Nurses working in paediatrics have a responsibility to assess a Childs growth and developmental milestones and make the appropriate referral when necessary. James presents to a local general practice...

 Nurses working in paediatrics have a responsibility to assess a Childs growth and developmental milestones and make the appropriate referral when necessary. James presents to a local general practice where you are employed as a nurse and part of your roles is to undertake the four-year-old screen and immunise the patients that present to the clinic. This is your opportunity to undertake a thorough assessment and make appropriate recommendations dependent on your findings.

In 600 words, discuss the expected growth and developmental milestones you would expect to see in a four-year-old boy focussing on the following areas – gross motor, fine motor, cognitive and speech. What immunisations will James receive and discuss the injection site appropriate for a four-year-old.


Module 4

Risk assessment and management relating to children, adolescents and families (600 words)
The legislation introduced by the NSW Government as part of the Safe Home for Life reform package to strengthen the child protection system focuses on three key areas:

1. Building parenting capacity and increasing parental responsibility
 2. Providing greater permanency for children and young people in care &,

3. Delivering a modern, responsive and child-focused system Melinda is a 15-year-old indigenous mother of a 6-month-old Jake. They live in a remote rural community and are known to DHS and child protection. Jake’s father is 17 years old and works odd jobs to help provide for Jake and Melinda.

Using the above key areas, identify the risk factors if any, for this family and discuss the importance of family centred care and the therapeutic relationship. Provide a health care plan that includes strategies based on the key areas. Ensure you consider cultural and community perspectives.