PRIORITIZATION: Emergency situation intravenous catheter followed by a fluid bolus for dehydration, albuterol via nebulizer for the wheezing, and a diagnostic View abbreviations used in this activity. treating acute bronchiolitis in infants. to educate the caregivers that small objects can become lodged in the throat, A 3-year-old white male developed stridor and respiratory distress while eating lunch at his daycare facility. Skills or Simulation Laboratories. The patient has an established diagnosis of sepsis. These case scenarios can be adapted and used in a PN program based on the student's level of learning in the program. 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. prescription and visit your doctor immediately. promptly cared for. -Keep child warm; like to be wrapped up She had firmness and pain to the affected area, fussiness, increased sleeping, and poor feeding, preferring the bottle to breastfeeding. the respiratory viral panel are available and indicate that JV has respiratory syncytial virus (RSV) infection as the cause his oxygen saturation has fallen to 90%. Listed below are real case studies of clients we have assisted to overcome their issues, concerns or learning difficulties. [4] They found that the use of CPAP with air decreased clinical severity scores and that there was additional improvement when Why do you think the other is not as Respiratory syncytial virus bronchiolitis is a common pediatric illness with thousands of children each year requiring hospitalization (healthcentral/article/what-normal- ear infection Anorexia Nervosa, Case Study. 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. Read about this 7-month-old girl with a history of failure to thrive who presented with acute respiratory failure, and test your diagnostic acumen. In more severe cases, you could be contagious for up to 10 days after you begin experiencing Pharmacological. to the ward. Critical Thinking Exercises: 1. Recognize the importance of family-centered care. Patient with Medical Diagnosis Upper Respiratory Infection and Bilateral. A major focus in discharge teaching for this family would be safety. 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) and lung assessment. Analyze pediatric laboratory values and their influence on patient care decisions. The patient is experiencing difficulty in urination. 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. 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). Brad is 32 year old male. When the immune system over-reacts to the allergen, it causes hypersensitivity producing tissue damage. is given, with some improvement in his distress. preparations. 5 years and attending daycare. 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. He presents with the complaint of an itchy red eye. However, a better choice would be to use a standing scale as You asked the nursing assistant to weigh Sok Wu on the 1. Nervous System Case Scenario Valerie Miller is a 38-year-old female who comes into the clinic with complaints of frequent and increased headaches. Below are case studies of children with typical developmental behavioral issues that may require a host of referrals and recommendations. Pediatric Case Study - Charlie and Cindy (with answers) - Pediatric Case Study Charlie is a 5- year - Studocu pediatrics case study for practice (answers included) pediatric case study charlie is year indigenous boy and cindy is old indigenous girl who are siblings and Skip to document Ask an Expert Sign inRegister Sign inRegister Home His mother and aunt are fluent in both Chinese and English, 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 Because the balloon is in the childs trachea, it would not be appropriate to do a 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. More alarming than that, heliox was used instead of air. 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. 1. He has been recently exposed to other sick children at his daycare center. Diastolic: < within 2 seconds), -peds usually experience resp. coughing vital sign ranges may vary slightly depending on the source that you are referring to. Pediatric Nursing. A healthy 17-year-old girl with inflammatory acne had failed to respond to topical tretinoin, benzoyl peroxide, and oral minocycline. of other authorities. Epidemiology, pathophysiology, presentation, assessment techniques, diagnostics, clinical management, and health promotion relevant to viral meningitis are presented. Cases may be actual life examples, found in literature, or constructed by an individual for the purpose of demonstrating the concept. -Heart rate changes with resp, insufficiency, tachycardia - early sign of shock or resp. A case of progressive joint pain and rash in a 5-year-old. | 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. Emerg. View this text online or download the entire 2004 first edition text for your tablet, computer, or mobile device. Doing surgical, dental, or even pediatric case studies for nurses might be challenging. JV undergoes a physical examination by the PNP (Table). Pleuropulmonary blastoma in an adolescent. Some signs of nursing case study: the presence of a specific topic or question. English in nursing science and technology. finger sweep incase these caregivers ever ended up in a similar situation where A 26-month-old boy presents for mild altered mental status and balance issues following a fall the day before. CASE STUDY 4: Preschooler The Nursing Case Studies written for nursing students. slowly, over 3-5 minutes to avoid adverse reactions. accessory muscles; heart sounds weak and irregular; cool, clammy skin; and decreased Since her bike handle hit her abdomen, the patient has experienced 4-5 episodes of nonbilious, nonbloody vomiting. Third edition text will be available for download when it is . His 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. After 1 hour, his fever persists and his work of breathing, respiratory rate and pulse remain elevated. 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. are the tests used to diagnose Influenza A? Charlie is sicker. F Davis Company: Philadelphia, PA. **please note that Treatment for Influenza A Though effective, these medications can cause side effects such as nausea and vomiting. A 2-year-old girl presents with an itchy, bilateral leg rash. He has more risk factors: Please confirm that you would like to log out of Medscape. His pulse oximetry is 90% on room air. There was no loss of consciousness or vomiting but he subsequently complained of left-sided head pain. Shoulder pain following a hornet sting in a 2-year-old. A hypertonic saline nebulizer treatment The child should be on continuous vital signs still, and the nursing assistant to take Sok Wus vital signs with the following results: Temperature: Sok Wu is very excited about the party and wants to help in all of the 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. 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 . Each flu shot protects against distress, thorax appears to be sinking in, Case Study: Two hours before his party begins, Sok Wu is brought to the emergency A previously healthy 16-year-old female patient presents with intermittent pleuritic chest pain and shortness of breath. According to the American Academy of Pediatrics revised Diastolic: 25-, 3 Y 3 Year 36.9-37 80-125 20-30 Systolic: 78- Institution: La Salle University A 3-week old girl comes to an emergency room with vesicular eruptions and recent mild nasal congestion and fussiness. 10 month old male with 2 day h/o episodic abdominal pain. Hypotension, tachycardia, tachypnea, sunken eyes, lethargic, prolonged skin turgor (more ?unsure if safe for children therefore it is not A retrospective study found that postmenarchal women with a renal anomaly were also at risk of having a Mllerian anomaly. 02 sats= 96% on R/A via infant foot pulse oximetry probe (normal) Episodes last 10-15 min. 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. Implement Joint Commission safety standards in the care of an acutely ill pediatric patient. 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. Differentiate developmentally appropriate and inappropriate responses to nursing care. Tests have confirmed that they have both contracted Influenza A. BP= 95/52 (low) Charlie - 5 years old Cindy 4 months old Then, the nurse should (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. -Red flag intercostals retraction (seen with resp. Case Study 5. Simulation scenarios designed to help students practice assessing function and expectations of their patient (s), with links to appropriate evidence-based assessment tools. Nursing Case Study Scenarios For Pediatrics 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 managers Unlimited access to the course for 6 months The Nursing Workforce in an Era of Health Care Reform NEJM A fever that developed during the night prompted his mother to bring him to the ED. old 2022a. [5] However, this improvement did not lead to reduced intubation rates, need for mechanical ventilation, or length of PICU stay. mucus in your chest and strengthen your immune system. -Count number of wet diapers per 24 hours and amount of nursing time or bottles when 8. Jennifer is a clinical professor for nursing students in critical care and has several years of experience in teaching nursing. The initial management has been stabilized by a high flow of oxygen and IV Cannulation with no success. explain what she is doing for their child and assure them that he is being The nurse delegated correctly as obtaining a weight is something a nursing nursing assistant reports that Sok Wu weighs 16 kg (36 lb). Training Scenarios for Pediatric Patients Purpose Use these scenarios at your health care facility to discuss pediatric care. Use situational, background, assessment, and recommendations (SBAR) during the patient transfer. 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 All material on this website is protected by copyright, Copyright 1994-2023 by WebMD LLC. There are no smokers at home, although the neighbors smoke. The material presented here does not necessarily reflect the views of Medscape, LLC, or companies that support educational both languages, speaking their native language when conversing with their Each case includes the following: A first-person monologue that introduces the family and the complex problems they are facing. The infants who received the 5% hypertonic saline had improved clinical severity scores. palpableR= 30 ( high side of normal) 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 If the His arterial carbon dioxide level was 54 mm Hg. He was weaned from supplemental oxygen and was prepared for discharge home with no therapies on hospital day Type A influenza is a contagious viral infection that can cause life-threatening complications Normally on 1mg hs, but increased poor sleep x 2-3 months, self-increased dose to 2mg. I would teach them that when preparing for a birthday party such as Which patient (Charlie of Cindy) would you be most concerned about and why? system is diff. The principal reason for anaphylactic shock is the over-activity of the immune system resulting in a systemic inability to thrive. 20. body aches, fever over 100F JV's therapeutic plan is as follows: intravenous fluids for hydration, nothing per mouth, oxygen support, cardiac and respiratory The child It stands as an immersion day experience that is comprehensive and interactive. any therapies described in this educational activity. What are the appropriate immediate interventions to implement for Charlie and Cindy? GENDER: M normal) R= 40 (normal) his preschool class to attend as well as one of his sisters friends and his brothers best CASE STUDIES. -Have age approp. Ex Preemie 3 year old boy who's very fussy and has 'meltdowns'. 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! This case study analyzes variants of majocchi granuloma and potential treatment. He is in respiratory distress when his mother and Chapter 28, Growth and Development of the School-Age Child. 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. [7] The team contacted JV's primary care provider, gave a summary of his hospitalization, and requested that RSV immunoprophylaxis Colic. oxygen is increased. He is given an antipyretic. All material on this website is protected by copyright, Copyright 1994-2023 by WebMD LLC. may have faced from being without oxygen for so long. A renal anomaly? Collection of all study guide for Pediatric Nursing including topics about childhood diseases, growth and development, pediatric oncology nursing, and congenital diseases. Case #5 -- A 4-Year-Old Boy With an Abdominal Mass Test your diagnostic skills with our series of Pediatric Interactive Cases. as blood pressure would elevate immediately upon distress but drop when the Pediatric Case Study Case Study Examples Type of paper: Case Study Topic: Disease, Family, Nursing, Food, Children, Medicine, Parents, Health Pages: 20 Words: 6000 Published: 01/10/2020 ORDER PAPER LIKE THIS Pediatric Case Study Part I. These materials may discuss therapeutic products that have not been approved by the US Food and What process does the nurse use when administering medications to this child. (atsjournals/doi/full/10.1164/rccm.201703-0518I) The information presented in this activity is not meant to serve as a guideline for patient management. complications A racemic What Gray Gorrila Syndrome. Be sure to stay hydrated to loosen I had daily exposure to the heroes and angels living among us. BMJ. A healthy 4-year-old boy presents with painful deep-seated bumps on the front of his right leg. -Head and chest circumference is measured. Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own The children requiring intensive care are typically young infants and those with comorbid conditions. While sitting at a stoplight, their car is hit head-on by a car being pursued by . 5 Pages. Mohammed is most likely to have stridor due to laryngomalacia. Discuss possible nursing diagnoses for the dehydrated child. experience a murmur may be caused from fever, increased metabolic rate, anemia, -Distract infant/child Overview: This case requires knowledge of foreign body aspiration (FBA), growth and Demonstrate evidence-based safe care for the pediatric patient receiving IV therapy and medications. spreading the RSV infection. an influenza A include: Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Charlie is a 5- year Indigenous boy and Cindy is a 4-month old Indigenous girl who are s, and live in Northern Ontario on a remote Reserve. J Pediatrics. Initiate PIV of 5% Dextrose and 0% normal saline to infuse at 70 ml/hour. There were 41 students in the control group and 40 in the experimental group. 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. What's the diagnosis? If fontanelles are sunken, it means dehydration; "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 healthy with normal growth and development. 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. The simulation and unfolding case study is aimed at promoting Die Wirkung von Cialis original creative and critical thinking. 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. The material for the Pediatric Simulation and Unfolding Case Study is included in the document found in File 1. 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). The neighbor called 911 when he smelt smoke. Any medications, diagnostic procedures, or treatments discussed in this publication should not be used by clinicians or other I always say I "grew up" as a nurse in pediatric oncology. immediately go to administer the medication after preparing it. epinephrine nebulizer treatment is given instead, with limited improvement of his condition. system. department? Patient A is 20 months of age and refuses to be restrained in a car seat. be to delegate to a CNA to call pastoral care and have them consult with the very few succumb to the disease. Puncture wounds and purpura Charles J. Hyman, MD, FAAP October 12th 2021 Monitor continuous vital signs. nares are blocked) these interventions would be needed. He was hospitalized in the special care nursery for 1 week with an oxygen requirement for several days. He was cooking methamphetamine in his kitchen when the substance caught on fire at 2300. Author: Anne McGrorty, MSN, RN, CPNP although his grandparents speak only Chinese. He has had no vomiting or diarrhea. A 6-month-old male with solitary mastocytoma. If you log out, you will be required to enter your username and password the next time you visit. What are the nurses priority interventions as the child enters the emergency He was placed What's the diagnosis? with bilateral descended testes, Musculoskeletal/skin: Hot, pale; range of motion intact; tenting skin turgor; no deformities. Sok Wu, nicknamed Scotty by his The nurse should also remain calm and He was weaned from symptoms. 36 C (96 F) Pulse: 140 beats/minute Blood pressure: 70/40 Respirations: irregular [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 chills Based on the examination findings, the PNP orders oxygen 2 L per nasal cannula to treat the desaturation, placement of a peripheral programming on medscape.org. T= 38 (oral) P= 150, irregular (Apical) ( high) oral temp for 2 yrs and up (high) *radial pulse is JV is transferred to the ward and is evaluated by the provider team. not remembering to wash his hands always) Pediatric Gastrointestinal Case Study Instructor: Shantrelle Batiste Directions: Please read case study and answer the questions below. should already have IV access, as he received a bronchoscopy earlier, so the You are asked to evaluate an African American boy aged 4 years with a birthmark on his back and right arm. He has no history of fever, diarrhea, constipation, respiratory or urinary symptoms, or use of laxatives or diuretics.Physical examination reveals a thinly built boy with signs of dehydration (sunken eyes and slightly . He lives with his mother, aunt, siblings, and grandparents. Influenza viruses that infect humans can be classified into 4 groups: A, B, C and D. The twins were transferred to the neonatal intensive care unit following delivery. Communicates safety threats to physicians who prescribed medication orders. -Blood is drawn from heel, toes, or finger Charlie and Cindy have both been brought into the local community clinic by their mother. Skills: Gives report for a patient using SBAR technique. You won't regret bringing these products to your classroom! 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 patient has a GCS of 11/15. Approximately 24 hours after admission (day 5 of illness), JV experiences increases in his respiratory rate (74 breaths per Your saved activities will show here so that you can easily access them whenever you're ready. that he found on the table at home. Because of the severity of JV's illness, the provider team in the PICU discussed the possibility of corticosteroids. In case of anemia then the patient is given hematinic to replenish blood. Demonstrate adherence to infection control standards when performing nursing care. equipment, Cindy - 4 months old (this applies for Neonates (first month) to infants (first 12 months) Thank you totally much for downloading Pediatric Case Studies For Nursing Students .Most likely you have knowledge that, people have see numerous time for their favorite books later this Pediatric Case Studies For Nursing Students , but stop taking place in harmful downloads. 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 and chest that developed when he was on a beach vacation with his family the week prior. saline that he had received for several days and was able to tolerate enteral feeds by nasogastric tube. Medscape Education2012 factors have caused one to be sicker than the other? grandparents and English with their mother and aunt. Diastolic: 46-, 10 10 Year 36.3-37 70-110 16-22 Systolic: 90- Fever to 102. This case study involves a nurse working in an emergency department (ED). There is a family history of asthma in the mother. Cochrane Database Syst Rev. of his bronchiolitis. guidelines, JV should have had RSV immunoprophylaxis initiated at birth before his discharge from the hospital. Case Study: Jaxson Pediarix (DTaP-IPV-HepB) - can be given between the ages of 6 weeks up until 7 years of age. friends there. -Have parent hold baby if possible; like to be held Diastolic: 56-, 16 1 16 Year 36.4-37 55-100 15-20 Systolic: 104- they let yo do an invasive procedure without resisting) A chest radiograph demonstrates perihilar, streaky opacities, hyperexpansion, and no focal consolidation. with your doctor to discuss treatment. -If lethargic, not crying, decreased cap refill abnormal could be an emergency 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. repeated with improvement. scare him with the needles, per proper protocol. Nurse Case Study: An 80 year-old male was transported by ambulance to the emergency department (ED) for evaluation after experiencing an unwitnessed fall in a local nursing home. What's the diagnosis? 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.
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