CASE: MMDST of a 5 Year Old

CASE: MMDST of a 5 Year Old

I. CASE ABSTRACT

• 5-year old female preschooler who is currently in kindergarten.
• verbalize about what she observes
• very energetic and playful child
• hair was always properly tied
• resides with her mother and her older sister
• no known illnesses and no prior hospitalizations
• complains of common colds
• client experiences itchiness on her perineal area
• experiencing toothache
• has pediculosis
• cooperative in doing tasks that was required in the MMDST
• She was advised proper care of her colds and health education

II. Nursing Health History

BIOGRAPHIC DATA

III. MMDST

PERSONAL – SOCIAL Analysis and Interpretation:

Although self-assertion is still a major theme, preschoolers demonstrate their sense of autonomy differently. They are able to verbalize their request for independence and perform independently because of their much-refined physical and cognitive development. By 4 or 5 years of age they need little assistance with dressing, eating, or toileting. They can be trusted to obey warnings of danger. [Perry, Shannon E. p.955;]

The client passed all the personal social development tasks that was asked of her to say and do, such as buttons up, puts on clothing, wash and dries hands, dresses with supervision, separates from mother easily, and also dresses without supervision. There was also no noticeable signs of delay in the patient’s development.

FINE MOTOR ADAPTIVE Analysis and Interpretation:

Fine motor development is evident in the child’s increasingly skillful manipulation such as in drawing and dressing. These skills provide readiness for learning and independence for entry into school. [Perry, Shannon E. p.953]

When it came for the client’s ability to use hands in picking objects and drawing, the client passed the fine motor adaptive development tasks that was asked of her to do, which include copying plus sign, copies shapes like square and circle, imitates bridge, imitates the square demonstrated, builds a tower of 6 cubes, imitates vertical lines, draws man in 3 and in 6 parts, dumps cheese curls from a cup spontaneously, and picks longer lines. The client was able to these things without showing signs of returning to a

previous stage of psychological development.

LANGUAGE Analysis and Interpretation:

These are tasks which indicate the child’s ability to hear, follow directions and speak.

(MMDST Manual, p.4) Four- and 5-year-old children continue to ask many questions,

and have a vocabulary of about 2100 words. Preschoolers imitate language exactly, so if they hear less-than-perfect language, this is the language pattern they adopt. (Pillitteri, 2010, p.865)

The client was able to do the given tasks in language development for her appropriate age, without showing any signs of regression. These include task such as if the client comprehends cold, tired, and hungry, comprehends 3 prepositions, names one picture, recognizes 3 colors, understands opposite analogies, uses plurals, and gives her first and last name. The client also displayed excellence in performing the advanced tasks to be

given to 6-year-old children and above.

GROSS MOTOR Analysis and Interpretation:

Walking, running, climbing, and jumping are well established by age 36 months. Refinement in eye-hand and muscle coordination is evident in several areas. At age 3 the preschooler rides a tricycle, walking, running, climbing, and jumping are well established by age 36 months. Refine in eye-hand and muscle coordination is evident in several areas. At age 3 the preschooler rides a tricycle, walks on tiptoe, balances on one foot for a few seconds, and broad jumps. By age 4 the child skips and hops proficiently on one foot and catches a ball reliably. By age 5 he or she skips on alternate feet, jumps rope, and begins to skate and swim.

The tasks which indicate the client’s ability to sit, walk, and jump, resulted to the client passing them all, without displaying action that shows going back to an earlier stage of development. Such tasks included the client balancing on one foot for 10 seconds, throws a ball overhead, hops on one foot, balance on one foot for a seconds, jumps in place, catches bounced ball, pedals tricycle, broad jump, heel-to-toe walk, balance on

one foot for 5 seconds, and backward heel-to-toe walk.

NOSE

MOUTH

GENITALS

SKIN

VI. NURSING CARE PLAN

VIII. HEALTH TEACHING PLAN

V. ANATOMY & PHYSIOLOGY

• The mouth is the beginning of the digestive tract and serves as an airway for the respiratory tract. The upper and lower lop serves as a protective gate way to thedigestive and respiratory tract.
• The gums or gingival are covered by mucuous membrane and normally hold 32 permanent teeth in the adult.
• The top, visible, white enameled part of each tooth is the crown. The portion of the tooth that is embedded in the gums is the root. Saliva helps break down food and lubricates it.
• Children have 20 deciduous teeth, which are lost between the age of 6 to 12 years.

• During breathing, air enters the nose by passing through the nostrils. A rich network of thin-walled veins that warms the air as it flows.
• When the external temperature is extremely cold, these cilia become sluggish, allowing mucus to accumulate in the nasal cavity and to dribble outward through the nostrils.
• When the inspiratory muscles, contract, the size of the thoracic cavity increases. The lungs adhere tightly to the thorax walls because of the surface tension of the fluid between the pleural membranes, so they are stretched out to the new larger size of the thorax.

• The upper most layer of the skin is full of keratin, help prevent water loss from the body surface.
• The skin is rich with capillary network and sweat glands that plays an important role in regulating heat loss from the body surface.
• A hair is produced by a hair follicle, which is a flexible epithelial structure.
• The part projecting from the surface of the scalp or skin is called the shaft.
• A hair forms by division of the well-nourished stratum basale in the matrix of the hair bulb at the inferior end of the follicle.

• The mons pubis is a fatty, rounded-area overlying the pubic symphysis. After puberty, this area is covered by pubic hair.
• Posteriorly are two elongated hair-covered skin folds, called the labia majora which enclose two delicate, hair-free folds called the labia minora.
• The vestibule contains the external openings of the urethra.
• Anteriorly is the clitoris, a small protruding structure that corresponds to the male penis. The clitoris differs from the penis that it lacks a reproductive duct.
• The diamond-shaped region between the anterior end of the folds, the anus posteriorly and the ischial tuberosities laterally is the perineum.

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Metro Manila Development Screening Tool

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DEVELOPMENTAL HISTORY

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