Essay Example on New Sweet Odor in Diapers: Further Info Needed

Part 1

Pertinent positive information is presented in the case where the child's mother notes that she has realized a new sweet odor in the diapers. The pertinent negative information was presented when the parents admitted that all three siblings to M had not been vaccinated, although the infant was breastfeeding.

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Any Other Information to Obtain for This Patient

I would need to obtain further information regarding the status of hygiene at the home of the infant and dietary plans in the family since poor sanitation and inadequate dietary procedures could facilitate lousy odor in the child's urine, causing the smell of diapers.

Differential Diagnosis with at Least 3 Possibly Actual Diagnosis Based on the Findings

The differential diagnosis for excessive sleeping (obstructive sleep apnea, OSA) includes oxygen concentrations, hypercapnia, and a child’s behavior. Hansen, D. E., & Vandenberg, B. (1997) noted that OSA psychological wellbeing in a child might define how long they take to sleep. The studies of sleep apnea should be integrated with polygraphic monitoring to determine the actual cause (Everett et al.,1987). Evaluation of the child's behavior during the day can cause an extended time of sleep (Chan et al., 2004).

Part 2

Clinical Practice Guidelines for the Priority Diagnosis

The child’s most likely problem is poor dietary plans. Parents could be using staple foods whose digestion exceeds the organs of the baby. This creates difficulty in digestion, thus possible smell of urine and excessive sleeping due to general body weaknesses. The clinicians should try using the recommended diets to monitor if there are any differences.

Available Federal/ State Resources

There is a federal body known as the "Special Supplemental Nutrition Assistance Program for Women, Infants, and Children (WIC)” (Black et al., 2004). The body usually provides grants to states and should then offer supplementary foods to maintain the child.

Heath Promotion Recommendations

The clinicians should offer the parents the necessary information concerning all the differential diagnoses to improve M's quality of health in and outside the clinic.

References

Black, M. M., Cutts, D. B., Frank, D. A., Geppert, J., Skalicky, A., Levenson, S., ... & Meyers, A. F. (2004). Special Supplemental Nutrition Program for Women, Infants, and Children participation and infants’ growth and health: a multisite surveillance study. Pediatrics, 114(1), 169-176. https://pediatrics.aappublications.org/content/114/1/169.short

Chan, J., Edman, J. C., & Koltai, P. J. (2004). Obstructive Sleep Apnea In Children. American family physician, 69(5), 1147-1154. https://www.aafp.org/afp/2004/0301/p1147.html

Everett, A. D., Koch, W. C., & Saulsbury, F. T. (1987). Failure to Thrive Due To Obstructive Sleep Apnea. Clinical Pediatrics, 26(2), 90-92. https://journals.sagepub.com/doi/abs/10.1177/000992288702600206

Hansen, D. E., & Vandenberg, B. (1997).Neuropsychological Features And Differential Diagnosis Of Sleep Apnea Syndrome In Children. Journal of clinical child psychology, 26(3), 304-310. https://www.tandfonline.com/doi/abs/10.1207/s15374424jccp2603_9