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Learning Journal
You have learned the importance of holistic assessment throughout your BSN program. This involves a physical assessment, and includes looking at the cultural, spiritual, developmental, nutritional, and psychological components that influence health.
Dr. Philip Landrigan, pediatrician and director of the Mount Sinai School of Medicine?s Center for Children?s Health and the Environment states:
Children today are exposed to approximately 80,000 chemicals in the environment, most of them developed since World War II. Although we have reduced the frequency of infectious diseases, we have an epidemic of asthma and doubling of hypospadias, a birth defect in baby boys that causes the opening of the penis to be on the underside instead of at the tip. Childhood brain cancer has increased 35% since the early 1970?s, and we don?t know why. In young men, ages 15 to 30, the rate of testicular cancer has increased 68% in the last 20 years, and we don?t know why.
Landrigan is clearly a proponent of including assessment of the environment as part of a holistic client assessment. After completing the reading and activities for this unit what do you consider essential to be included in an environmental assessment?
Be sure to specifically address the environmental influences on children and the elderly.
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