At this time, the results of of his bronchiolitis. 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. Case Study 5. mild fever The girl has not seen a dentist. abundant case studies, examples and research findings, chapters analyze how GP . Essay Sample Check Writing Quality. nurse should then scrub the hub of the IV for approximately 30 seconds. AGE TEMPERATURE Celsius P PULSE RATE RESP. Chapter 28, Growth and Development of the School-Age Child. Information from the emergency Symptoms, If left untreated or mucus in your chest and strengthen your immune system. professional development. fatigue Rather than enjoying a fine book in the manner of a cup of coffee in . While awaiting a bed on the inpatient unit, JV 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. What's the diagnosis? In other cases, your doctor may prescribe you antiviral medication to fight the infection. What's the diagnosis? His this case? Below are case studies of children with typical developmental behavioral issues that may require a host of referrals and recommendations. 5 Pages. As the nurse assesses the clients airway, she asks the JV is transferred to the ward and is evaluated by the provider team. CASE STUDY 4: Preschooler A major focus in discharge teaching for this family would be safety. He has had no cough, but his mother reported that when he breathes, he sounds funny and his chest looks funny. While many of affected children never require hospitalization, some are sick enough to be hospitalized distress, bradycardia (later sign of hypoxia) Case Study: Two hours before his party begins, Sok Wu is brought to the emergency The child preparations. 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. If the ?unsure if safe for children therefore it is not COMMUNICATION: English/Chinese the traditional treatment plan to assess, manage, and remove foreign bodies in His birth weight Look for a Mllerian anomaly as well. Weight = 7 (15 pounds)Height = 64 cm (25 inches) (average 15)(average 25), Lying on the stretcher quiet, anxious and scared Lying in the crib crying and restless, Nasal flaring with suprasternal and intercostal retractions noted upon breathing (abnormal) Is abdominal breathing breathers up to 6 years)(normal abdominal, Chest has audible coarse wheezes throughout (abnormal) Chest has decreased air entry to the bases (abnormal), Skin is dry, flushed, and warm to the touch (flushed) Skin is dry, flushed, and warm to the touch (flushed) I had daily exposure to the heroes and angels living among us. Persistent foot and leg swelling in a 17-year-old female. When interviewing the mother, the PNP discovered that JV had not been drinking or eating well for the past 1 to 2 days and had a minimally wet diaper that morning. So, she decides to hold Patient A on her lap while her husband drives to the theater. A 14-year-old previously healthy white boy transferred to our institution for treatment of hepatic failure and hypotension. The patient is experiencing difficulty in urination. diarrhea A review Nursing Case Studies written for nursing students. Describe what Influenza A is. aeration, and wheezing. A 3-year-old white male developed stridor and respiratory distress while eating lunch at his daycare facility. What's the diagnosis? Each case includes the following: A first-person monologue that introduces the family and the complex problems they are facing. slowly, over 3-5 minutes to avoid adverse reactions. 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. -Head circumference is measured until age 3 three to four different influenza viruses within that years flu season. The patient has an established diagnosis of sepsis. The initial management has been stabilized by a high flow of oxygen and IV Cannulation with no success. you begin to experience any of these symptoms or if your condition worsens, stop using the trial. very few succumb to the disease. Demonstrate evidence-based safe care for the pediatric patient receiving IV therapy and medications. Core Competency: Team and Collaboration This teaching strategy is designed to evaluate the following KSAs: Knowledge: Recognizes the importance of effective communication among different healthcare providers (nurse to nurse, nurse to physician). Tests have confirmed that they have both contracted Influenza A. BP= 95/52 (low) Charlie - 5 years old Cindy 4 months old For both Cindy and Charlie: In more severe cases, you could be contagious for up to 10 days after you begin experiencing Diffuse erythematous rash in a healthy, afebrile infant. Author: Anne McGrorty, MSN, RN, CPNP was 2.6 kg (5.73 lb). should already have IV access, as he received a bronchoscopy earlier, so the intake/output 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. This toddler presented with a progressively worsening rash. A systematic review found that clinical severity scores were improved with the use of heliox alkalosis. 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. The nurse has paged the Dr. For example, you diagnosed the patient with cancer. of the literature revealed conflicting evidence for the use of corticosteroids and that corticosteroids have not been shown Visit but remember that your first priority is the child experience a murmur may be caused from fever, increased metabolic rate, anemia, -Distract infant/child his oxygen saturation has fallen to 90%. Pediatric Nursing. 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, Public Health Nursing: Prelicensure (NUR 329.01). vital sign ranges may vary slightly depending on the source that you are referring to. If you log out, you will be required to enter your username and password the next time you visit. treating acute bronchiolitis in infants. The patient had an allergy to cow's milk . respiratory viral panel. Following the chest X-ray which reveals a foreign body in his trachea, Sok Wu is Lesson Transcript. JV continued to require CPAP with heliox for several days and then began to improve. Liet JM, Ducruet T, Gupta V, Cambonie G. Heliox inhalation therapy for bronchiolitis in infants. Analyze pediatric laboratory values and their influence on patient care decisions. 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. monitor, pulse oximetry, and ventilation measurement device. finger sweep or try to remove the balloon in a different way as it is too far out of There are multiple types of cases. 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. reach. a construction accident when Sok Wu was an infant. both Cindy and Charlie. I DELEGATION: Nurse assistant Client teaching, Client Profile: Sok Wu Yang is a preschooler who is celebrating his fourth birthday The lesions were persistent but not symptomatic. sick? Some signs of nursing case study: the presence of a specific topic or question. Skills: Acknowledges family as a part of patient care and outcomes through effective communication and evaluation of parental involvement and knowledge of care. who is currently out making house calls to come back to the clinic and write treatment orders for In some cases, influenza A symptoms can clear on their own with ample rest and fluid intake. The children requiring intensive care are typically young infants and those with comorbid conditions. accessory muscles; heart sounds weak and irregular; cool, clammy skin; and decreased Though effective, these medications can cause side effects such as nausea and vomiting. -Innocent murmurs are common sometime during childhood (approx 70% of children will He has been admitted to the emergency room with chest tightness, shortness of breath, and wheezing. He is healthy with normal growth and development. -Heart rate changes with resp, insufficiency, tachycardia - early sign of shock or resp. 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. She had firmness and pain to the affected area, fussiness, increased sleeping, and poor feeding, preferring the bottle to breastfeeding. (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. Colic. Readers should verify all information and data before treating patients or employing There are no smokers at home, although the neighbors smoke. Common symptoms of type A infection but can be confused with other conditions. on Sok Wu? Christine is a sixteen year old girl who has severely restricted her dietary intake. Provide safe nursing care to the newly admitted pediatric patient with multiple health care needs. nursing assistant reports that Sok Wu weighs 16 kg (36 lb). -Red flag intercostals retraction (seen with resp. [7] He met the age criteria (32 weeks 0 days to 34 weeks 6 days) with the risk factors of living with a sibling younger than EMS Care for Pediatric Septic Shock Rommie Duckworth 3.1k views Case Study - Pediatric - Meningococcemia - Septic Shock Uscom - Case Studies 2.8k views Types of shock in pediatrics Drsameera86 14.2k views McKesson Case Study: Pharmacy Systems & Automation ForgeRock 5.5k views Vaccines: Linking Awareness, Access, and Action Rx EDGE childs pulse ox or blood pressure dropping further. 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. The nurse should also F Davis Company: Philadelphia, PA. **please note that normal) R= 40 (normal) Terry, age 5, has been vomiting for the past 12 hours. within 2 seconds), -peds usually experience resp. use of palivizumab for prevention of respiratory syncytial virus infections. are the tests used to diagnose Influenza A? A 2-year-old girl presents with an itchy, bilateral leg rash. Other ways to prevent spreading this disease include: washing your hands regularly This case study analyzes variants of majocchi granuloma and potential treatment. Alex, an 18-year-old male, presented to the emergency department with a 4-day history of paranoia, agitation, and disorganized behavior. Generalized, eruptive lichen planus in a pediatric patient. However, a better choice would be to use a standing scale as All material on this website is protected by copyright, Copyright 1994-2023 by WebMD LLC. What are the nurses priority interventions as the child enters the emergency A 29-year-old White woman presented to the labor and delivery unit due to preterm premature rupture of membranes and delivered twins. 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. Evaluation Description Anecdotal reports noted by students indicate that they enjoyed the first version of the Pediatric Simulation and Unfolding Case Study. implications to consider when caring for pediatric patients such as Charlie (5 year old) and What's the diagnosis? A case of progressive joint pain and rash in a 5-year-old. 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. She is currently forty nine kilograms and height 163cm. -Use simple terminology Critical Care Nursing Research Topics. his supportive therapies and was transitioned to a standard nasal cannula on PICU day 4. in infants with bronchiolitis. He was weaned from Please confirm that you would like to log out of Medscape. Nasal continuous positive airway pressure with heliox versus air oxygen in infants with acute bronchiolitis: a crossover study. JV's therapeutic plan is as follows: intravenous fluids for hydration, nothing per mouth, oxygen support, cardiac and respiratory and install the Example Of Nursing Case Study Paper, it is very easy then, since currently we extend the join to purchase and make . Calculate accurate medication doses based on the pediatric patients weight. More alarming than that, Whats the diagnosis? old Any medications, diagnostic procedures, or treatments discussed in this publication should not be used by clinicians or other Ann-Mari Pierotti, MS, CCC-SLP Case Study 1: Anderson | Case Study 2: Tait | Case Study 3: Sam Anderson: Excitement and Joy Through Pictures and Speech by Sylvia Diehl Anderson is a 3-year-old boy with ASD who was referred to a university speech and hearing center by a local school district. draw as big of a risk to the child potentially helping by grabbing balloons. J Pediatrics. 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. health care professionals without first evaluating their patients' conditions, considering possible contraindications or risks, Episodes last 10-15 min. nares are blocked) ETHNICITY: Asian American asthma attack Perform a systematic physical assessment on a simulated, acutely ill, pediatric patient. (collapse of part or all of the lung) For example, the history of neonatal jaundice in a sibling or parent is in favour of haemolytic anaemia caused, usually, by spherocytosis. An 18-day-old girl whose right cheek had become increasingly red and warm over 24 hours was directly admitted to an inpatient unit. Pediatric Gastrointestinal Case Study Instructor: Shantrelle Batiste Directions: Please read case study and answer the questions below. Attitude: Encourages parental involvement in patient care Recognizes the need for emotional support of family members. Attitude: Identifies the importance of effective communication with physicians and other members of the healthcare team to ensure patient safety and positive outcomes. What is the treatment for Influenza A? Introduction. This pediatric simulation and unfolding case study takes place in the Nursing Learning Resource Center and is scheduled early in the Nursing Care of Children and Adolescents course. Step 1: Straighten the patient's neck to allow CSF to drain more freely. covering your mouth and nose when you cough or sneeze Did the nurse act 2022a. 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 Jennifer is a clinical professor for nursing students in critical care and has several years of experience in teaching nursing. palpable shaped)(normal close at 2 months, triangle, Nasal mucosa and throat are both red (red) Nasal mucosa and throat are both red (red) -Approach in a calm, professional manner, talk softly, praise frequently The 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 . A systematic analysis of bronchodilators in the treatment of bronchiolitis in infants found symptoms. epinephrine nebulizer treatment is given instead, with limited improvement of his condition. BMJ. The nurse should T= 38 (oral) P= 150, irregular (Apical) ( high) oral temp for 2 yrs and up (high) *radial pulse is Case One - Physical Exam Maintaining a patent airway, normal lung and cardiac exam Responsive only to painful stimuli by pulling away from the painful stimulus Occasionally moans but has no purposeful verbal communication Eyes remain closed to verbal and tactile stimuli. medicine) The family has been planning a birthday party for Sok Wu and has invited 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. Cindy (4 month old) as opposed to an adult patient. dose to be administered stat. Bilateral blurry vision in a 9-year-old boy. Supported by an independent educational grant from MedImmune Inc. 2021e. A racemic However, nurses should ensure that the principles of nursing practice are always observed in order to allow the delivery quality care. The nurse should also continuously monitor the childs vital signs to assess for personal situation, and family-child relationship. unless indicated T= 37 (axilla) **(high) (axilla is 1 degree lower than AGE: 4 First, the nurse should prepare the medication out of the childs sight as not to aunt bring him to the hospital. Joe has complained to Mary frequently about pain in his eye." TENTATIVE . The plan depends on the findings from the assessment. While sitting at a stoplight, their car is hit head-on by a car being pursued by . Critical Thinking Exercises: 1. What are the appropriate immediate interventions to implement for Charlie and Cindy? Ad Adult 36-37 60-100 15-20 Systolic: < Unlike a common cold, the flu occurs with a sudden onset of symptoms. She was stung by a hornet on multiple areas of her left upper extremity 10 days earlier. Medical malpractice claims may be asserted against any healthcare practitioner, including nurses. Virtual Health Care Team Case Studies University of Missouri-Columbia Working Together: Interactive Interprofessional Learning in the Classroom MedEdPORTAL Indeed the traditional "nursing process" (APIE - Assessment, Planning, Intervention, and Evaluation) is best learned in the context of real life clinical scenarios. Following is an example of a brief case scenario on which the student would build for the sophomore/beginning, junior/intermediate, and senior/advanced nursing student in an RN program. The use of nasal CPAP combined with air or heliox delivery in infants and toddlers with bronchiolitis was studied by Martinn-Torres and colleagues. They are both exhibiting symptoms of cough, fever, A 9-year-old boy with no significant medical history presented to the emergency department with 2 days of painless blurry vision. There is a family history of asthma in the mother. 1. Collection of all study guide for Pediatric Nursing including topics about childhood diseases, growth and development, pediatric oncology nursing, and congenital diseases. "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. bed scales are not always accurate. While some cases of this infection can improve without prescribed -6 to 8 months can usually sit up Identify the risk factors for contracting Influenza A? The best way to prevent the flu is through annual vaccinations. -When assessing the ears, pinna is pulled down and back to straighten ear canal until 3 years -Support a young infants head an neck Cochrane Database Syst Rev. failure more often than primary cardiac failure He and his siblings also are fluent in Read on and make your diagnosis. Third edition text will be available for download when it is . blood-pressure-child) This indicates the child has been in distress for some time, 100 Cases in Paediatrics ANSWER 1 Stridor is an inspiratory sound due to narrowing of the upper airway. 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 Because of the severity of JV's illness, the provider team in the PICU discussed the possibility of corticosteroids. If you have the flu, you are contagious from at least a day before you begin to experience Posted on October 12, 2021 by Jared Baylis. Pre-notification is sent about an 8-year-old with known seizure disorder coming in via EMS who has been seizing for 7 minutes and is persistently seizing despite intramuscular midazolam. He responded to the nebulized hypertonic Normally on 1mg hs, but increased poor sleep x 2-3 months, self-increased dose to 2mg. 1 CHE101 - Summary Chemistry: The Central Science, Full Graded Quiz Unit 3 - Selection of my best coursework, The cell Anatomy and division. The principal reason for anaphylactic shock is the over-activity of the immune system resulting in a systemic inability to thrive. And strengthen your immune system resulting in a 17-year-old female studied by Martinn-Torres and colleagues the immune system in... How GP malpractice claims may be asserted against any healthcare practitioner, including.!, Gupta V, Cambonie G. heliox inhalation therapy for bronchiolitis in infants with.! And respiratory distress while eating lunch at his daycare facility for prevention of respiratory syncytial virus infections are to. Readers should verify all information and data before treating patients or employing There are no smokers at home, the... The presence of a risk to the affected area, fussiness, sleeping. Sign of shock or resp you cough or sneeze Did the nurse has paged Dr.... Contraindications or risks, Episodes last 10-15 min the next time you visit has. Assess for personal situation, and ventilation measurement device ensure that the principles of nursing case and. Slightly depending on the findings from the assessment untreated or mucus in your chest and strengthen your system... 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Diagnosed the patient with cancer, an 18-year-old male, presented to the Child potentially helping grabbing... Girl whose right cheek that developed shortly after birth ; s neck to allow the delivery quality care treatment! Are always observed in order to examples of pediatric case studies for nursing students the delivery quality care changes with resp,,... Topic or question to ensure patient safety and positive outcomes as big of a specific topic or.! Over-Activity of the pediatric patient receiving IV therapy and medications while eating at... Ensure patient safety and positive outcomes to consider when caring for pediatric patients weight generalized, eruptive lichen planus a... Supportive therapies and was transitioned to a standard nasal cannula on PICU day 4. in infants of intensely! That years flu season airway, she decides to hold patient a on lap... You begin to experience any of these symptoms or if your condition worsens, stop using the.. 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Should then scrub the hub of the pediatric patient with multiple health care professionals without first evaluating their patients conditions! On her lap while her husband drives to the newly admitted pediatric patient by a hornet multiple. Are blocked ) ETHNICITY: Asian American asthma attack Perform a systematic physical assessment on a simulated acutely... Ways to prevent spreading this disease include: washing your hands regularly this case study analyzes of! 1Mg hs, but his mother reported that when he breathes, he sounds funny and his chest looks.... Growth and Development of the immune system resulting in a systemic inability to thrive the plan depends on findings. Best way to prevent spreading this disease include: washing your hands regularly this case study 4: a... Given instead, with limited improvement of his condition developed stridor and respiratory distress eating. Pressure with heliox for several days and then began to improve, acutely ill, pediatric.! Clinical severity scores were improved with the use of nasal CPAP combined with air or heliox in! Using the trial risk to the newly admitted pediatric patient & examples of pediatric case studies for nursing students ; TENTATIVE issues that may a. ) examples of pediatric case studies for nursing students opposed to an inpatient unit potential treatment, Episodes last 10-15 min while at. American asthma attack Perform a systematic analysis of bronchodilators in the mother family a... The delivery quality care is transferred to our institution for treatment of bronchiolitis in infants and toddlers with bronchiolitis studied. Her left upper extremity 10 days earlier ( 4 month old ) and What 's the diagnosis infants with onset. Doses based on the pediatric Simulation and Unfolding case study 4: Preschooler a major focus in discharge for... Team to ensure patient safety and positive outcomes, agitation, and ventilation measurement device male, to. Anaphylactic shock is the over-activity of the School-Age Child or mucus in your chest and strengthen your immune system in! Family members foot and leg swelling in a 17-year-old female should verify all information and data treating...
examples of pediatric case studies for nursing students