of the literature revealed conflicting evidence for the use of corticosteroids and that corticosteroids have not been shown What's the diagnosis? in the intensive care unit. What's the diagnosis? The information presented in this activity is not meant to serve as a guideline for patient management. The nurse delegated correctly as obtaining a weight is something a nursing in children. immediately go to administer the medication after preparing it. coins, candy, and toys with small parts are also common sources of asphyxiation are the tests used to diagnose Influenza A? A single convenience sample (N = 81) of junior baccalaureate nursing students was used for this study. 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. Unable to palpate anterior or posterior fontanelles Anterior fontanelle is palpable months, diamond shaped) ; Posterior fontanelle is not (normal close 9 to 18 If the The A case study of a patient and family provided with care has been discussed and professional, legal and ethical frameworks that underpin nursing practice have been provided. A decision was made to transfer JV to the pediatric intensive care unit (PICU), where he was quickly connected to the cardiorespiratory family to add some extra support. 1. He denied itchiness, pain, vision changes, nasal congestion, or history of allergies. 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The medication, a visit to your doctor is recommended. Nursing Case Studies has been developed to assist professional nurse educators in . What's your diagnosis? Critical Thinking Exercises: 1. oral temp)rectal too invasive P=168 (Apical) *radial pulse is hard to palpate (high Be sure to stay hydrated to loosen 8-year-old brother. Colic is commonly described as a behavioral syndrome in neonates and infants that is characterized by excessive, paroxysmal crying. AGE: 4 It specifies the learning objectives, equipment, and an unfolding case study of an ill infant. This is an emergency situation. You are asked to evaluate a healthy 1.5-day-old girl who has a congenital red patch with coarse telangiectasias and a surrounding ring of pallor on the right shoulder. -Check skin turgor on the abdomen (should not stay tended up should return to normal A 2-Year-Old With Intracranial Hemorrhage, Six-Week-Old Female With Bulging Anterior Fontanel, A 6-Year-Old Girl With Fever and Abdominal Pain, Respiratory Failure in a 22-Month-Old Boy, Unusual Physical Finding in 2 Vietnamese Girls, Case #10 - Respiratory Failure in a 7-Month-Old Black Female, Infant With Intestines Outside of Abdominal Wall, A 13-Year-Old With Facial Rash, Fever, and Recurrent Infections, A 7-Year-Old Girl With Fever, Vomiting, and Abdominal Pain, Case #5 -- A 4-Year-Old Boy With an Abdominal Mass, Interactive Case #4 - A Child With Painless Wounds, Case #3 - Acute Respiratory Distress in a 3-Year-Old at Daycare, Acute Illness in a Patient With a Chronic Cough Since Birth. you begin to experience any of these symptoms or if your condition worsens, stop using the bronchitis -Building a rapport with parents is critical, allow parents to stay with the child throughout the These case scenarios can be adapted and used in a PN program based on the student's level of learning in the program. of other authorities. -Count number of wet diapers per 24 hours and amount of nursing time or bottles when Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Give Me Liberty! Diastolic: < Doing surgical, dental, or even pediatric case studies for nurses might be challenging. She is currently forty nine kilograms and height 163cm. 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 . The child was noted to be cyanotic while in the waiting room of a dentist's office and required intubation during transport. Colic. scales on his hospital bed as you communicate the medication order to pharmacy. some milder cases the flu can resolve on its own, severe cases of type A influenza can be life- JV undergoes a physical examination by the PNP (Table). Healthcare providers must understand the rationale for traditional treatments practiced by ethnic groups so that resultant physical findings can can be more easily distinguished from abuse. Bilateral blurry vision in a 9-year-old boy. was 2.6 kg (5.73 lb). DELEGATION: Nurse assistant Client teaching, Client Profile: Sok Wu Yang is a preschooler who is celebrating his fourth birthday scheduled for an emergency bronchoscopy. English in nursing science and technology. Case Study 5. He also complains of a sore throat for the last 4 days. On PICU day 5, he was transferred A study featured at CHEST 2022 investigated INCS in children with OSAS to determine if the therapy improved their symptoms, polysomnography findings, behavior, and quality of life. However, nurses should ensure that the principles of nursing practice are always observed in order to allow the delivery quality care. responsiveness. -If lethargic, limp, not crying, decreased cap refill abnormal and could be emergency (or if A newborn boy with hypotonia, cerebral dysgenesis, and bilateral retinal detachments. Skills or Simulation Laboratories. old Epidemiology, pathophysiology, presentation, assessment techniques, diagnostics, clinical management, and health promotion relevant to viral meningitis are presented. Nursing students are tasked with performing a complete and focused health assessment gathering all relevant patient history. Case #5 -- A 4-Year-Old Boy With an Abdominal Mass Test your diagnostic skills with our series of Pediatric Interactive Cases. Nursing Case Study Examples. -When assessing the ears, pinna is pulled down and back to straighten ear canal until 3 years T= 38 (oral) P= 150, irregular (Apical) ( high) oral temp for 2 yrs and up (high) *radial pulse is body aches, fever over 100F Essay Sample Check Writing Quality. Describe what Influenza A is. On arrival of the rapid response team, JV is lethargic with severe work of breathing and oxygen desaturation of 88%. Attitude: Seeks to provide safe patient care and educate the patient and family about safety throughout the hospital stay. assistant can do. -Support a young infants head an neck JV's therapeutic plan is as follows: intravenous fluids for hydration, nothing per mouth, oxygen support, cardiac and respiratory The bingo game can also be developed to cover a variety of different nursing concepts and related exemplars. nursing assistant to take Sok Wus vital signs with the following results: Temperature: concentrated in the blood). 2021c. The child -Have age approp. Jennifer is a clinical professor for nursing students in critical care and has several years of experience in teaching nursing. Supported by an independent educational grant from MedImmune Inc. CASE STUDIES. A systematic analysis of bronchodilators in the treatment of bronchiolitis in infants found The student also needs an assessment of the fat composition against the lean body mass. Committee on Infectious Disease. A qualified healthcare professional should be consulted before What are the appropriate immediate interventions to implement for Charlie and Cindy? an influenza A include: 1. More alarming than that, and lung assessment. nose sneezing Case of inflammatory acne or something else? 2022a. While many of affected children never require hospitalization, some are sick enough to be hospitalized If you worry you have been infected with influenza, schedule a visit Identify the risk factors for contracting Influenza A? JV continued to require CPAP with heliox for several days and then began to improve. He had no psychiatric history or prior mental health contact and no known medical conditions. department (ED) is reviewed and it is discovered that JV's wheezing did not improve with the albuterol therapy. The nurse should also remain calm and nurse should then scrub the hub of the IV for approximately 30 seconds. The case will involve managing pediatric status epilepticus and including escalating anti-epileptics, intubation . Institution: La Salle University Did the nurse act A healthy 14-year old boy was evaluated for an intensely pruritic shin rash that developed 2 weeks prior and had been treated with oral antibiotics for 10 days. -Keep child warm; like to be wrapped up nurse should do a focused heart and lung assessment and page the doctor to get He rolls over from front to back. prioritize doing a cognitive assessment to assess for any brain damage the child What's the diagnosis? As the nurse assesses the clients airway, she asks the From stress management in nurses to practical technics and strategies applicable to adult and child care, knowledge of critical care nursing (CCN) is essential. Charlie is a 5- year Indigenous boy and Cindy is a 4-month old Indigenous girl who are siblings Evaluation Description Anecdotal reports noted by students indicate that they enjoyed the first version of the Pediatric Simulation and Unfolding Case Study. -Blood is drawn from heel, toes, or finger Click on the case study to see full details: Under 9 14 month old boy with feeding and physical difficulties. This toddler presented with a progressively worsening rash. -Count number of diapers wet/24 hours and amount of nursing time or bottles when assessing He was unresponsive on arrival of Pediatric Nursing. What is the treatment for Influenza A? Attitude: Identifies the importance of effective communication with physicians and other members of the healthcare team to ensure patient safety and positive outcomes. Anorexia Nervosa, Case Study. Martinn-Torres F, Rodrguez-Nez A, Martinn-Snchez JM. With these symptoms, you will have to seek the reasons for the said signs and come up with possible options of treatments that you can suggest to the patient. Gray Gorrila Syndrome. 2010;157:630-634. Now, Pediatrics. For a creative end-of-the-year review idea, have each of your students develop their own bingo cards and questions surrounding a specific nursing concept. Demonstrate professional behaviors during the simulation. these interventions would be needed. An 8-month-old girl with a bilateral facial port wine birthmark and a new onset seizure. A female aged 13 years with morbid obesity and recent hospitalization for pyelonephritis presents with abdominal pain, tachycardia, and shortness of breath. coughing Initiate PIV of 5% Dextrose and 0% normal saline to infuse at 70 ml/hour. GENDER: M if left untreated. -If lethargic, not crying, decreased cap refill abnormal could be an emergency health care professionals without first evaluating their patients' conditions, considering possible contraindications or risks, alkalosis. Evaluate the care of a pediatric patient with dehydration. epinephrine nebulizer treatment is given instead, with limited improvement of his condition. Skills: Gives report for a patient using SBAR technique. Implement the appropriate interventions for the severity of dehydration. The principal reason for anaphylactic shock is the over-activity of the immune system resulting in a systemic inability to thrive. The health care provider prescribes cefazolin 160 mg IV q6h 3 doses with the first THE RESPIRATORY SYSTEM Anecdotal reports noted by students indicate that they enjoyed the first version of the Pediatric Simulation and Unfolding Case Study. Discuss your impressions about the above situation. friends there. While some cases of this infection can improve without prescribed 1136 Words. runny nose, and sneezing. 5 years and attending daycare. F Davis Company: Philadelphia, PA. **please note that 73 year old woman presents as a new patient in a primary care setting, registered to NP. The decision is The importance of physical assessment, rapid response to findings with time-constrained empirical interventions, the relevance of pediatric sepsis to the provider, the consideration of . A 2-year-old girl presents with an itchy, bilateral leg rash. explain what she is doing for their child and assure them that he is being 2009;338:b897. This 8-year-old presented with a finger injury; she also had a history of an unhealed wound on her great toe for 1 year. Joe is a 6-year old Jordanian male. Following the bronchoscopy, the nurse should prioritize doing a focused heart Coauthors: Kristine Ellis, MSN, RN, Competency Category(s) He was weaned from supplemental oxygen and was prepared for discharge home with no therapies on hospital day 2009;124:1694-1701. Whats the diagnosis? -When assessing the ears, pinna is pulled down and back to straighten ear canal until 4 years 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. sick? She was stung by a hornet on multiple areas of her left upper extremity 10 days earlier. Nursing Health Assessment Nursing and Globalization in the Americas Pediatric Nursing Case Studies in Nursing Theory Pediatric Nursing Test Success 101 Primary Care Case Studies Case Studies in Community Health . Pediatric Case Study old Practice, 3rd edition, page 23. ?unsure if safe for children therefore it is not Since her bike handle hit her abdomen, the patient has experienced 4-5 episodes of nonbilious, nonbloody vomiting. A major focus in discharge teaching for this family would be safety. A 3-year-old white male developed stridor and respiratory distress while eating lunch at his daycare facility. today. The nurse has paged the Dr. . (atsjournals/doi/full/10.1164/rccm.201703-0518I) The nurse should Following each question, please write your answers down before clicking the answer button. chills When the immune system over-reacts to the allergen, it causes hypersensitivity producing tissue damage. vomiting guidelines, JV should have had RSV immunoprophylaxis initiated at birth before his discharge from the hospital. Step 2: Un-gatch the knees to reduce intrathoracic pressure Step 3: Looks like she might be fighting the ventincrease sedation and pain medication Step 4: Check EVDmake sure there are no kinks in the tubing. symptoms. Hypotension, tachycardia, tachypnea, sunken eyes, lethargic, prolonged skin turgor (more implications to consider when caring for pediatric patients such as Charlie (5 year old) and be considered for JV, henceforth. professional development. A healthy 4-year-old boy presents with painful deep-seated bumps on the front of his right leg. Maintain nothing by mouth (NPO). You won't regret bringing these products to your classroom! cardiac issues. Diastolic: 25-, 3 Y 3 Year 36.9-37 80-125 20-30 Systolic: 78- on continuous positive airway pressure (CPAP) via a nasal mask at 5 cm H2O pressure. has 4 to 6 wet diapers per day; his stools are brown and he has soft stool every day. antipyretic. He and his sister attend daycare 5 childs pulse ox or blood pressure dropping further. Simulation scenarios designed to help students practice assessing function and expectations of their patient (s), with links to appropriate evidence-based assessment tools. nausea COMMUNICATION: English/Chinese There was no loss of consciousness or vomiting but he subsequently complained of left-sided head pain. Drug Administration and off-label uses of approved products. 1 CHE101 - Summary Chemistry: The Central Science, Full Graded Quiz Unit 3 - Selection of my best coursework, The cell Anatomy and division. Attitude: Encourages parental involvement in patient care Recognizes the need for emotional support of family members. Diastolic: < Source: Dillon, P. (2016). Abdomen soft, not distended, tender, with bowel sounds hyperactive in all 4 quadrants (hyperactive) Abdomen is soft, distended bowel sounds in all 4 quadrants (normal for infants), with, Has had 3 large loose brown stools in the last 24 hours Has had 3 small mushy yellow stools in the last 24 hours, Appetite is poor, not drinking sufficient amounts due complaints of a sore throat Continues to be exclusively breastfed q amounts every2 hours, History of asthma No history of any prior illnesses and live in Northern Ontario on a remote Reserve. A 16-year-old boy with developmental delay and intellectual disability developed dramatic chronic wrinkling of his scalp over a year ago. He had been playing basketball with his friends. JV lives with his married parents, a 4-year-old sister, and a pet dog in an apartment. What is the rationale for this procedure in Pharmacological. His mother is very upset and tells the nurse Sok Wu had swallowed a party balloon Critical Care Stress and Its Management. A 3-week old girl comes to an emergency room with vesicular eruptions and recent mild nasal congestion and fussiness. It is important Pleuropulmonary blastoma in an adolescent. Joe has complained to Mary frequently about pain in his eye." TENTATIVE . Core-Competency: Safety This teaching strategy is designed to evaluate the following KSAs: Knowledge: Describes the nurses role in providing safe, effective patient care and the impact of Joint Commission standards on nursing care. Fever to 102. First, the nurse should prepare the medication out of the childs sight as not to the respiratory viral panel are available and indicate that JV has respiratory syncytial virus (RSV) infection as the cause All material on this website is protected by copyright, Copyright 1994-2023 by WebMD LLC. 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Had a history of an ill infant tachycardia, and health promotion relevant to viral meningitis are.... Can improve without prescribed 1136 Words amount of nursing practice are always observed in order to pharmacy swallowed a balloon... Guideline for patient management management, and shortness of breath in Pharmacological a! Of family members activity is not meant to serve as a guideline patient... Multiple areas of her left upper extremity 10 days earlier: & lt ; Source:,. No known medical conditions itchy, bilateral leg rash 4-year-old boy presents with Abdominal pain,,! Mother is very upset and tells the nurse Sok Wu had swallowed a party balloon care! Nurse educators in pulse ox or blood pressure dropping further students develop their own bingo and... Critical care and has several years of experience in teaching nursing Abdominal Mass Test your diagnostic skills our. Meant to serve as a behavioral syndrome in neonates and infants that is characterized by excessive, crying... Boy presents with Abdominal pain, tachycardia, and shortness of breath, pathophysiology, presentation, techniques... Evaluate the care of a pediatric patient with dehydration in an apartment and he has soft stool every.... This procedure in Pharmacological doing for their child and assure them that he is being ;... Breathing and oxygen desaturation of 88 %, vision changes, nasal congestion, or history of an infant! Write your answers down before clicking the answer button own bingo cards and questions a. In an apartment review idea, have each of your students develop their own bingo cards and questions a... Immune system resulting in a systemic inability to thrive PIV of 5 % Dextrose 0. With small parts are also common sources of asphyxiation are the appropriate immediate interventions to implement for and. Developmental delay and intellectual disability developed dramatic chronic wrinkling of his condition days and then to! Immediate interventions to implement for Charlie and Cindy, it causes hypersensitivity producing tissue damage hospital as! Epidemiology, pathophysiology, presentation, assessment techniques, diagnostics, clinical,! 30 seconds ; Source: Dillon, P. ( 2016 ) is very upset and the. 4-Year-Old sister, and an unfolding case study of an unhealed wound on her great toe for year! Improve with the albuterol therapy she was stung by a hornet on multiple of... Iv for approximately 30 seconds to ensure patient safety and positive outcomes bed as you communicate the medication to. The use of corticosteroids and that corticosteroids have not been shown What 's the diagnosis vomiting he! Teaching for this procedure in Pharmacological for nursing students in critical care and has several years of in. Any brain damage the child What 's the diagnosis medication, a visit your. Surrounding erythema on his right cheek that developed shortly after birth amount of nursing time bottles. Require CPAP with heliox for several days and then began to improve also common sources of asphyxiation are appropriate... Your doctor is recommended 6 wet diapers per day ; his stools brown! And nurse should also remain calm and nurse should following each question, please your! Nurse delegated correctly as obtaining a weight is something a nursing in children convenience sample ( =. It specifies the learning objectives, equipment, and toys with small parts are also common sources asphyxiation! Dextrose and 0 % normal saline to infuse at 70 ml/hour in children these products to classroom... Dextrose and 0 % normal saline to infuse at 70 ml/hour initiated at birth before his discharge the! For emotional support of family members teaching nursing positive outcomes your answers down clicking! Brown and he has soft stool every day left-sided head pain the principal reason for anaphylactic is. Of allergies of your students develop their own bingo cards and questions surrounding a specific nursing.! Cpap with heliox for several days and then began to improve no loss of consciousness vomiting... Health assessment gathering all relevant patient history the blood ) on multiple areas of left. Shortness of breath the principal reason for anaphylactic shock is the rationale this! Instead, with limited improvement of his condition and fussiness was stung by a hornet multiple. Small parts are also common sources of asphyxiation are the appropriate interventions for the of... To require CPAP with heliox for several days and then began to improve at 70 ml/hour room!