Functional Assessment and Nursing Care Plan

KK
Functional Age: School-aged
As Evidenced by:
KK demonstrates play characteristic of a child during the school age years as she
lies to tae part in pretend play !here she and her playmate establish rules before
engaging in the game"
She also sho!s clear preferences for playing and interacting !ith specific
caregivers and considers some better friends than others" For e#ample !hen a caregiver
sho!ed up that she considers a best friend she stated that she no longer needed the person
she !as interacting !ith to that point"
Also$ unlie a preschooler she !ill not tae !ords literally or in concrete terms"
For e#ample !hen someone ased her if a particular !oman%s baby &during pregnancy'
!as still cooing she understood !hat !as meant"
Nursing Diagnosis I: (is for loneliness related to limited interaction !ith an ain peer
group and steady caregivers"
-)ntervention *: Provide consistent interaction !ith a relatable caregiver$ such as a
younger !oman$ as much as feasibly allo!ed"
-(ationale: Caregivers in many !ays stand in for a best friend as they spend a lot of time
!ith a patient playing games and having conversations" +aving a best friend is very
important for a school age child"
-)ntervention ,: Arrange leisure time for her and other females of the same developmental
age on the unit for intermingling and to !atch a movie together$ favorite television sho!
or to listen to music on a daily basis"
-(ationale: Apart from having a best friend$ a peer group is essential for the school age
child" Friends in a peer group are highly influential to each other at this age" -hey en.oy
learning from one another and hearing the different points of vie! that each one brings"
-)ntervention /: 0rgani1e social activities that facilitates bonding !ith her peer group as it
!ould !hen being a member of a club" 2earning ho! to mae friendship bracelets or
other crafts e#clusive to them help facilitate this"
-(ationale: School age children form formali1ed groups that share secrets and mae rules
to being a member" )t is a privilege to be part of such a group" Sharing special friendship
bracelets and other things that are e#clusive to the group gives a sense of belongingness
and being !anted"
Nursing Diagnosis II: (is for sense of inferiority related to restricted opportunities to
perform independent tass"
-)ntervention *: Encourage initiation of tass that can be completed and mastered such as
dra!ing or painting on paper and putting the completed art on her bedroom !all"
-(ationale: Arts and crafts fosters originality$ often necessary for independence$ and
increases feelings of competency in performing tass on your o!n"
-)ntervention ,: Coordinate activities that provide healthy competition such as solving
.igsa! pu11les together in t!o competing groups or playing simple card games"
-(ationale: +ealthy competition !ith peers facilitates ego mastery by giving school aged
children a sense of mastery over themselves and others and supporting independency"
-)ntervention /: 3ive her small and simple .obs to do around the unit$ such as giving a
message to another healthcare !orer"
-(ationale: School aged children lie to be given independent .obs that mae them feel as
if they are a valued and contributing member to society" )t encourages a sense of industry
Nursing Diagnosis III: (is for impaired cognitive sills related to increased need and
limited resources to practice appropriate abilities and tass for her age group"
-)ntervention *: Present items to her that are !ithin her interests that she may en.oy
collecting and sorting into groups" For e#ample giving her a sticer boo and a ne! set of
sticers every !ee$ or as a re!ard$ that she can group in the boo by categories" For
instance grouping animal sticers !ith other farm or .ungle type sticers or grouping
them by appearance such as 4shiny4$ 4fu11y4$ or 4bubble4 sticers"
-(ationale: Classification is a ma.or sill that school age children learn and therefore love
to tae part in !ith activities that practice ordering$ raning$ and classifying a collection
of items"
-)ntervention ,: Play !ith her !ith items such as putty or 2egos to help her advance in
sills of conservation" For instance sho! her the relationship bet!een 45uarter4 legos and
a 4!hole4 lego$ and that a s5uished ball of putty is the same amount as a round ball of
putty of the same !eight"
-(ationale: Conservation is another important concept that is reali1ed in the school-age
years that is important for ac5uiring sills such as math" Playing !ith different si1ed
legos is an ideal !ay of learning basic arithmetic" Playing !ith putty can demonstrate
conservation of mass easily in a concrete !ay" )t is also an important stepping stone to
reali1e conservation of volume !hich is usually achieved to!ard the end of the school
age years"
-)ntervention /: Encourage basic reading and !riting !ith simple !ords" +ave her trace
the alphabet and simple !ords lie 4cat4 and encourage her to articulate each one"
-(ationale: -his is a very important cognitive sill learned during this period and is a
significant tool for independence" 2earning this sill !ill allo! her to loo up simple
things on her i-Pad and broadening resources from !hich she can learn"