Pediatric Assessment Pearls

Pediatric Assessment Pearls

■ Begin by obtaining the history from child’s parent(s) and work toward physical assessment. Use this time to establish trust.
■ Have parent hold child as much as possible during assessment.
■ Approach child at his or her eye level and use first name frequently.
■ Use simple language appropriate for child’s developmental level.
■ Begin assessment with diversion such as toy or game.
■ Demonstrate procedures on doll whenever possible.
■ Always tell the truth, especially when it comes to painful procedures.
■ Hold off on any invasive assessment that may cause pain or discomfort until end of assessment.
■ Be friendly, but assertive. Do not give child choice when there is none (e.g., “May I look in your mouth?”).