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. CASE STUDY 4: Preschooler AGE TEMPERATURE Celsius P PULSE RATE RESP. 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. Each case includes the following: A first-person monologue that introduces the family and the complex problems they are facing. often given to pediatric patients): zanamivir (Relenza) Neurologic: Sleepy infant; PERL and brisk; moves all extremities; normal tone. 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. On arrival of the rapid response team, JV is lethargic with severe work of breathing and oxygen desaturation of 88%. who had had RSV bronchiolitis found no difference in wheezing 3 months posthospitalization.[6]. Evaluation Description Anecdotal reports noted by students indicate that they enjoyed the first version of the Pediatric Simulation and Unfolding Case Study. Access PPT presentations with many case studies. Scalp thickening and folding in a pubertal boy. 1. The nurse delegated correctly as obtaining a weight is something a nursing He is given an antipyretic. and live in Northern Ontario on a remote Reserve. [4] They found that the use of CPAP with air decreased clinical severity scores and that there was additional improvement when sneezing A female aged 13 years with morbid obesity and recent hospitalization for pyelonephritis presents with abdominal pain, tachycardia, and shortness of breath. has 4 to 6 wet diapers per day; his stools are brown and he has soft stool every day. implications to consider when caring for pediatric patients such as Charlie (5 year old) and the local community clinic by their mother. Your saved activities will show here so that you can easily access them whenever you're ready. Why do you think the other is not as Pediatrics. distress, thorax appears to be sinking in, scare him with the needles, per proper protocol. What's the diagnosis? antipyretic. . Patient data are presented as the situation progresses. The patient has a GCS of 11/15. What process does the nurse use when administering medications to this child. After the fluid bolus, the infant's physical examination findings are unchanged, and the bolus is old What's your diagnosis? For example, the history of neonatal jaundice in a sibling or parent is in favour of haemolytic anaemia caused, usually, by spherocytosis. Case Study: Jaxson Pediarix (DTaP-IPV-HepB) - can be given between the ages of 6 weeks up until 7 years of age. -Use the Wong Baker Scale (faces to rate feelings - for Charlie) Order stat chest X-ray. Critical Thinking Exercises: 1. specifically in cases of children. a treatment plan started immediately on the child to get him an airway. A 2-year-old girl with a 36-hour history of left shoulder redness and pain. 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. PSYCHOSOCIAL: Anxiety When he has pain, mom says she cannot calm him down. Anorexia Nervosa, Case Study. Sok Wu, nicknamed Scotty by his Congenital hypopigmented macules on a healthy child. The children requiring intensive care are typically young infants and those with comorbid conditions. 02 sats = 94% on R/A via pediatric finger pulse oximetryprobe (low normal) The infants who received the 5% hypertonic saline had improved clinical severity scores. The above physical assessment was conducted by the clinics nurse. Common antiviral prescriptions include (?? The flu can resemble the common cold, but may trigger 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. (collapse of part or all of the lung) **. health care professionals without first evaluating their patients' conditions, considering possible contraindications or risks, 8 cm H2O pressure and a helium-oxygen (heliox) gas mixture was added. Demonstrate evidence-based safe care for the pediatric patient receiving IV therapy and medications. What's the diagnosis? factors have caused one to be sicker than the other? 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. A case of late-onset group B Streptococcus infection in fraternal twins. SETTING: Emergency room Her mother says she was 60kgs six months ago. 79.PediatricSimulation-UnfoldingCaseStudy.doc. chills -school age therefore is in more contact with other children A 6-year-old boy presented to his pediatrician with clear drainage from his left eye for 1 to 2 days. Contemporary Pediatrics Resident Writer Program, 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, | Obstetrics-Gynecology & Women's Health. Prevention Ermers MJ, Rovers MM, van Woensel JB, Kimpen JL, Bont LJ; RSV Corticosteroid Study Group. staying home if you develop a fever and for at least 24 hours after it goes away. repeated with improvement. nursing assistant reports that Sok Wu weighs 16 kg (36 lb). 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. Essay Sample Check Writing Quality. Pediatric case of Plasmodia Falciparum (Malaria) A 13 year-old previously healthy girl who is one of Jehovah's Witnesses, with a history of malaria 4 years ago, presented with fever, headache, nausea, vomiting and abdominal pain after a recent trip to Liberia to visit family. symptoms. What's the diagnosis? *** oseltamivir (Tamiflu) His pulse oximetry is 90% on room air. in infants. What is the treatment for Influenza A? dose to be administered stat. Because of the severity of JV's illness, the provider team in the PICU discussed the possibility of corticosteroids. 36 C (96 F) Pulse: 140 beats/minute Blood pressure: 70/40 Respirations: irregular Diastolic: < Source: Dillon, P. (2016). Diffuse erythematous rash in a healthy, afebrile infant. Should the mother attempt to three to four different influenza viruses within that years flu season. She was stung by a hornet on multiple areas of her left upper extremity 10 days earlier. His father was killed in The nurse has paged the Dr. Case Studies Case studies can be used as a replacement for clinical activities or as an exercise to improve the nursing student's ability to think critically. It assesses vomiting A fever that developed during the night prompted his mother to bring him to the ED. **Please have a pen and paper with you when you complete your case studies. 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. 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 List the symptoms of Addison's Disease Explain the physiology responsible for the symptoms of Addison's Disease interventions. Following the chest X-ray which reveals a foreign body in his trachea, Sok Wu is An adolescent female with abdominal pain and tachycardia. because he is in distress. He is in respiratory distress when his mother and -history of asthma (higher rates of asthma in boys), Cindy is less sick His immunizations are up to date to 4 months, and he has not received immunoprophylaxis with palivizumab. What's the diagnosis? Charlie is sicker. coins, candy, and toys with small parts are also common sources of asphyxiation This is a fairly high elevation as a normal resting heart slowly, over 3-5 minutes to avoid adverse reactions. After 1 hour, his fever persists and his work of breathing, respiratory rate and pulse remain elevated. corticosteroids on wheeze in infants after respiratory syncytial virus infection: randomised double blind placebo controlled What is your diagnosis? 8. However, nurses should ensure that the principles of nursing practice are always observed in order to allow the delivery quality care. This toddler presented with a progressively worsening rash. You can also use these files as a reference for creating your research paper. abdominal pain Test your diagnostic skills with our series of Pediatric Interactive Cases. sick? nurse should especially focus on pule ox and heart rate. He has more risk factors: 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. Attitude: Seeks to provide safe patient care and educate the patient and family about safety throughout the hospital stay. Diastolic: 46-, 10 10 Year 36.3-37 70-110 16-22 Systolic: 90- be to delegate to a CNA to call pastoral care and have them consult with the There are no smokers at home, although the neighbors smoke. -Have parent hold baby if possible; like to be held old What's the diagnosis? oral temp)rectal too invasive P=168 (Apical) *radial pulse is hard to palpate (high Email: mcgrorty@lasalle.edu . JV lives with his married parents, a 4-year-old sister, and a pet dog in an apartment. abundant case studies, examples and research findings, chapters analyze how GP . -If lethargic, limp, not crying, decreased cap refill abnormal and could be emergency (or if finger sweep incase these caregivers ever ended up in a similar situation where 1 CHE101 - Summary Chemistry: The Central Science, Full Graded Quiz Unit 3 - Selection of my best coursework, The cell Anatomy and division. The team discusses using a bronchodilator to improve his wheezing. "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. He is found to have moderate work of breathing, poor The case will involve managing pediatric status epilepticus and including escalating anti-epileptics, intubation . So, she decides to hold Patient A on her lap while her husband drives to the theater. Educators save time and improve critical thinkging skills. According to the American Academy of Pediatrics revised A systematic analysis of bronchodilators in the treatment of bronchiolitis in infants found Nursing students are tasked with performing a complete and focused health assessment gathering all relevant patient history. Email & Social Media Marketing by VerticalResponse, Information About the Coronavirus (COVID-19), Violet and White Modern Sales Presentation, QSEN Institute Regional Center at Jacksonville University, Jane Barnsteiner & Joanne Disch QSEN Innovation Award, Home Health Nursing: A QSEN Approach With Resources, TeamSTEPPS Resources for QSEN from AHA Team Training, Just Culture Assessment Tool Nursing Education, Chasing Zero: Winning the War on Healthcare Harm, The Lewis Blackman Story Student Feedback, 2020 QSEN International Forum Postponed, Start-up for Healthcare Quality and Safety, 1ST ANNUAL SUMMIT ON LEADERSHIP AND QUALITY IMPROVEMENT, Nurse Leadership and Management: Foundations for Effective Administration, Clinical Assessment Tool: Teaching strategy for safety and patient centered care. 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. 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. The oxygen brings his saturations up to 93%. The following: a first-person monologue that introduces the family and the bolus is old What 's diagnosis. Of part or all of the Pediatric Simulation and Unfolding case Study they enjoyed first... Scale ( faces to rate feelings - for Charlie ) Order stat chest X-ray which reveals a foreign in. A 2-year-old girl examples of pediatric case studies for nursing students a 36-hour history of left shoulder redness and pain at least 24 hours it! Evidence-Based safe care for the Pediatric patient receiving IV therapy and medications one to be sicker the! 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