Question
Answered step-by-step
Asked by ProfWildcat2101
Client Profile
Isabel is a 2.5 year-old-toddler who lives with her parents and 13-month-old sister in a rural community. Her father is a migrant worker and her mother stays at home with the children. Both parents are smokers. Both Isabel and her sister experienced recurrent episodes of otitis media during infancy although Isabel’s infections have become less frequent. Isabel’s speech is delayed; however, her mother believes that this is due to a lack of interactions with other children her age. Their culture and financial situation does not encourage daycare settings for children if the mother can stay home with them. Most of Isabel’s speech is not understandable although she babbles “constantly.” Both children have received their scheduled immunizations at the local pediatric clinic. Isabel is brought to the clinic by her parents when she places a small toy in her ear that her parents are unable to remove. Â
Case Study
During the admission history, Isabel’s mother tells the nurse that she has had “behavior problems” with Isabel since she was 11 months old although she stated she had not mentioned this to the staff at the clinic because she was embarrassed. On further questioning, Isabel’s mother explains that Isabel “never listens to me and doesn’t even look at me when I talk to her.” She further states that Isabel doesn’t talk so they can understand her even though they have friends whose children not only talk all the time, but she can understand what they’re saying. “Isabel’s problems are probably my fault because I didn’t raise her right. Now I’m afraid she is retarded, and I don’t know how to help her.” Isabel sits in her mother’s lap babbling during the interview and does not make eye contact with her parents or the nurse during their conversation or when addressed. She appears disinterested in her surroundings.Â
1. Discuss the significance of Isabel’s clinical manifestations.
6. What other assessment data would be helpful for the nurse to have to prepare Isabel’s care plan?
7. What are the priorities of care for Isabel?
8. Discuss the effects of hearing impairment on Isabel’s growth and development.
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SCIENCE
HEALTH SCIENCE
NURSING
NURSING 2463
