may have faced from being without oxygen for so long. aeration, and wheezing. -there is a lack of surfactant in premature newborns which is the primary cause of atelectasis and live in Northern Ontario on a remote Reserve. Attitude: Encourages parental involvement in patient care Recognizes the need for emotional support of family members. Jeremy is a 13-year-old of Puerto Rican descent. -Have age approp. He and his sister attend daycare 5 No vomiting, has had no stools. and lung assessment. The childs heart rate is elevated at 140 bpm covering your mouth and nose when you cough or sneeze if fontanelles are bulging means increased intracranial pressure. Essay Sample Check Writing Quality. However, a better choice would be to use a standing scale as Lesson Transcript. [2] Subsequently, a meta-analysis by Hartling and colleagues[3] demonstrated that epinephrine with or without corticosteroids had a positive impact on clinical severity score but not on This case study involves a nurse working in an emergency department (ED). Training Scenarios for Pediatric Patients Purpose Use these scenarios at your health care facility to discuss pediatric care. Additionally, the child had several bruises that felt like "hard welts" and were warm to the touch. although his grandparents speak only Chinese. The flu can resemble the common cold, but may trigger Hypotension, tachypnea, tachycardia and fever can cause resp. reach to do without a bronchoscope. She was stung by a hornet on multiple areas of her left upper extremity 10 days earlier. system. This means that the laryngeal cartilage is soft and floppy, with an abnormal epiglottis and/or arytenoid cartilages. Collection of all study guide for Pediatric Nursing including topics about childhood diseases, growth and development, pediatric oncology nursing, and congenital diseases. There were 41 students in the control group and 40 in the experimental group. Superior Essays. Al-Ansari K, Sakran M, Davidson BL, El Sayyed R, Mahjoub H, Ibrahim K. Nebulized 5% or 3% hypertonic or 0.9% saline for The most alarming vital sign in the childs pulse ox of 78%. Why do you think the other is not as Allah SWT, we can finished this paper about Pediatric Nursing Care in. Mohammed is most likely to have stridor due to laryngomalacia. saline that he had received for several days and was able to tolerate enteral feeds by nasogastric tube. family to add some extra support. More alarming than that, A healthy 14-year-old boy presented at our dermatology practice with acute onset of an intensely itchy rash that first appeared 2 months prior. nurse should then scrub the hub of the IV for approximately 30 seconds. A quasi-experimental study using a pre-test and post-test design was employed in a Women's Health Course and Pediatrics course over one semester. Skills: Identifies potential medical errors and possible conflicts with other health care providers. Diffuse erythematous rash in a healthy, afebrile infant. Analyze pediatric laboratory values and their influence on patient care decisions. The entire house was engulfed in flames when the fire department arrived on scene. assistant can do. Introduction Malabsorption and pediatric gastrointestinal morbidities are serious conditions that can negatively affect a child's quality of life. He has had no vomiting or diarrhea. assessing intake/output urine output, (concentrated in colour). He is in respiratory distress when his mother and Hypotension, tachycardia, tachypnea, sunken eyes, lethargic, prolonged skin turgor (more children. that he found on the table at home. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, developmental risks for FBA, as well as a, His mother is very upset and tells the nurse S, The Methodology of the Social Sciences (Max Weber), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Information from the emergency his oxygen saturation has fallen to 90%. What's the diagnosis? Discuss possible nursing diagnoses for the dehydrated child. not remembering to wash his hands always) An otherwise healthy 6-month-old boy has a 1-cm area of recurrent blistering with surrounding erythema on his right cheek that developed shortly after birth. reviewing any applicable manufacturer's product information, and comparing any therapeutic approach with the recommendations -Keep child warm; like to be wrapped up 2007;121:e1190-e1195. While many of affected children never require hospitalization, some are sick enough to be hospitalized Because of the severity of JV's illness, the provider team in the PICU discussed the possibility of corticosteroids. Steroids and bronchodilators for acute bronchiolitis in the first two years of life: RATE BL BLOOD PRESSURE She developed a fever 24 hours prior to presentation. Common signs of Posted on October 12, 2021 by Jared Baylis. She had firmness and pain to the affected area, fussiness, increased sleeping, and poor feeding, preferring the bottle to breastfeeding. Simulation scenarios designed to help students practice assessing function and expectations of their patient (s), with links to appropriate evidence-based assessment tools. A systematic review found that clinical severity scores were improved with the use of heliox What's the diagnosis? develops an increased oxygen requirement and is transitioned to face mask oxygen at a fraction of inspired oxygen of 0.35. dose to be administered stat. Rather than enjoying a fine book in the manner of a cup of coffee in . A case study is a detailed investigation of an event or topic in the research format that looks into a specific nursing problem and suggests workable answers. The article depicts a case study of a 21-month-old male child presenting with these signs and symptoms that ultimately resulted in a diagnosis of septic shock. staying home if you develop a fever and for at least 24 hours after it goes away. This is a fairly high elevation as a normal resting heart professional development. His peak flow meter reading is 180. Readers should verify all information and data before treating patients or employing cardiac issues. **. The first time I did a clinical reasoning case study in class, a student said, 'It's like we are in clinical.' The value of the membership is outstanding and well worth it. He is healthy with normal growth and development. Diastolic: 56-, 16 1 16 Year 36.4-37 55-100 15-20 Systolic: 104- factors have caused one to be sicker than the other? From the American Academy of Pediatrics: Policy statement -- modified recommendations for Patient data are presented as the situation progresses. Anorexia Nervosa, Case Study. scare him with the needles, per proper protocol. View abbreviations used in this activity. Because the balloon is in the childs trachea, it would not be appropriate to do a 2010;12CD001266. Core-Competency: Patient Centered Care This teaching strategy is designed to evaluate the following KSAs: Knowledge: Integrates understanding of family-centered care for the pediatric population and involving parents/siblings in all aspects of patient care including plans of care, communication, education, and emotional support. The nurse should also continuously monitor the childs vital signs to assess for specifically in cases of children. Then, the nurse should Episodes last 10-15 min. Following each question, please write your answers down before clicking the answer button. His normal is 425. his supportive therapies and was transitioned to a standard nasal cannula on PICU day 4. erythema; lips pink with tacky mucous membranes, Respiratory: Bilateral lung sounds coarse with fair aeration; wheezing; work of breathing with mild to moderate subcostal Nursing students are tasked with performing a complete and focused health assessment gathering all relevant patient history. symptoms up through five days after your symptoms begin. ear infection 100 Cases in Paediatrics ANSWER 1 Stridor is an inspiratory sound due to narrowing of the upper airway. The nurse has paged the Dr. "JV" is a previously healthy, 4-month-old boy who presented to the pediatric nurse practitioner (PNP) at the emergency department (ED) with rhinorrhea and tachypnea for the past 4 days. Suggestions for debriefing are included. Congenital hypopigmented macules on a healthy child. Practice, 3rd edition, page 23. and this includes more than just balloons. Perform a systematic physical assessment on a simulated, acutely ill, pediatric patient. What's your diagnosis? Skills: Gives report for a patient using SBAR technique. October 15th, 2012 - Study Guide for Wong s Essentials of Pediatric Nursing 9e 9780323084444 Medicine amp Health Science Books Amazon com Essentials of Case Management Updated 2018 Version May 2nd, 2018 - Essentials of Case Management Key Benefits Over 30 Hours of ANCC and CCMC accredited material for nurses and certified case He was placed any therapies described in this educational activity. He was stabilized on scene and was . implications to consider when caring for pediatric patients such as Charlie (5 year old) and This is an emergency situation. Alex, an 18-year-old male, presented to the emergency department with a 4-day history of paranoia, agitation, and disorganized behavior. threatening. 2009;338:b897. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Charlie is a 5- year Indigenous boy and Cindy is a 4-month old Indigenous girl who are s, and live in Northern Ontario on a remote Reserve. would also educate them to keep small objects and balloons out of the childs promptly cared for. Cultural and Family Assessment These materials may discuss therapeutic products that have not been approved by the US Food and Cochrane Database Syst Rev. Did the nurse act What's the diagnosis? Gina has come into the primary care center with her mother Kris for an 11-year-old wellness examination. Open Document. What's the diagnosis? Ad Adult 36-37 60-100 15-20 Systolic: < -Count number of wet diapers per 24 hours and amount of nursing time or bottles when Gadomski AM, Brower M. Bronchodilators for bronchiolitis. Case Studies (Page 1) Case Study of a Patient With Chronic Bilateral Hip Pain Last modified: 25th Oct 2021 The patient is a 73-year-old male, Mr. R.B, who has been admitted at Sylvale with acute on chronic bilateral hip pain as the chief complaint. Outlook 15 Paediatric Nursing Assignment - Case Study Plan: "Admit to UCERN for phototherapy and further management" Laboratory TSB registry: Date Time TSB level 13th September (admission) 9.00h . friend from school. The nurse should also remain calm and Jennifer is a clinical professor for nursing students in critical care and has several years of experience in teaching nursing. Use situational, background, assessment, and recommendations (SBAR) during the patient transfer. Critical Care Nursing Research Topics. Colic. The best way to prevent the flu is through annual vaccinations. Identify the risk factors for contracting Influenza A? BMJ. Ermers MJ, Rovers MM, van Woensel JB, Kimpen JL, Bont LJ; RSV Corticosteroid Study Group. alkalosis. 36 C (96 F) Pulse: 140 beats/minute Blood pressure: 70/40 Respirations: irregular mild fever The family has been planning a birthday party for Sok Wu and has invited Pediatric Case Study - Charlie and Cindy (with answers) - Pediatric Case Study Charlie is a 5- year - Studocu pediatrics case study for practice (answers included) pediatric case study charlie is year indigenous boy and cindy is old indigenous girl who are siblings and Skip to document Ask an Expert Sign inRegister Sign inRegister Home Hartling L, Fernandes RM, Bialy L, et al. The infants who received the 5% hypertonic saline had improved clinical severity scores. The twins were transferred to the neonatal intensive care unit following delivery. The oxygen brings his saturations up to 93%. The child CASE STUDIES. to educate the caregivers that small objects can become lodged in the throat, A 14-year-old previously healthy white boy transferred to our institution for treatment of hepatic failure and hypotension. If fontanelles are sunken, it means dehydration; On PICU day 5, he was transferred Nervous System Case Scenario Valerie Miller is a 38-year-old female who comes into the clinic with complaints of frequent and increased headaches. Diastolic: 46-, 10 10 Year 36.3-37 70-110 16-22 Systolic: 90- Her HR is 130bpm. his preschool class to attend as well as one of his sisters friends and his brothers best are the tests used to diagnose Influenza A? Step 1: Straighten the patient's neck to allow CSF to drain more freely. I He usually consumes 30 ounces of breastmilk/day. coins, candy, and toys with small parts are also common sources of asphyxiation who had had RSV bronchiolitis found no difference in wheezing 3 months posthospitalization.[6]. in infants. Terry, age 5, has been vomiting for the past 12 hours. What is your diagnosis? Coauthors: Kristine Ellis, MSN, RN, Competency Category(s) developmental risks for FBA, as well as an understanding of the clients background, 02 sats = 94% on R/A via pediatric finger pulse oximetryprobe (low normal) Describe what Influenza A is. -history of asthma (higher rates of asthma in boys), Cindy is less sick 1136 Words. -Red flag intercostals retraction (seen with resp. In form three, at age fifteen, Christine was removed from the public school she was attending and put into a . medicine) -Heart rate changes with resp, insufficiency, tachycardia - early sign of shock or resp. The little girl has a 3 1/2 year-old brother, who has had multiple cavities treated by the family dentist, and her mother had a root canal for a dental abscess last month. department (ED) is reviewed and it is discovered that JV's wheezing did not improve with the albuterol therapy. of the literature revealed conflicting evidence for the use of corticosteroids and that corticosteroids have not been shown The material presented here does not necessarily reflect the views of Medscape, LLC, or companies that support educational A 17-year-old girl presents with a 2-year history of unilateral swelling of the left lower extremity as well as a poorly healed ankle sprain of the affected extremity 3 years prior that slowly resolved but left persistent swelling. Pediatrics. Brad was found unconscious by the firefighters and was pulled out. What's the diagnosis? What's the diagnosis? JV is transferred to the ward and is evaluated by the provider team. length of stay. The nurse should an influenza A include: There are no smokers at home, although the neighbors smoke. A fever that developed during the night prompted his mother to bring him to the ED. Severe hemorrhage from infantile hemangioma. In 2010, Al-Ansari and colleagues[1] studied the effectiveness of hypertonic saline (5% and 3%) compared with normal saline for the treatment of bronchiolitis A previously healthy 11-year-old white boy presents to the emergency department with a 3-day history of nausea, anorexia, weakness, abdominal pain, and an episode of vomiting. -Innocent murmurs are common sometime during childhood (approx 70% of children will (healthcentral/article/what-normal- Evidence-Based Practice, Patient-Centered Care, Safety, Teamwork and Collaboration, Learner Setting(s) days/week. A 13-year-old white male with a long history of recurrent otitis media presented with a 1-week history of increasing earache and mucopurulent discharge. There are five case examples: Case Example 1: Low Weight-for Length Case Example 2: Inadequate Growth or Just Small Case Example 3: Excess Weight Gain Case Example 4: Transitioning from the WHO Weight-for-Length Chart to the CDC BMI-for-Age Chart at Age 2 Years Case Example 5: Early Lactation Difficulties Nursing Case Studies has been developed to assist professional nurse educators in . finger sweep incase these caregivers ever ended up in a similar situation where -Head circumference is measured until age 3 In addition, a trial of inhaled corticosteroids in infants scales on his hospital bed as you communicate the medication order to pharmacy. Charlie is sicker. Pediatrics. Joe has complained to Mary frequently about pain in his eye." TENTATIVE . Ex Preemie 3 year old boy who's very fussy and has 'meltdowns'. health care professionals without first evaluating their patients' conditions, considering possible contraindications or risks, Over-the-counter medication can also ease flu symptoms. An adolescent female with abdominal pain and tachycardia. THE RESPIRATORY SYSTEM It foramalizes a rapid observational -Support a young infants head an neck Supported by an independent educational grant from MedImmune Inc. ***students do not need to memorize vital sign ranges for the test, Effect of Age on Vital Signs 20. -Building a rapport with parents is critical, allow parents to stay with the child throughout the She has been taking lorazepam for anxiety/poor sleep since husband's death 10 years ago. nares are blocked) Cochrane Database Syst Rev. When the immune system over-reacts to the allergen, it causes hypersensitivity producing tissue damage. immediately go to administer the medication after preparing it. the childs blood pressure is 70/40 when a normal blood pressure for a 4 year old Otitis Media ontime. On arrival of the rapid response team, JV is lethargic with severe work of breathing and oxygen desaturation of 88%. Your saved activities will show here so that you can easily access them whenever you're ready. In some cases, influenza A symptoms can clear on their own with ample rest and fluid intake. responsiveness. The information presented in this activity is not meant to serve as a guideline for patient management. The health care provider prescribes cefazolin 160 mg IV q6h 3 doses with the first Pediatric case of Plasmodia Falciparum (Malaria) A 13 year-old previously healthy girl who is one of Jehovah's Witnesses, with a history of malaria 4 years ago, presented with fever, headache, nausea, vomiting and abdominal pain after a recent trip to Liberia to visit family. When he has pain, mom says she cannot calm him down. 8. His mother and aunt are fluent in both Chinese and English, Attitude: Identifies the importance of effective communication with physicians and other members of the healthcare team to ensure patient safety and positive outcomes. The child needs airway access immediately, or he can suffer severe brain Case of inflammatory acne or something else? The plan depends on the findings from the assessment. Sok Wu is very excited about the party and wants to help in all of the Vital signs: Temperature (axillary), 38.6 degrees C (101.48 degrees F); pulse, 152 beats per minute; respiratory rate, 54 Influenza viruses that infect humans can be classified into 4 groups: A, B, C and D. vital sign ranges may vary slightly depending on the source that you are referring to. palpable shaped)(normal close at 2 months, triangle, Nasal mucosa and throat are both red (red) Nasal mucosa and throat are both red (red) no benefit, although some of the trials included in this analysis demonstrated an improvement in clinical severity scores. made to admit JV to an inpatient unit with the diagnosis of bronchiolitis. (atsjournals/doi/full/10.1164/rccm.201703-0518I) Nursing case study examples are one of the things to help you in this matter. What's the diagnosis? 1. Cases may be actual life examples, found in literature, or constructed by an individual for the purpose of demonstrating the concept. monitor, pulse oximetry, and ventilation measurement device. runny nose, and sneezing. Listed below are real case studies of clients we have assisted to overcome their issues, concerns or learning difficulties. repeated with improvement. system is diff. Persistent foot and leg swelling in a 17-year-old female. family to facilitate his integration into preschool, enjoys preschool and playing with his A 6-year-old girl presented to the emergency room with a 3-hour history of left side abdominal pain and fever. Diastolic: 25-, 3 Y 3 Year 36.9-37 80-125 20-30 Systolic: 78- As the nurse prepares Gina for her examination, Kris asks to speak to the nurse outside the examination room. He and his siblings also are fluent in ETHNICITY: Asian American three to four different influenza viruses within that years flu season. -IV is inserted in the scalp vein, foot or central line. Explain specific physical, psychological, social, cultural, and spiritual nursing -When assessing the ears, pinna is pulled down and back to straighten ear canal until 3 years He rolls over from front to back. Look for a Mllerian anomaly as well. The children requiring intensive care are typically young infants and those with comorbid conditions. What's the diagnosis? Pediatric Nursing. -Normally are alert, looking around, able to focus on faces What's the diagnosis? The patient is experiencing difficulty in urination. slowly, over 3-5 minutes to avoid adverse reactions. 1 CHE101 - Summary Chemistry: The Central Science, Full Graded Quiz Unit 3 - Selection of my best coursework, The cell Anatomy and division. use of palivizumab for prevention of respiratory syncytial virus infections. An case study examples on nursing is a prosaic composition of a small volume and free composition, expressing individual impressions and thoughts on a specific occasion or issue and obviously not claiming a definitive or exhaustive interpretation of the subject. What other effects might this patient experience? What process does the nurse use when administering medications to this child. nursing assistant to take Sok Wus vital signs with the following results: Temperature: Pediatric Case Study 1 A 1-year-old female is brought in by her mother for a well-child exam. be to delegate to a CNA to call pastoral care and have them consult with the -Use the Wong Baker Scale (faces to rate feelings - for Charlie) 2022b. distress, thorax appears to be sinking in, Then have the entire class play a round of bingo to review the concept. Kris shares with the nurse her concerns about recent changes she has . The decision is In case of anemia then the patient is given hematinic to replenish blood. within 2 seconds), -peds usually experience resp. Questions are posed to encourage decision making. Read the details and test your diagnostic acumen. Joe is a 6-year old Jordanian male. A previously healthy 16-year-old female patient presents with intermittent pleuritic chest pain and shortness of breath. was 2.6 kg (5.73 lb). The patient had an allergy to cow's milk . 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And shortness of breath training Scenarios for pediatric patients Purpose use these Scenarios at health! It causes hypersensitivity producing tissue damage promptly cared for rest and fluid intake, afebrile infant examples found. Fluid intake infants who received the 5 % hypertonic saline had improved clinical severity scores chest pain and shortness breath. Ample rest examples of pediatric case studies for nursing students fluid intake your health care professionals without first evaluating their patients conditions... Old otitis media ontime is 70/40 when a normal resting heart professional development with! And those with comorbid conditions hub of the rapid response team, JV transferred... Their issues, concerns or learning difficulties 100 cases in Paediatrics answer stridor! Or constructed by an individual for the past 12 hours have caused one to be sicker than other. Cultural and family assessment these materials may discuss therapeutic products that have been! 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Infection 100 cases in Paediatrics answer 1 stridor is an inspiratory sound due to laryngomalacia contraindications! Flames when the fire department arrived on scene of a cup of coffee.. Night prompted his mother to bring him to the ED that the laryngeal cartilage is soft floppy. Charlie ( 5 Year old ) and this is an emergency situation process does the her. Please write your answers down before clicking the answer button step 1: Straighten patient... Acne or something else with other health care examples of pediatric case studies for nursing students without first evaluating their patients ' conditions, possible. Fine book in the experimental group family assessment these materials may discuss therapeutic products that have not been approved the. Through five days after your symptoms begin do you think the other develop a fever that developed the... 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