| Course | PA 618 Clinical Clerkship - Pediatrics |
|---|---|
| Week | 5 |
| Paper type | Anticipatory guidance sheet |
| Length | About 470 words, 5 pages |
| Format | APA 7 student paper |
| School | Chamberlain University |
| Program | Master of Physician Assistant Studies (MPAS) |
| Updated | October 2026 |
Free sample paper for PA 618 Week 5
Anticipatory Guidance Sheet for M.J.'s First Week Home: A Person on Every Line, Tonight Then the Routine Then a Date, a Sign Followed by an Action and What to Do When M.J. Is at School or the Grandparent's
Student Name
Chamberlain University
PA 618: Clinical Clerkship - Pediatrics
Instructor Name
Month Day, Year
Anticipatory Guidance Sheet for M.J.'s First Week Home: A Person on Every Line, Tonight Then the Routine Then a Date, a Sign Followed by an Action and What to Do When M.J. Is at School or the Grandparent's
The Sheet
Going home after eyelid infection: M.J., age 8. Date: April 22, 2026. Clinic phone on the back.
Tonight
Parent: give the first cephalexin dose at 20:00 with dinner.
Parent: wash the sores on the brow and cheek with soap and water, pat dry, then put on the mupirocin ointment.
M.J.: no rubbing the eye; wear the cotton gloves at night if scratching starts.
Every day this week
Parent or grandparent: cephalexin four times a day, at breakfast, after school, at dinner and at bedtime, until the bottle is finished on April 28.
Grandparent: check the eyelid at 15:30 after school; compare with the photo taken at discharge.
Everyone: wash hands after touching the sores; M.J. uses a separate towel.
On a date
Parent: clinic visit April 25 at 10:00.
Signs and what to do
If the eye hurts when M.J. looks to the side, if M.J. sees double or if the eye bulges: go to the emergency department today.
If the swelling spreads past the eyebrow or a fever of 38.5 °C or higher returns: call the clinic the same day.
If new crusted sores appear elsewhere: send a photo through the portal.
When M.J. is somewhere else
At school: the after-school dose goes with the grandparent, not to school. Sores must be covered with a bandage at school.
At the grandparent's: the medicine bottle and this sheet go too.
A Sign, Then an Action
Each warning sign is paired with one action and a place, because "watch for worsening" leaves a family guessing what to do.
The sheet was read through with the parent and the grandparent together before discharge, and each was asked to point to the line that applies to them.
Why Covering the Sores Matters
Children with impetigo can go back to school once antibiotics have started, provided the sores on exposed skin are covered (Centers for Disease Control and Prevention, 2025). The sheet puts that rule where the grandparent will see it.
Covering the sores also protects classmates; the school nurse's note at admission showed two other children in M.J.'s class with impetigo. The sheet does not ask M.J. to stay home once antibiotics have started, which matters for a family where both adults work.
References
Centers for Disease Control and Prevention. (2025, August 6). About impetigo. https://www.cdc.gov/group-a-strep/about/impetigo.html
The Chamberlain PA 618 Week 5 instructions
The fifth week asks for an anticipatory guidance sheet of one page, mostly white space. Each instruction is one line, and each line names a person and a moment in an ordinary day: who does it and when. Arrange the sheet as tonight, then the daily routine, then a dated appointment. Warning signs should each be paired with one action and a place, not a general instruction to watch. Cover what happens when the child is somewhere else, such as school or another household. Include a phone number and the hours it is answered. If the adult reads little English, plan for interpretation or translated materials. If your section asks for reasoning, add a short explanation after the sheet. Cite guidance behind rules such as school attendance.
How the PA 618 Week 5 example is put together
The sheet is headed for M.J., age 8, dated April 22, 2026. Tonight's lines give the parent the 20:00 cephalexin dose and sore care with mupirocin, and M.J. a no-rubbing rule with gloves at night. Daily lines give four doses at named times until April 28, a 15:30 eyelid check by the grandparent against a discharge photo and handwashing and towel rules. A dated line sets the April 25 clinic visit. Warning signs lead to the emergency department for pain on eye movement, double vision or bulging, a same-day call for spreading swelling or fever of 38.5 and a portal photo for new sores. Lines cover school and the grandparent's house. Short sections explain pairing signs with actions and cite Centers for Disease Control and Prevention (2025) on returning to school with sores covered.
Reading the PA 618 Week 5 grading rubric
Guidance sheets lose the most when instructions have no person or time attached, so nobody knows who gives the 15:30 dose. Next comes a warning section that says "watch for worsening" without saying what to do. Graders deduct for sheets that ignore the child's other settings, such as school or a second household. Faculty reward one line per instruction, a structure of tonight, routine and date, and signs paired with actions. A phone number with hours earns credit. Brevity and white space are checked. Citation of the guidance behind school rules, in APA form, completes the rubric.
PA 618 Week 5 help: mistakes that cost points
Anticipatory guidance sheets most often go wrong by becoming a page of dense explanation about the infection. Another common problem is warning signs without actions, which leaves families unsure whether to call or go to the emergency department. Some sheets also forget that the child spends afternoons with someone else. If your patient's situation differs, such as a new asthma diagnosis or a fracture in a cast, send the treatment plan and who cares for the child when; a sheet written for you would give every line a person and a moment, arrange it by tonight, routine and date, pair each sign with an action and cover the other settings. If the family reads another language, the sheet would be flagged for translation.
Get a PA-618 Week 5 example written to your instructions
Send the assignment, the age it names and anything your section says about length, and a custom guidance sheet is written to it and returned inside 24-48h, the first one free. Say who the child goes home with, because the sheet changes when two households or a daycare are in the week.
More PA 618 papers and MPAS samples
- PA 618 Week 1: Third Adult in the Room Post
- PA 618 Week 2: Three-Party Encounter Write-Up
- PA 618 Week 3: Assent Documentation Brief
- PA 618 Week 4: Family-Centered Rounds Brief
- PA 618 Week 6: Parent Phone Call Note
- PA 618 Week 7: School Return Letter
- PA 618 Week 8: Newborn Nursery Note
- PA 616 Week 5: Operative Note Draft
- PA 614 Week 5: Interrupted Encounter Write-Up
- PA 612 Week 5: Problem List Expansion Memo
- PA 648 Week 5: Second Attempt Comparison
PA 618 Week 5 questions, answered
The child in my case spends part of the week in another household.
Then say so on the sheet and decide which lines travel. Most sections accept either one page marked up for both homes or two pages that differ only in the contact details, as long as the document is explicit about it. What loses marks is a single sheet written as though one adult has the child every night when the case says otherwise.
My section wants the reasoning as well as the sheet.
Keep them apart on the page. The reasoning is addressed to your faculty reader and can use the vocabulary the sheet is not allowed to use; the sheet stays as it would be handed over. Mixing them is the defect the week is built to catch, because a family cannot use a page that keeps stopping to explain itself to somebody else.
The adult in my case reads little English.
The sheet says which language it was produced in, and whether an interpreter carried it. Where your section allows it, the lines are written to be read aloud rather than scanned, which changes the wording more than the length. What is not acceptable in most rubrics is a sheet handed over in a language nobody in the household reads, with nothing on the record about it.
Where can I find a free PA 618 Week 5 sample paper?
A complete PA 618 Week 5 anticipatory guidance sheet for a child going home after eyelid cellulitis and impetigo is on this page.
When should the family go to the emergency department in the PA 618 Week 5 sample?
If the eye hurts when the child looks to the side, if the child sees double or if the eye bulges.