Case study

Ricky, age 4 years, arrives in the clinic with his mother. Ricky lives with his mother and father, whoboth work full-time, and his infant sister. Their extended family lives in a different state more than100 miles away. Both parents are of average height and in good health. Ricky?s mother mentionsthat Ricky often expresses frustration, particularly in regard to food. Conflict over food occurs everyday. Mealtime is a battle to get him to eat, unless his mother feeds him. Ricky?s baby sister seems totolerate all baby foods but requires her mother to spoon-feed. Ricky?s mother is quite frustrated andconcerned that he will become malnourished.Reflective Questions1. What additional assessment information would you collect? 2.3. 4.What questions would you ask, and how would you further explore this issue with themother?In what ways does the distance of the extended family influence this family?s approach tohealth promotion?What factors would you consider to determine whether malnourishment is a factor in thisfamily?

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