Week 10 Feeding Eating, and Elimination Disorders in Childhood

Week 10 Feeding Eating, and Elimination Disorders in Childhood

“I am so tired and frustrated. Jackson refuses to breastfeed, and bottle feeding is not much easier. He was the perfect baby when he was born, but now, 6 months later, he is only a few pounds heavier. He won’t take any more than 4 ounces of formula at a time and wakes up several times during the night. We started him on baby food early, but even then he only eats one or two bites before he starts kicking and crying. The pediatrician says there is nothing wrong physically as he is meeting all his milestones, but he just won’t eat.”

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Jessica, age 32, mother of Jackson, age 6 months

Children and adolescents with feeding, eating, and elimination disorders may come to the attention of providers in a variety of settings. These disorders are disturbing to parents and may have significant morbidity for youth. It is not uncommon to hear of youth with eating disorders including anorexia and bulimia. It is less common to hear of pica and rumination disorder. Elimination disorders of enuresis and encopresis are troubling to children and parents and cause significant difficulty in daily functioning.

This week, you work with your group again to develop a Parent Guide for a feeding, eating, or elimination disorder. You also submit your cover letter, resume, and portfolio.

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Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.

Chapter 28, “Psychotherapies” (pp. 901–907)
Chapter 31, “Child Psychiatry” (pp. 1205–1216)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

“Feeding and Eating Disorders”
“Elimination Disorders”

Note: You will access this book from the Walden Library databases.

Lock, J., & La Via, M. C. (2015). Practice parameter for the assessment and treatment of children and adolescents with eating disorders. Journal of the American Academy of Child & Adolescent Psychiatry, 54(5), 412–425. Retrieved from http://www.jaacap.com/article/S0890-8567(15)00070-2/pdf

Stahl, S. M. (2014). Prescriber’s Guide: Stahl’s Essential Psychopharmacology (5th ed.). New York, NY: Cambridge University Press.

Note: All Stahl resources can be accessed through the Walden Library using the link. This link will take you to a login page for the Walden Library. Once you log in to the library, the Stahl website will appear.

To access information on the following medications, click on The Prescriber’s Guide, 5th Ed. tab on the Stahl Online website and select the appropriate medication.

Review the following medications:

Bulimia nervosa/binge eating
Bulimia nervosa/binge eating Enuresis
fluoxetine
topiramate
zonisamide imipramine

Note: Many of these medications are FDA approved for adults only. Some are FDA approved for disorders in children and adolescents. Many are used “off label” for the disorders examined in this week. As you read the Stahl drug monographs, focus your attention on FDA approvals for children/adolescents (including “ages” for which the medication is approved, if applicable) and further note which drugs are “off label.”

Optional Resources

Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (2015). Rutter’s child and adolescent psychiatry (6th ed.). Hoboken, NJ: Wiley Blackwell.

Chapter 71, “Feeding and Eating Disorders” (pp. 1016–1034)

Discussion: Parent Guide

Feeding, eating, and elimination disorders can be difficult to detect and treat. Parents need education and information to determine if their infant, child, or adolescent may have these types of disorders. A Parent Guide can be a useful tool to help both the clinician and the parent in understanding the child or adolescent and providing behavioral strategies for helping families work with these disorders. For this Discussion, you will be assigned a feeding, eating, or elimination disorder.

In this Discussion, you work with your group again to develop a Parent Guide for your assigned feeding, eating, or elimination disorder.
Learning Objectives
Students will:

Analyze signs and symptoms of feeding, eating, and elimination disorders
Analyze pathophysiology of feeding, eating, and elimination disorders
Analyze diagnosis and treatment methods for feeding, eating, and elimination disorders
Create professional cover letters, resumes, and portfolios

To Prepare for this Assignment:

Your Instructor will assign you to a group and a disorder by Day 1 of Week 2.
Review the resources concerning your assigned disorder.
Use your group’s Discussion Board to design and develop the Parent Guide before posting to the group wiki. For further guidance, refer to the Accessing Group Discussions instructions below.

Using evidence-based research, design and develop a Parent Guide for your assigned disorder including:

Signs and symptoms
Pathophysiology
How the disorder is diagnosed
Treatment options

Provide a minimum of three academic references.
By Day 5

One designated group member should post the completed Parent Guide to the Discussion.
By Day 7

Respond to at least two other groups’ wikis by providing at least two contributions for improving or including in their Parent Guide and at least two things that you like about their guide.
Submission and Grading Information
Accessing Group Discussions and Wikis

To access your group’s discussion, click on the Parent Guide Groups link. Once you have clicked on the link, select your assigned team (e.g., Team A, Team B, Team C, etc.) to access your team’s home page. Select Group Discussion Board under the Group Tools menu to work on your participate in your group’s discussion.

To access your group’s wiki, click on the Parent Guide Groups link. Once you have clicked on the link, select your assigned team (e.g., Team A, Team B, Team C, etc.) to access your team’s home page.
Creating a Wiki Page Week 10 Feeding Eating, and Elimination Disorders in Childhood

Create the first wiki topic page by entering the group’s wiki area and selecting Create Wiki Page. Use the group’s assigned disorder as the name of your wiki. Then add your Parent Guide in the Content text box. You can use the editor functions to format the text and include files, images, web links, multimedia, and mashups. Select Submit when you have completed the wiki page.
Grading Criteria

To access your rubric:

Week 10 Parent Guide Discussion Rubric

To access your group discussion / wiki:

Parent Guide Groups

Post to Discussion by Day 5 and Respond by Day 7

To participate in this Discussion:  Week 10 Feeding Eating, and Elimination Disorders in Childhood

Parent Guide Groups – Week 10

Assignment 1: Practicum: Week 2 Cover Letter, Resume, and Portfolio
By Day 7

Submit your cover letter, resume, and portfolio, which were assigned in Week 2.
Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK10Assgn1+last name+first initial.(extension)” as the name.
Click the Week 10 Assignment 1 Rubric to review the Grading Criteria for the Assignment.
Click the Week 10 Assignment 1 link. You will also be able to “View Rubric” for grading criteria from this area.
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK10Assgn1+last name+first initial.(extension)” and click Open.
If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
Click on the Submit button to complete your submission.

Grading Criteria Week 10 Feeding Eating, and Elimination Disorders in Childhood

To access your rubric:

Week 10 Assignment 1 Rubric Week 10 Feeding Eating, and Elimination Disorders in Childhood

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 10 Assignment 1 draft and review the originality report.

Submit Your Assignment by Day 7

To submit your Assignment:

Week 10 Assignment 1

Assignment 2: Practicum: Week 9 Decision Tree
By Day 7

Submit your Assignment. Refer to Week 9 for additional guidance.

Submission and Grading Information Week 10 Feeding Eating, and Elimination Disorders in Childhood

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK10Assgn2+last name+first initial.(extension)” as the name.
Click the Week 10 Assignment 2 Rubric to review the Grading Criteria for the Assignment.
Click the Week 10 Assignment 2 link. You will also be able to “View Rubric” for grading criteria from this area.
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK10Assgn2+last name+first initial.(extension)” and click Open.
If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
Click on the Submit button to complete your submission.

Grading Criteria Week 10 Feeding Eating, and Elimination Disorders in Childhood

To access your rubric:

Week 10 Assignment 2 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 10 Assignment 2 draft and review the originality report.

Submit Your Assignment by Day 7

To submit your Assignment: Week 10 Feeding Eating, and Elimination Disorders in Childhood

Week 10 Assignment 2

Assignment 3: Board Vitals

This week you will be responding to twenty Board Vitals questions that cover a broad review of your Nurse Practitioner program courses up to this point.

These review questions will provide practice that is critical in your preparation for the national certification exam that’s required to certify you to practice as a nurse practitioner. These customized test questions are designed to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability.

You can access Board Vitals through the link sent to you in email or by following the link below:

https://www.boardvitals.com/

By Day 7

Complete the Board Vitals questions.
Practicum Reminder
Time Logs

You are required to keep a log of the time you spend related to your practicum experience and enter every patient you see each day. You can access your time log from the Welcome Page in your Meditrek account. You track time individually for each patient you work with. Please make sure to continuously input your hours throughout the term.
Making Connections

This week, you worked with your group again to develop a Parent Guide for a feeding, eating, or elimination disorder. You also submitted your cover letter, resume, and portfolio.

Next week, you explore psychological issues that may arise in children faced with special circumstances and the assessment and treatment options specific to these special populations.

Week 10 Feeding Eating, and Elimination Disorders in Childhood