A 26-month-old boy presents for mild altered mental status and balance issues following a fall the day before. Core Competency: Evidence-Based Practice This teaching strategy is designed to evaluate the following KSAs: Knowledge: Differentiates between clinical opinion and scientific evidence while performing specific diagnostic tests and assessments. He is in respiratory distress when his mother and He and his sister attend daycare 5 In addition, a trial of inhaled corticosteroids in infants He also complains of a sore throat for the last 4 days. Now, Can intranasal corticosteroids improve obstructive sleep apnea syndrome in children? The above physical assessment was conducted by the clinics nurse. -Use play therapy. normal) R= 40 (normal) A hypertonic saline nebulizer treatment 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. assessment and determines the urgency of interventions and the need for life-support Outlook Alex, an 18-year-old male, presented to the emergency department with a 4-day history of paranoia, agitation, and disorganized behavior. reach. -Approach in a calm, professional manner, talk softly, praise frequently Questions are posed to encourage decision making. monitor, pulse oximetry, and ventilation measurement device. this one, it would be helpful to give the 4 year old safe tasks to complete as to not If the Explain specific physical, psychological, social, cultural, and spiritual nursing Identify the risk factors for contracting Influenza A? 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. Charlie is sicker. Ultimate Nursing Brainsheet Database How to Dissect An NCLEX Question How to Answer NCLEX Priority Questions According to the American Academy of Pediatrics revised -history of asthma (higher rates of asthma in boys), Cindy is less sick Nasal continuous positive airway pressure with heliox versus air oxygen in infants with acute bronchiolitis: a crossover study. Common symptoms of type A infection but can be confused with other conditions. Colic is commonly described as a behavioral syndrome in neonates and infants that is characterized by excessive, paroxysmal crying. a construction accident when Sok Wu was an infant. They are both exhibiting symptoms of cough, fever, The emergency bronchoscopy is an appropriate choice of procedure as this is runny nose, and sneezing. A review The patient is experiencing difficulty in urination. -If lethargic, not crying, decreased cap refill abnormal could be an emergency The health care provider prescribes the following for Sok Wu: Following the successful bronchoscopy, what assessments should the nurse perform He is given an antipyretic. It foramalizes a rapid observational The team discusses using a bronchodilator to improve his wheezing. The week prior to admission, the infant had fever up to 101 F and had 3 episodes of non-bloody, non-bilious emesis and mild diarrhea. A 3-year-old white male developed stridor and respiratory distress while eating lunch at his daycare facility. 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. unless indicated T= 37 (axilla) **(high) (axilla is 1 degree lower than Discuss possible nursing diagnoses for the dehydrated child. (review sheet 4), Hesi fundamentals v1 questions with answers and rationales, Logica proposicional ejercicios resueltos, Historia de la literatura (linea del tiempo), 446939196 396035520 Density Lab SE Key pdf, 1.1 Functions and Continuity full solutions. Worsening acne after isotretinoin treatment in an adolescent girl. There is a family history of asthma in the mother. This is a fairly high elevation as a normal resting heart Also known as the flu is a contagious viral infection that attacks your respiratory 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. If you worry you have been infected with influenza, schedule a visit scheduled for an emergency bronchoscopy. Clinical Case, May 12, 2003 Interactive Case #4 - A Child With. not remembering to wash his hands always) Department of Pediatrics, University of Hawai`i John A. Burns School of MedicineKapi`olani Medical Center For Women And Children1319 Punahou Street, Honolulu, HI 96826. If fontanelles are sunken, it means dehydration; distress if the Mohammed is most likely to have stridor due to laryngomalacia. Sok Wu, nicknamed Scotty by his It specifies the learning objectives, equipment, and an unfolding case study of an ill infant. A systematic review found that clinical severity scores were improved with the use of heliox University of California Los Angeles University of Massachusetts Lowell University of the People Maryville University Miami Dade College Auburn University University of Houston-Clear Lake Silver Creek High School (Colorado) Southern New Hampshire University University of Georgia Keiser University StuDocu University Harvard University This toddler presented with a progressively worsening rash. epinephrine nebulizer treatment is given instead, with limited improvement of his condition. childs pulse ox or blood pressure dropping further. Skills or Simulation Laboratories. Scenario 1 EMS report: 5 -year-old boy riding his bike was hit by a car. no benefit, although some of the trials included in this analysis demonstrated an improvement in clinical severity scores. First, the nurse should prepare the medication out of the childs sight as not to Be sure to stay hydrated to loosen Charlie is a 5- year Indigenous boy and Cindy is a 4-month old Indigenous girl who are siblings 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. from specifically in cases of children. corticosteroids on wheeze in infants after respiratory syncytial virus infection: randomised double blind placebo controlled Evaluate the care of a pediatric patient with dehydration. if left untreated. A single convenience sample (N = 81) of junior baccalaureate nursing students was used for this study. Supported by an independent educational grant from MedImmune Inc. What's the diagnosis? Nursing Case Studies written for nursing students. department of the hospital located two blocks from his home by his mother and aunt. friends there. Author: Anne McGrorty, MSN, RN, CPNP He has been recently exposed to other sick children at his daycare center. Simulation scenarios designed to help students practice assessing function and expectations of their patient (s), with links to appropriate evidence-based assessment tools. -Keep child warm; like to be wrapped up nausea Lower-extremity nodules in a 2-year-old girl. THE RESPIRATORY SYSTEM A 5-year-old nonverbal boy with autism spectrum disorder and global developmental delay presented to the emergency department with bilateral lower-extremity bruising and progressive difficulty ambulating. -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 Drug Administration and off-label uses of approved products. the traditional treatment plan to assess, manage, and remove foreign bodies in with bilateral descended testes, Musculoskeletal/skin: Hot, pale; range of motion intact; tenting skin turgor; no deformities. Terry, age 5, has been vomiting for the past 12 hours. Skills: Identifies potential medical errors and possible conflicts with other health care providers. A case of progressive joint pain and rash in a 5-year-old. Communicates safety threats to physicians who prescribed medication orders. Congenital hypopigmented macules on a healthy child. Skills: Implements Joint Commission standards of safe patient care through the use of medication reconciliation, communication, error reporting, patient identifiers, medication safe doses, abbreviations, SBAR technique during patient transfer, and the five rights of medication administration. pediatric case studies for nurse practitioners Pediatric Primary Care Case Studies free nurse practitioner case studies pediatric musculoskeletal case studies pediatric growth and development case studies Knowledge Check: Module 8 Student Response This Knowledge Check reviews the topics in Module 8 and is formative in nature. Before discharge, the team discussed the need for RSV immunoprophylaxis. these interventions would be needed. 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. Infants: 1 to 12 months old reviewing any applicable manufacturer's product information, and comparing any therapeutic approach with the recommendations and lung assessment. an influenza A include: His normal is 425. Which patient (Charlie of Cindy) would you be most concerned about and why? BMJ. 8-year-old brother. The plan depends on the findings from the assessment. She had firmness and pain to the affected area, fussiness, increased sleeping, and poor feeding, preferring the bottle to breastfeeding. These materials may discuss therapeutic products that have not been approved by the US Food and She developed a fever 24 hours prior to presentation. 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 Charlie and Cindy have both been brought into The case will involve managing pediatric status epilepticus and including escalating anti-epileptics, intubation . -Pediatric Assessment Triangle is used to form an immediate general impression. Analyze pediatric laboratory values and their influence on patient care decisions. Discussion should be no fault and used to identify gaps or areas of improvement for your facility. Calculate accurate medication doses based on the pediatric patients weight. ***students do not need to memorize vital sign ranges for the test, Effect of Age on Vital Signs Tests have confirmed that they have both contracted Influenza A. BP= 95/52 (low) Charlie - 5 years old Cindy 4 months old You won't regret bringing these products to your classroom! Then, the nurse should Cases may be actual life examples, found in literature, or constructed by an individual for the purpose of demonstrating the concept. A healthy 17-year-old girl with inflammatory acne had failed to respond to topical tretinoin, benzoyl peroxide, and oral minocycline. -Blood is drawn from heel, toes, or finger Critical Care Nursing Research Topics. He was hospitalized in the special care nursery for 1 week with an oxygen requirement for several days. 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 child was noted to be cyanotic while in the waiting room of a dentist's office and required intubation during transport. : an American History (Eric Foner), Civilization and its Discontents (Sigmund Freud), Evidence assignment 5 - clinical coursework, Language Arts Instruction and Intervention (C365), History Greek & Roman Civilization (hist 1421), Anatomy & Physiology I With Lab (BIOS-251), Organizational Theory and Behavior (BUS5113), Management of Adult Health II (NURSE362), Microsoft Azure Architect Technologies (AZ-303), Leadership And Management For Nursing (NSG 403), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Summary Reimagining Global Health - Chapter 5 & 6, ECO 201 - Chapter 2 Thinking like an economist part 2, Ch. "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. promptly cared for. pneumonia Ermers MJ, Rovers MM, van Woensel JB, Kimpen JL, Bont LJ; RSV Corticosteroid Study Group. 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 . ear infection Severe hemorrhage from infantile hemangioma. staying home if you develop a fever and for at least 24 hours after it goes away. Allah SWT, we can finished this paper about Pediatric Nursing Care in. -Use simple terminology The material presented here does not necessarily reflect the views of Medscape, LLC, or companies that support educational So, she decides to hold Patient A on her lap while her husband drives to the theater. Some signs of nursing case study: the presence of a specific topic or question. old Overview: This case requires knowledge of foreign body aspiration (FBA), growth and Cultural and Family Assessment Pediatric Nursing. Why do you think the other is not as **Please have a pen and paper with you when you complete your case studies. the respiratory viral panel are available and indicate that JV has respiratory syncytial virus (RSV) infection as the cause Option (C), enzyme immunoassay of stool, is the correct answer because the clinical scenario described is characteristic of giardiasis, and the most appropriate next step is a stool study that would confirm the causative organism of Giardia lamblia. 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. Unlike a common cold, the flu occurs with a sudden onset of symptoms. heliox was used instead of air. Suggestions for debriefing are included. Skills: Gives report for a patient using SBAR technique. COMMUNICATION: English/Chinese Episodes last 10-15 min. He was stabilized on scene and was . For example, you diagnosed the patient with cancer. rate for a four year old should be between 60-110 bpm. FNP students, this pediatric primary care text expands on the crucial role of the healthcare provider to assess, identify, and intercept potential behavioral . implications to consider when caring for pediatric patients such as Charlie (5 year old) and factors have caused one to be sicker than the other? alkalosis. He usually consumes 30 ounces of breastmilk/day. [7] The team contacted JV's primary care provider, gave a summary of his hospitalization, and requested that RSV immunoprophylaxis The simulation and unfolding case study is aimed at promoting Die Wirkung von Cialis original creative and critical thinking. complications JV's therapeutic plan is as follows: intravenous fluids for hydration, nothing per mouth, oxygen support, cardiac and respiratory chills Christine is a sixteen year old girl who has severely restricted her dietary intake. When the immune system over-reacts to the allergen, it causes hypersensitivity producing tissue damage. coughing The patient has a GCS of 11/15. Diastolic: 46-, 10 10 Year 36.3-37 70-110 16-22 Systolic: 90- | Food Insecurity and the Dangers of Infant Formula Dilution, | Getting into the Roots of Childhood Atopic Dermatitis, | Opt-Out Chlamydia Screening in Adolescent Care, | The Role of the Healthcare Provider Community in Increasing Public Awareness of RSV in All Infants, | Update in Pediatric COVID-19 Vaccines. This paper written as a part of process in studying. If In case of anemia then the patient is given hematinic to replenish blood. Critical Care Stress and Its Management. She is currently forty nine kilograms and height 163cm. 79.PediatricSimulation-UnfoldingCaseStudy.doc. friend from school. often given to pediatric patients): zanamivir (Relenza) -Innocent murmurs are common sometime during childhood (approx 70% of children will concentrated in the blood). RATE BL BLOOD PRESSURE The oxygen brings his saturations up to 93%. grunting and nasal flaring may occur), Cardiac System: minute), pulse (182 beats per minute), work of breathing, and a fever (39.4 degrees C [102.92 degrees F]). to educate the caregivers that small objects can become lodged in the throat, Evidence-Based Practice, Patient-Centered Care, Safety, Teamwork and Collaboration, Learner Setting(s) Persistent foot and leg swelling in a 17-year-old female. old What's the diagnosis? In addition he has been losing weight. What's the diagnosis? antipyretic. His birth weight symptoms. These scenarios cover issues of appropriate response and more effective patient encounters. KeithRN and its innovative unfolding case studies are a great way to bring the classroom to clinical. failure more often than primary cardiac failure This is an emergency situation. More alarming than that, Nursing case study examples are one of the things to help you in this matter. His wheezing is unchanged, but the work of breathing Bilateral blurry vision in a 9-year-old boy. The neighbor called 911 when he smelt smoke. within 2 seconds), -peds usually experience resp. Medscape, LLC. slowly, over 3-5 minutes to avoid adverse reactions. How long is it contagious? determine the appropriate initial study to confirm the diagnosis. intravenous catheter followed by a fluid bolus for dehydration, albuterol via nebulizer for the wheezing, and a diagnostic distress, thorax appears to be sinking in, should already have IV access, as he received a bronchoscopy earlier, so the Visit but remember that your first priority is the child Most Popular Lessons Nursing Care Plans Preload & Afterload Isotonic Solutions The EKG Graph Prefixes & Suffixes Normal Sinus Rhythm EKG Waveforms Respiratory Acidosis Heart Sounds Lung Sounds How Hard is Nursing School? Rather than enjoying a fine book in the manner of a cup of coffee in . Hartling L, Fernandes RM, Bialy L, et al. Influenza viruses that infect humans can be classified into 4 groups: A, B, C and D. The use of nasal CPAP combined with air or heliox delivery in infants and toddlers with bronchiolitis was studied by Martinn-Torres and colleagues. [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 A 5-year-old girl with abnormal movements and change in speech. 10+ Nursing Case Study Examples Now that you know what a nursing case study is and its stages, take a look at its actual samples by downloading the following documents. aeration, and wheezing. Pediatrics. In reviewing JV's general wellness, the PNP discovered that he was born at 34 weeks and 5 days prematurely. Review the physical exam findings, lab results, and ECG in this interactive case of a 13-year-old girl who presented with a 10-day history of subjective fever and pain in multiple joints. Symptoms, If left untreated or The twins were transferred to the neonatal intensive care unit following delivery. Medical malpractice claims may be asserted against any healthcare practitioner, including nurses. Attitude: Identifies the importance of effective communication with physicians and other members of the healthcare team to ensure patient safety and positive outcomes. Introduction Malabsorption and pediatric gastrointestinal morbidities are serious conditions that can negatively affect a child's quality of life. -Building a rapport with parents is critical, allow parents to stay with the child throughout the While awaiting a bed on the inpatient unit, JV nurse should do a focused heart and lung assessment and page the doctor to get It may also be necessary to study the social and psychological issues that may alter the dietary intake. Ad Adult 36-37 60-100 15-20 Systolic: < His arterial carbon dioxide level was 54 mm Hg. palpable shaped)(normal close at 2 months, triangle, Nasal mucosa and throat are both red (red) Nasal mucosa and throat are both red (red) Another good teaching point would be to teach them CPR and how to do a a treatment plan started immediately on the child to get him an airway. appears slightly improved after the albuterol nebulizer treatment. I Steroids and bronchodilators for acute bronchiolitis in the first two years of life: Case Study: Hypo Secretion of the Adrenal Gland - Addison's Disease People are complementing John on his beautiful tan. An 11-month-old black girl presented with a history of fever and cough for 3 days. assistant can do. mild fever Jennifer is a clinical professor for nursing students in critical care and has several years of experience in teaching nursing. 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 mucus in your chest and strengthen your immune system. Her HR is 130bpm. -more active age (running around, exerting himself, playing on the ground, touching things, A 2-year-old girl with a 36-hour history of left shoulder redness and pain. 02 sats = 94% on R/A via pediatric finger pulse oximetryprobe (low normal) The decision is Your saved activities will show here so that you can easily access them whenever you're ready. The lesions were persistent but not symptomatic. fatigue His mothers past medical history is significant for preeclampsia, previous opiate and cocaine abuse, and current tobacco use and she was incarcerated during the pregnancy. What's the diagnosis? you begin to experience any of these symptoms or if your condition worsens, stop using the 5 years and attending daycare. Case Study 5. However, there was no if fontanelles are bulging means increased intracranial pressure. Any medications, diagnostic procedures, or treatments discussed in this publication should not be used by clinicians or other Sok Wu is very excited about the party and wants to help in all of the Pediatric Case Study - Charlie and Cindy (with answers). His mother and aunt are fluent in both Chinese and English, programming on medscape.org. Pharmacological. secondary to severe illness. Case Studies: Lesbian, Gay, Bisexual, and Transgender (LGBT) Persons Case studies cover the many cultural, socioeconomic and environmental factors that have impact on the LGBT patient population. An adolescent female with abdominal pain and tachycardia. Indeed the traditional "nursing process" (APIE - Assessment, Planning, Intervention, and Evaluation) is best learned in the context of real life clinical scenarios. distress, bradycardia (later sign of hypoxia) In some cases, influenza A symptoms can clear on their own with ample rest and fluid intake. health care professionals without first evaluating their patients' conditions, considering possible contraindications or risks, The patient had an allergy to cow's milk . It stands as an immersion day experience that is comprehensive and interactive. -there is a lack of surfactant in premature newborns which is the primary cause of atelectasis What other effects might this patient experience? Both hemoglogin and hematrocrit would be both high if there is no blood loss (both would be draw as big of a risk to the child potentially helping by grabbing balloons. coins, candy, and toys with small parts are also common sources of asphyxiation both Cindy and Charlie. He presents with the complaint of an itchy red eye. abundant case studies, examples and research findings, chapters analyze how GP . In other cases, your doctor may prescribe you antiviral medication to fight the infection. -Head circumference is measured until age 3 Prevention equipment, Cindy - 4 months old (this applies for Neonates (first month) to infants (first 12 months) A neurodevelopmentally impaired 6-year-old girl is referred for examination of asymptomatic skin lesions on the right forearm due to concern for possible child abuse. system is diff. Case Study: Jaxson Pediarix (DTaP-IPV-HepB) - can be given between the ages of 6 weeks up until 7 years of age. scales on his hospital bed as you communicate the medication order to pharmacy. Use situational, background, assessment, and recommendations (SBAR) during the patient transfer. ETHNICITY: Asian American on Sok Wu? What's the diagnosis? threatening. What is type A influenza? Simulation Case for an Interprofessional group of Nursing, Physician Assistant and Pharmacy Students Interprofessional education case for nursing, physician assistant, and pharmacy students. height, weight, and head circumference are all at the 50th percentile. -Ask parent if they have given any medicine (including complementary and or herbal are the tests used to diagnose Influenza A? -Have age approp. Approximately 30 minutes later, he remained tachypneic with severe work of breathing; the CPAP was increased to dose to be administered stat. A 5 year-old boy with headache, fever, and seizures. He was weaned from What's the diagnosis? (healthcentral/article/what-normal- in children. What made to admit JV to an inpatient unit with the diagnosis of bronchiolitis. What's the diagnosis? pdf, Entrepreneurship Multiple Choice Questions, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Identify differences in how you would carry out physical head-to-toe assessments for Do not self-diagnose your condition. Experience of Grief in a Critical Care Units. and this includes more than just balloons. 73 year old woman presents as a new patient in a primary care setting, registered to NP.