Get Answer: Reason Visit Jocelyn Question Guide

This type of question evaluates analytical and critical thinking skills.

What This Question Is About

This question relates to reason visit jocelyn and requires a structured academic response.

How to Approach This Question

Use appropriate theories and support your answer with clear reasoning.

Key Explanation

This topic involves reason visit jocelyn. A strong answer should include explanation, application, and examples.

Original Question

Reason for Visit Jocelyn is a 9-month old female infant who has been seen in this clinic since shortly after birth. She has been healthy and has primarily been seen for health maintenance visits. Both parents bring Jocelyn here today for her 9 month health maintenance visit. Family history Jocelyn is the only child of Chinese-born parents, Jin and Le Na Wu. Mother, Le Na, works for Capital One and was transferred to offices in Philadelphia while pregnant with Jocelyn. She gave birth at the Shoreline Birth Center in Conshohocken near their home. Jocelyn was born at term via spontaneous vaginal delivery. She weighed 7 lb 6 oz and has been trending above the 50th percentiles for length and weight since birth. Jocelyn is cared for at home by her father Jin. Jin does not speak English and works from home in a family business located in China. Mostly Mandarin is spoken in the home, but Le Na does plan to raise Jocelyn as a bilingual English speaker. Jocelyn was breast and bottle fed until six months of age. Le Na would breast feed at night and Jin would provide a combination of formula and pumped breast milk to Jocelyn during the work day. When solid foods were introduced at six months, she was exclusively bottle fed. Current status Changes in household since last visit: None Child lives with: Both parents Total adults in home: Two Total children in home: One Child’s primary caretaker: Jin Wu (Father) Family concerns/Problems: None Allergies: NKA Current medications: None ROS Skin: No Rashes or Infections Eyes: No Eye discharge, Excessive tearing, or Deviation Ears: Failed first hearing screen. Passed follow-up screen and no hearing or ear problems reported today Nose/Mouth/Throat: No nasal congestion, mother reports that Jocelyn is mouthing “everything” and that she drools a lot Cardiorespiratory: No history of murmur, trouble with breathing, or wheezing, no exposure to smoke Gastrointestinal: No concerns with frequency of bowel movements or recent vomiting Genitourinary: No concerns with stream or with number of wet diapers Neuromuscular: No history of seizures, displays coordinated movements and is handling objects and crawling Musculoskeletal: No range of motion concerns, injuries or fractures Recent illness/Injury/Hospitalizations/Surgery: None Dental care: Mother has contacted pediatric dental practice and the first appointment is scheduled for Jocelyn’s 12th month Nutrition Problems/Concerns: None Breast fed: Received supplemetal breast feedings in the evenings, on weekends and with pumped milk until six months of age. Number feedings in last 24H: None Length of feedings: NA Formula fed: Yes, currently Type of formula: Enfamil premium infant powder 0-12 months; Milk-Based Powder with Iron Ounces consumed every 24H: 24-30 ozs (4-5 bottles) per day Solid foods: Yes Type (s): Small pieces of table food, all types. Parents never introduced pureed baby food, they began with a rice-based mash and then began introducing Jocelyn to small pieces of table food. She has now tried most items, other than spicy foods and raw fish. Age first introduced: 6 months WIC: No Fluoride needed: No Explain: Fluoridated city water supply Developmental No developmental concerns At 9 months Per parent report, Jocelyn feeds herself from offered pieces of food, she is able to pass objects hand to hand, she looks around to find new sounds, in the office today she is heard making long strings of sounds, she is crawling and will use objects to pull herself up. She has not attempted to walk and will fall down if she lets go of the support. Mental Health Assessment Feelings: Parents describe Jocelyn as a happy baby. They deny anxious behaviors, excessive crying or irritability. She interacts socially with her parents and the clinic staff. She does not have many opportunities to interact with other children. No known history of neglect, physical, sexual, or emotional abuse Screening Vision screen results: Normal Hearing screen results: Normal Screen used: OAE hearing and Response to light test Physical Examination Temperature: 37 C Pulse: 90 Respirations: 24 FOC: 40 cm FOC %: 50 Height: 70 cm Height %: 50 Weight: 16.4 lbs Weight %: 10 Appearance: Engaging and cheery 9 month old, appears well-nourished and well-cared for. Head/Fontanels: Intact, non-traumatic and flat fontanels. Skin/Nodes: Skin pink, warm and dry without lesion. No lymphadenopathy. Eyes: Clear sclera, no exessive tearing or discharge. Ears: TMs clear. Nose: Nares with small amount of clear discharge. Mouth/Throat: Posterior oropharynx nonerythemetous, no cobblestoning. Clear saliva, appropriate for age. Teeth: Seven teeth erupted. Some swelling and redness over the eigth primary incisor on upper right. Neck: Supple Heart/Pulses: RRR, peripheral pulses present and equal bilaterally. Lungs: CTA Abdomen: Soft, non-distended. BS x4. Genitalia/Anus: Normal female genitalia. Anus with mild erythema consistent with contact dermatitis. Spine/Hips: Full ROM. Extremities: Full, active and coordinated ROM. Neuro Muscle Tone: Intact. Neuro DTRs: Intact and equal bilaterally. Neuro Primitive Reflexes: Absent. Labs Hemoglobin: 11.3 Hematocrit: 32% Lead: <3 g/dL Other: None Health Education Education provided regarding age-appropriate injury prevention including, car safety restraints, fall prevention including stairs and child gates, choking prevention and management, bath safety, accidental poisoning and child proofing. Behavioral anticipatory guidance was discussed including parent/infant interaction and parental expectations, speech and language development, sleep, separation protest and socialization opportunities. Nutritional guidance included nutrition and introduction of solids to diet, number of bottles per day and no bottle in bed, off bottle by one year. Immunizations were not needed today. Parents are to continue to brush baby's teeth for her and will have first dentist visit at age one. When to call health provider, tylenol dosing and next appointment was discussed. Jin's parents, Jocelyn's Grandparents, are coming to visit from China for Jocelyn's first birthday. They will be staying with Jin and Le Na for approximately one month. They live in a rural area of China which experiences endemic diseases such as measles, mumps, tuberculosis, and gastrointestinal parasitic infections. Le Na is concerned about the possibility of grandma and grandpa inadvertently transmitting disease to Jocelyn during the visit. Assessment Healthy 9 month old female health maintenance visit Plan I will check to see if any additional steps should be taken to ensure Jocelyn's health during her grandparent's visit. Le Na to be notified by phone if additional visit or other action is needed. Next visit at 12 months or sooner if needed. PATIENT NAME: PATIENT TYPE (highlight the appropriate patient type for this case) : IP OP ED PHYSICIAN Practice If Inpatient, what is the patient's Principal Diagnosis in words, followed by the ICD-10 code? If inpatient, what is/are the patient's secondary diagnosis(es) (if any) in words, followed by the corresponding ICD code(s). You are responsible for knowing and understanding the definition of a secondary diagnosis that needs to be coded as well as sequencing guidelines. What is/are the corresponding ICD- code(s) for the diagnosis(es) If inpatient, what is the patient's principal procedure in words, followed by the ICD code? If inpatient, what is/are the patient's secondary procedure(s) (if any) in words, followed by the corresponding ICD code(s)? You are responsible for knowing and understanding the definition of a secondary procedures that need to be coded as well as sequencing guidelines. If Outpatient/ED/Physician practice what is the patient's Primary Diagnosis in words, followed by the ICD code? Are there any secondary diagnosis(es) (if any) in words that should be coded? You are responsible for knowing and understanding the definition of a secondary diagnosis that needs to be coded as well as sequencing guidelines. What is/are the corresponding ICD code(s) for the diagnosis(es). Are there any procedures that need to be coded; if so, code them in the proper order, using the proper coding system. TYPE, IN PROPER ORDER, THE DIAGNOSIS AND PROCEDURE CODE(s) for CASE 3 are:

******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."