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The most common approach has been to ask parents about ACEs using a questionnaire, and to use this information to counsel parents and identify resources for the family.
Different practices have been using different questionnaires: Ariane Marie-Mitchell took a slightly different approach: She began walking a methodical path to provide basic clinical research to help translate the science of adversity and resilience into practice. About 2, kids have been screened so far, and they and their families are being provided resources.
All the work has been worth it, says Marie-Mitchell: Her goal was to test a tool that could be used in a pediatric practice. She asked parents of four- and five-year-olds to fill out a modified ACE survey about their children.
She found that the screener identified kids at risk for behavioral problems, developmental delays and injuries. To take her research to the next level — actually integrating a survey into a pediatric practice — she began doing focus groups and interviews with parents, pediatricians and their staff, and mental health professionals at two Loma Linda clinics.
She wanted to know how to best word questions about ACEs to increase identification of risk factors and to provide community referrals without negatively affecting visit time or patient satisfaction.
She also talked with other pediatricians and researchers around the U. In the spring ofshe began trying out different wordings of the questions.
Having an ACE score of 4 nearly doubles the risk of heart disease and cancer. It increases the likelihood of becoming an alcoholic by percent and the risk of attempted suicide by percent. To calculate your ACE and resilience scores, go to: An ACE score of 4 that included divorce, physical abuse, an incarcerated family member and a depressed family member had the same statistical health consequences as an ACE score of 4 that included living with an alcoholic, verbal abuse, emotional neglect and physical neglect.
Do I want to ask what already happened to the child? Do I want to ask what might happen to the child? The pediatrician wants to know: Or did it happen a while ago? The answers to both of those questions are important, and the responses are different.
If the child lived with a family member who was — but no longer is — abusing alcohol or other drugs, then the pediatrician can assess how that affected the child and the way the family coped. She began testing it in January on a small group of patients, with successful results.Writing question: Health check In your controlled writing assessments, you will have to write at least words.
If you are aiming for grade C and above, you will have to write at least words. World languages / Spanish / Grammar / Verbs and tenses World languages / Spanish / My life / Personal information World languages / Spanish / Sport, health and fitness / /5(5).
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Describe a patient assessment including its purpose. 2. When and by whom is an assessment carried out? 3. Identify the major components of an assessment. 4. What possible sources of information does the nurse use to complete an assessment?
5. Differentiate among a comprehensive, quick priority and a focused assessment.