Practicum: Journal Entry week 7 Pediatrics
Reflect on a patient who presented with cardiovascular or genetic disorders during your Practicum experience. Describe your experience in assessing and managing the patient and his or her family. Include details of your “aha” moment in identifying the patient’s disorder. Then, explain how the experience connected your classroom studies to the real-world clinical setting. If you did not have an opportunity to evaluate a patient with this background during the last 8 weeks, you may select a related case study from a reputable source or reflect on previous clinical experiences.
Readings
•    Burns, C. E., Dunn, A. M., Brady, M. A., Starr, N. B., & Blosser, C. G. (2013). Pediatric primary care(5th ed.). Philadelphia, PA: Elsevier.
•    Chapter 30, “Cardiovascular Disorders” (pp. 669–707)

This chapter reviews normal cardiac structure and function in infants, toddlers, school-age children, and adolescents. It then covers assessment and management strategies for cardiovascular disorders including congenital and acquired heart diseases.
o    Chapter 31, “Respiratory Disorders” (pp. 708–738)

This chapter covers the anatomy and physiology of the upper and lower respiratory tracts. It then explores assessment and management strategies for respiratory disorders including upper respiratory tract disorders, extrathoracic and intrathoracic airway disorders, and pectus deformity.
o    Chapter 40, “Genetic Disorders” (pp. 1032–1054)

This chapter explores the scope of genetic screening, genetic variation, and genetic disorders. It also provides assessment and management strategies for health care providers caring for children and families with genetic disorders.
•    American Academy of Pediatrics, Subcommittee on Diagnosis and Management of Bronchiolitis. (2006). Diagnosis and management of bronchiolitis. Pediatrics, 118(4), 1774–1793. Retrieved fromhttp://pediatrics.aappublications.org/content/118/4/1774.full?sid=cc35023c-502d-474a-9856-bfb5e38eed54

This article examines the diagnosis, management, and prevention of bronchiolitis. It also examines treatment options appropriate for children and provides recommendations for minimalizing the spread of infection.
•    Bradley, J. S., Byington, C. L., Shah, S. S., Alverson, B., Carter, E. R., Harrison, C., . . . Swanson, J. T. (2011). The management of community-acquired pneumonia in infants and children older than 3 months of age: Clinical practice guidelines by the Pediatric Infectious Diseases Society and the Infectious Diseases Society of America. Clinical Infectious Diseases, 53(7), e25–e76. Retrieved fromhttp://cid.oxfordjournals.org/content/53/7/e25.full.pdf+html

This article examines diagnosis, management, and treatment strategies for infants and children with community-acquired pneumonia. It also presents site-of-care management decisions and prevention strategies.
•    National Heart, Lung, and Blood Institute. (2007). Expert panel report 3 (EPR3): Guidelines for the diagnosis and management of asthma. Retrieved fromhttp://www.nhlbi.nih.gov/guidelines/asthma/asthgdln.htm

These reports provided by the National Heart, Lung, and Blood Institute present guidelines for the diagnosis and management of asthma in children from infancy through adolescence. The pathophysiology of asthma, measures of assessment and monitoring, control of environmental factors, and medication are also covered.
•    Zorc, J. J., & Hall, C. B. (2010). Bronchiolitis: Recent evidence on diagnosis and management.Pediatrics, 125(2), 342–349. Retrieved fromhttp://pediatrics.aappublications.org/content/125/2/342.full.pdf+html?sid=f844ba43-543f-4b56-8aa8-a50ee4122140

This article reviews the pathophysiology and epidemiology of bronchiolitis. It also examines the efficacy of treatment options used to treat bronchiolitis.
Please proceed to the Discussion.