (DHS) and a safety plan in place. When Shakayla was 36 months old her mother was arrested for prostitution, possession of a narcotic, and endangering a minor (Shakayla). Shakayla was placed back into foster care. Her mother served a 60-day prison sentence and was then released to the Drug Court Treatment Program for further rehabilitation. During this time her mother completed her GED. Her mother is now established in an apartment in supportive housing for recovering women and their children.
Shakayla, at the age of 4, has been reunited with her mother. Shakayla’s mother has secured a job working at Walmart as a cashier. Shakayla has been enrolled in Head Start and goes to the YMCA for childcare after her morning Head Start class. At Shakayla’s recent visit with a pediatrician prior to being returned to her mother’s care she was found to be meeting developmental norms for her age. She is in the 30th percentile for height and 50th percentile for weight for her age. Vision and hearing are normal. Shakayla has severe dental erosion.
Shakayla enjoys Head Start and playing with the other children. She loves her teacher and enjoys music. Shakayla enjoys looking at books but walks away if asked a question about the story or what a word is on the page. Shakayla has difficulty with sharing and there have been several incidents at Head Start of her being aggressive with the other children. Shakayla is fearful around authority figures and men. During the parent/teacher conference at Head Start, Shakayla’s mother stated she does not feel confident in her parenting skills. She states she is struggling with just maintaining her sobriety, working, and dealing with the stress of trying to make ends meet. She very much wants to be a good mom and does not want to lose Shakayla back to foster care.
Nursing Process:
Assessment, Diagnosis, Planning, Implementation, and Evaluation (ADPIE)
As the Department of Health Services nurse assigned to review this case, you will complete the ADPIE utilizing the “40 Developmental Assets for Children” resource located in topic Resources. You are required to cite a minimum of three peer-reviewed sources to complete this assignment. Sources must be published within the past 5 years, appropriate for the assignment criteria, and relevant to nursing practice.
Assessment
Summarize the relevant data obtained during your assessment about the patient’s health status, including physical, psychological, sociocultural, spiritual, and economic factors that are affecting the patient.
