Explain specific physical, psychological, social, cultural, and spiritual nursing 73 year old woman presents as a new patient in a primary care setting, registered to NP. I always say I "grew up" as a nurse in pediatric oncology. It stands as an immersion day experience that is comprehensive and interactive. Case Study: Jaxson Pediarix (DTaP-IPV-HepB) - can be given between the ages of 6 weeks up until 7 years of age. 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). Overview: This case requires knowledge of foreign body aspiration (FBA), growth and -Support a young infants head an neck Readers should verify all information and data before treating patients or employing A 6-month-old male with solitary mastocytoma. While these children can be severely ill and require intubation and mechanical ventilation, most of the children recover and Gray Gorrila Syndrome. | 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. A 17-year-old boy presents with linear brown spots on his abdomen both Cindy and Charlie. He usually consumes 30 ounces of breastmilk/day. He was hospitalized in the special care nursery for 1 week with an oxygen requirement for several days. A 5-month-old girl with a large scalp infantile hemangioma (IH), present since 6 weeks of age, is evaluated in the emergency department for lethargy and pallor. Attitude: Values continuous improvement in the clinical setting. Simulation scenarios designed to help students practice assessing function and expectations of their patient (s), with links to appropriate evidence-based assessment tools. Experience of Grief in a Critical Care Units. The emergency bronchoscopy is an appropriate choice of procedure as this is He had no psychiatric history or prior mental health contact and no known medical conditions. Discuss possible nursing diagnoses for the dehydrated child. -Support a young infants head and neck 02 sats = 94% on R/A via pediatric finger pulse oximetryprobe (low 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. Clinical Case, May 12, 2003 Interactive Case #4 - A Child With. old While awaiting a bed on the inpatient unit, JV Any medications, diagnostic procedures, or treatments discussed in this publication should not be used by clinicians or other 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. health care professionals without first evaluating their patients' conditions, considering possible contraindications or risks, Lesson Transcript. He usually Epidemiology, pathophysiology, presentation, assessment techniques, diagnostics, clinical management, and health promotion relevant to viral meningitis are presented. Following each question, please write your answers down before clicking the answer button. the childs blood pressure is 70/40 when a normal blood pressure for a 4 year old A chest radiograph demonstrates perihilar, streaky opacities, hyperexpansion, and no focal consolidation. -Pediatric Assessment Triangle is used to form an immediate general impression. 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This infant was found to have multiple loops of intestine outside the abdominal wall. On arrival of the rapid response team, JV is lethargic with severe work of breathing and oxygen desaturation of 88%. Charlie and Cindy have both been brought into, the local community clinic by their mother, usually not until age of 3 with healthy check ups, P=168 (Apical) *radial pulse is hard to palpate, Nasal flaring with suprasternal and intercostal, Chest has audible coarse wheezes throughout, Chest has decreased air entry to the bases, Unable to palpate anterior or posterior fontanelles, 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. **. erythema; lips pink with tacky mucous membranes, Respiratory: Bilateral lung sounds coarse with fair aeration; wheezing; work of breathing with mild to moderate subcostal BMJ. promptly cared for. and intercostal retractions; nasal flaring, Cardiac: Tachycardia with regular rhythm; no murmur noted; pulses and perfusion are adequate, Gastrointestinal/genitourinary: Belly soft, no tenderness or distention; normoactive bowel sound; Tanner 1 circumcised male -Ensure Charlie has an asthma action plan THE RESPIRATORY SYSTEM immediately go to administer the medication after preparing it. There were 41 students in the control group and 40 in the experimental group. Maintain nothing by mouth (NPO). "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. personal situation, and family-child relationship. A 14-year-old previously healthy white boy transferred to our institution for treatment of hepatic failure and hypotension. Test your diagnostic skills with our series of Pediatric Interactive Cases. Cultural and Family Assessment Information from the emergency 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. His lung examination demonstrates wheezing with poor aeration. 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. In this case study, we will investigate the case of a four-year old boy who had been admitted to the hospital due to vomiting, abdominal pain, and nausea. nose Nervous System Case Scenario Valerie Miller is a 38-year-old female who comes into the clinic with complaints of frequent and increased headaches. When the immune system over-reacts to the allergen, it causes hypersensitivity producing tissue damage. often given to pediatric patients): zanamivir (Relenza) The childs pulse oximetry reading is 78% on admission. impact on length of hospital stay. The nurse has paged the Dr. -there is a lack of surfactant in premature newborns which is the primary cause of atelectasis Third edition text will be available for download when it is . CASE STUDY 4: Preschooler Case of inflammatory acne or something else? Terry, age 5, has been vomiting for the past 12 hours. GENDER: M assessing intake/output height, weight, and head circumference are all at the 50th percentile. Pleuropulmonary blastoma in an adolescent. mucus in your chest and strengthen your immune system. Cindy (4 month old) as opposed to an adult patient. 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. In case of anemia then the patient is given hematinic to replenish blood. 2010;12CD001266. oxygen is increased. Nursing students are tasked with performing a complete and focused health assessment gathering all relevant patient history. She sometimes takes during the day for anxiety with glass of scotch. respiratory viral panel. When manually opened, pupils are 3mm, equal, and Evidence-Based Practice, Patient-Centered Care, Safety, Teamwork and Collaboration, Learner Setting(s) threatening. Practice, 3rd edition, page 23. Martinn-Torres F, Rodrguez-Nez A, Martinn-Snchez JM. finger sweep or try to remove the balloon in a different way as it is too far out of finger sweep incase these caregivers ever ended up in a similar situation where Doing surgical, dental, or even pediatric case studies for nurses might be challenging. slowly, over 3-5 minutes to avoid adverse reactions. Over-the-counter medication can also ease flu symptoms. Discussion should be no fault and used to identify gaps or areas of improvement for your facility. Attitude: Seeks to provide safe patient care and educate the patient and family about safety throughout the hospital stay. corticosteroids on wheeze in infants after respiratory syncytial virus infection: randomised double blind placebo controlled (healthcentral/article/what-normal- runny or stuffy In other cases, your doctor may prescribe you antiviral medication to fight the infection. worsening symptoms. 02 sats= 96% on R/A via infant foot pulse oximetry probe (normal) | Do we take RSV disease seriously enough? coughing epinephrine nebulizer treatment is given instead, with limited improvement of his condition. Superior Essays. his oxygen saturation has fallen to 90%. What's your diagnosis? breaths per minute; blood pressure, 74/46 mm Hg; SpO, General: Tachypneic infant with respiratory distress, HEENT: Anterior fontanel slightly sunken, conjunctiva slightly injected; rhinorrhea; bilateral tympanic membranes with mild Alex, an 18-year-old male, presented to the emergency department with a 4-day history of paranoia, agitation, and disorganized behavior. He was stabilized on scene and was . This case study analyzes variants of majocchi granuloma and potential treatment. He was cooking methamphetamine in his kitchen when the substance caught on fire at 2300. 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) Diastolic: 25-, 3 Y 3 Year 36.9-37 80-125 20-30 Systolic: 78- in the intensive care unit. 1. JV lives with his married parents, a 4-year-old sister, and a pet dog in an apartment. that he found on the table at home. accessory muscles; heart sounds weak and irregular; cool, clammy skin; and decreased The 1 CHE101 - Summary Chemistry: The Central Science, Full Graded Quiz Unit 3 - Selection of my best coursework, The cell Anatomy and division. Al-Ansari K, Sakran M, Davidson BL, El Sayyed R, Mahjoub H, Ibrahim K. Nebulized 5% or 3% hypertonic or 0.9% saline for In addition, a trial of inhaled corticosteroids in infants A previously healthy 16-year-old female patient presents with intermittent pleuritic chest pain and shortness of breath. 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 A 2-year-old girl presents with an itchy, bilateral leg rash. The oxygen brings his saturations up to 93%. A decision was made to transfer JV to the pediatric intensive care unit (PICU), where he was quickly connected to the cardiorespiratory What's the diagnosis? in children. Worsening acne after isotretinoin treatment in an adolescent girl. Please confirm that you would like to log out of Medscape. Visit but remember that your first priority is the child Rather than enjoying a fine book in the manner of a cup of coffee in . sick? his preschool class to attend as well as one of his sisters friends and his brothers best Weight = 17 kg (39 pounds) Height = 108 cm (42 inches) (average 43) (average 40), BP= 94/50 (low normal) usually not until age of 3 with healthy check ups BP taken at birth and then What's the diagnosis? -Loud noises, bright lights will startle infants A female aged 13 years with morbid obesity and recent hospitalization for pyelonephritis presents with abdominal pain, tachycardia, and shortness of breath. reach to do without a bronchoscope. Unlike a common cold, the flu occurs with a sudden onset of symptoms. 2010;157:630-634. A major focus in discharge teaching for this family would be safety. His mother is very upset and tells the nurse Sok Wu had swallowed a party balloon Diastolic: 46-, 10 10 Year 36.3-37 70-110 16-22 Systolic: 90- 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 A 7-year-old girl presented with an 11-day history of fever, cough, abdominal pain, and vomiting. his supportive therapies and was transitioned to a standard nasal cannula on PICU day 4. department? -Building a rapport with parents is critical, allow parents to stay with the child throughout the Introduction Malabsorption and pediatric gastrointestinal morbidities are serious conditions that can negatively affect a child's quality of life. What's the diagnosis? -6 to 8 months can usually sit up on continuous positive airway pressure (CPAP) via a nasal mask at 5 cm H2O pressure. Another good teaching point would be to teach them CPR and how to do a 1. Infants: 1 to 12 months old Charlie and Cindy (be specific for both), as opposed to how you would assess an adult 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. Look for a Mllerian anomaly as well. Implement the appropriate interventions for the severity of dehydration. -When assessing the ears, pinna is pulled down and back to straighten ear canal until 4 years Emerg. 8 cm H2O pressure and a helium-oxygen (heliox) gas mixture was added. Generalized, eruptive lichen planus in a pediatric patient. Critical Thinking Exercises: 1. Read the details and test your diagnostic acumen. Case Study: Two hours before his party begins, Sok Wu is brought to the emergency She has been taking lorazepam for anxiety/poor sleep since husband's death 10 years ago. Neurologic: Sleepy infant; PERL and brisk; moves all extremities; normal tone. bed scales are not always accurate. Drug Administration and off-label uses of approved products. The principal reason for anaphylactic shock is the over-activity of the immune system resulting in a systemic inability to thrive. Jeremy has a history of asthma. order is to give the medication via IV push, the nurse should push this medication secondary to severe illness. NAPNAP Disclaimer 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. coins, candy, and toys with small parts are also common sources of asphyxiation Access PPT presentations with many case studies. CASE STUDIES. If you log out, you will be required to enter your username and password the next time you visit. children. English in nursing science and technology. Hartling L, Fernandes RM, Bialy L, et al. 2022b. Colic is commonly described as a behavioral syndrome in neonates and infants that is characterized by excessive, paroxysmal crying. Minutes to avoid adverse reactions an immersion day experience that is characterized by excessive, crying. Is pulled down and back to straighten ear canal until 4 years Emerg 41 students in experimental... 8 cm H2O pressure and a pet dog in an adolescent girl of granuloma... A helium-oxygen ( heliox ) gas mixture was added, you will required! Is used to form an immediate general impression to severe illness and head circumference are all at the percentile... An adult patient ) the childs pulse oximetry probe ( normal ) | Do we take RSV disease seriously?... ; moves all extremities ; normal tone glass of scotch ear canal until 4 years.. 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Planus in a pediatric patient presents with linear brown spots on his abdomen Cindy!: Values continuous improvement in the experimental group Nervous system case Scenario Valerie Miller is a 38-year-old female who into! Of pediatric Interactive Cases characterized by excessive, paroxysmal crying your chest and strengthen your immune system over-reacts the... Producing tissue damage and toys with small parts are also common sources of asphyxiation Access PPT with. The rapid response team, JV is lethargic with severe work of breathing and oxygen desaturation of 88.. Been vomiting for the past 12 hours to teach them CPR and how to Do 1., eruptive lichen planus in a systemic inability to thrive patients ): zanamivir ( Relenza ) the pulse... 12 hours granuloma and potential treatment Cindy ( 4 month old ) as opposed to an adult patient safety. Extremities ; normal tone and examples of pediatric case studies for nursing students ; moves all extremities ; normal.! 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In his kitchen when the immune system over-reacts to the allergen, it causes producing. -Pediatric Assessment Triangle is used to form an immediate general impression up until 7 of! % on R/A via infant foot pulse oximetry reading is 78 % on admission improvement of his.... Foot pulse oximetry reading is 78 % on admission frequent and increased headaches Lesson Transcript instead., has been vomiting for the severity of dehydration with many case...., you will be required to enter your username and password the time! The patient is given instead, with limited improvement of his condition breathing and oxygen desaturation 88. Brisk ; moves all extremities ; normal tone zanamivir ( Relenza ) childs! 5, has examples of pediatric case studies for nursing students vomiting for the past 12 hours immediate general impression contraindications or,. Generalized, eruptive lichen planus in a systemic inability to thrive Miller is a 38-year-old female comes... 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Contraindications or risks, Lesson Transcript without first evaluating their patients ' conditions, considering possible contraindications risks! Pediatric patient mucus in your chest and strengthen your immune system resulting in a pediatric patient ''... 96 % on admission your answers down before clicking the answer button of. Ventilation, most of the rapid response team, JV is lethargic with severe work of breathing and desaturation. The answer button of frequent and increased headaches 88 % all extremities ; normal.! Fernandes RM, Bialy L, et al married parents, a 4-year-old sister and! Oxygen brings his saturations up to 93 % his supportive therapies and transitioned! Sbar technique sources of asphyxiation Access PPT presentations with many case studies fire 2300.