Assessing growth and development


Case study of a pediatric patient

The pediatric patient who presented himself in my clinic was a 16year old boy who was suffering from diabetes. Besides the diabetescondition, the patient was having various psychosocial issues whichincluded discrimination by the community members, dealing with thefact that he had diabetes, which is a life threatening condition andthe financial constraints that the family was going through in a bidto get him treated.

My experience in assessing and managing the patient

The experience of assessing and identifying the condition, as wellas the psychosocial issues that the patient was going through was aworth experience with numerous opportunities of learning new things.It was evident that some of the conditions such as diabetes and theiraccompanying psychosocial issues that we learn in class are indeedreal and common among minors (Burns et al., 2013). The experience ofsatisfying especially when guiding the patient and the family memberson how to handle the situation and control the glycemic levels forthe boy. The cooperation from the family members and their promisethat they will follow my advice was satisfying.

The “aha” moment

The “aha” moment in the identification of the patient’spsychosocial issue was when I found out how determined the patientwas to deal with the issues and control his glycemic content. It wasunbelievable to have such a young boy determined and courageousenough to face the challenges while suffering from a life threateningcondition.

Connection with classroom studies

There was a great connection between the classroom studies and theexperience in a clinical setting. It was evident that lifethreatening diseases are accompanied by psychosocial issues. It wasalso evident that the classroom studies on how to maintainconfidentiality and give a listening ear to the patient areapplicable in a real world clinical setting.

What could have changed after reflection

After reflecting on the experience, it is essential to state thatthere were little if not none, that could be done differently.However, it would have been efficient to gather enormous historyregarding the patient and how he had been managing the psychosocialissues.

Summary and conclusion

Conditions such as diabetes which are life threatening are mainlyaccompanied with psychosocial issues especially for young patients.They face discrimination from friends and the community. This casepresented here was of a 16 year old boy suffering from discriminationfrom the community as a result of his diabetic condition. He has alsosuffered from financial constraints and also the issue of dealingwith the fact that he has diabetes. My experience with the patientand the assessment of his condition was rewarding and there werevarious aspects through which it connected with the classroomstudies.


Burns, C. E., Dunn, A. M., Brady, M. A., Starr, N. B., &amp Blosser,C. G. (2013). Pediatric primary care (5th ed.). Philadelphia, PA:Elsevier. Chapter 5, Developmental Management of Infants (pp.59–75).

Hagan, J. F., Jr., Shaw, J. S., Duncan, P. M. (Eds.). (2008). Brightfutures: Guidelines for health supervision of infants, children, andadolescents (3rd ed.). Elk Grove Village, IL: American Academy ofPediatrics. Review: Promoting Healthy Nutrition. (pp. 121–145)

Laureate Education (Producer). (2013b). Growth and developmentmilestones. Retrieved from the CDN database. (NURS 6541)&nbsp