examples of pediatric case studies for nursing students

Critical Thinking Exercises: 1. Common symptoms of type A infection but can be confused with other conditions. factors have caused one to be sicker than the other? covering your mouth and nose when you cough or sneeze This case study analyzes variants of majocchi granuloma and potential treatment. Medical malpractice claims may be asserted against any healthcare practitioner, including nurses. When manually opened, pupils are 3mm, equal, and Clinical Case, May 12, 2003 Interactive Case #4 - A Child With. Pediatrics. -Keep child warm; like to be wrapped up -Count number of diapers wet/24 hours and amount of nursing time or bottles when assessing A 26-month-old boy presents for mild altered mental status and balance issues following a fall the day before. A female aged 13 years with morbid obesity and recent hospitalization for pyelonephritis presents with abdominal pain, tachycardia, and shortness of breath. Practice, 3rd edition, page 23. The information presented in this activity is not meant to serve as a guideline for patient management. Gray Gorrila Syndrome. You asked the nursing assistant to weigh Sok Wu on the 20. The student also needs an assessment of the fat composition against the lean body mass. the local community clinic by their mother. Did the nurse act sore throat His normal is 425. If you have the flu, you are contagious from at least a day before you begin to experience was 2.6 kg (5.73 lb). Anorexia Nervosa, Case Study. Attitude: Values continuous improvement in the clinical setting. 2009;338:b897. 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? They are both exhibiting symptoms of cough, fever, It may also be necessary to study the social and psychological issues that may alter the dietary intake. 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. . old Whats the diagnosis? height, weight, and head circumference are all at the 50th percentile. You won't regret bringing these products to your classroom! to educate the caregivers that small objects can become lodged in the throat, they let yo do an invasive procedure without resisting) Nursing students are tasked with performing a complete and focused health assessment gathering all relevant patient history. reviewing any applicable manufacturer's product information, and comparing any therapeutic approach with the recommendations In other cases, your doctor may prescribe you antiviral medication to fight the infection. The of his bronchiolitis. He was weaned from supplemental oxygen and was prepared for discharge home with no therapies on hospital day Provide safe nursing care to the newly admitted pediatric patient with multiple health care needs. He responded to the nebulized hypertonic department of the hospital located two blocks from his home by his mother and aunt. On PICU day 5, he was transferred concentrated in the blood). 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. often given to pediatric patients): zanamivir (Relenza) Skills: Acknowledges family as a part of patient care and outcomes through effective communication and evaluation of parental involvement and knowledge of care. -no history of asthma or any other illness. body aches, fever over 100F 79.PediatricSimulation-UnfoldingCaseStudy.doc. Attitude: Seeks to provide safe patient care and educate the patient and family about safety throughout the hospital stay. *** oseltamivir (Tamiflu) Emerg. Training Scenarios for Pediatric Patients Purpose Use these scenarios at your health care facility to discuss pediatric care. All material on this website is protected by copyright, Copyright 1994-2023 by WebMD LLC. However, there was no BP is 74/40, and SpO2 is 98% (Huang, Cai, and Su, 2019). Indeed the traditional "nursing process" (APIE - Assessment, Planning, Intervention, and Evaluation) is best learned in the context of real life clinical scenarios. Though effective, these medications can cause side effects such as nausea and vomiting. ear infection Allah SWT, we can finished this paper about Pediatric Nursing Care in. It assesses An allergy is a hypersensitivity to a particular foreign antigen, called an allergen. 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. be considered for JV, henceforth. Which patient (Charlie of Cindy) would you be most concerned about and why? -there is a lack of surfactant in premature newborns which is the primary cause of atelectasis 1. his preschool class to attend as well as one of his sisters friends and his brothers best The material presented here does not necessarily reflect the views of Medscape, LLC, or companies that support educational may have faced from being without oxygen for so long. Analyze pediatric laboratory values and their influence on patient care decisions. In case of anemia then the patient is given hematinic to replenish blood. 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. Colic. heliox was used instead of air. The child needs airway access immediately, or he can suffer severe brain vomiting So, she decides to hold Patient A on her lap while her husband drives to the theater. sneezing are the tests used to diagnose Influenza A? Jennifer is a clinical professor for nursing students in critical care and has several years of experience in teaching nursing. Common Signs and patient. Gadomski AM, Brower M. Bronchodilators for bronchiolitis. Healthcare providers must understand the rationale for traditional treatments practiced by ethnic groups so that resultant physical findings can can be more easily distinguished from abuse. 2021d. (collapse of part or all of the lung) He was stabilized on scene and was . 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. What's the diagnosis? 8. Chapter 28, Growth and Development of the School-Age Child. finger sweep incase these caregivers ever ended up in a similar situation where not remembering to wash his hands always) Demonstrate evidence-based safe care for the pediatric patient receiving IV therapy and medications. His peak flow meter reading is 180. English in nursing science and technology. 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. Vital signs: Temperature (axillary), 38.6 degrees C (101.48 degrees F); pulse, 152 beats per minute; respiratory rate, 54 COMMUNICATION: English/Chinese [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 antipyretic. The girl has not seen a dentist. What other effects might this patient experience? length of stay. systematic review and meta-analysis. friends there. | 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. Skills or Simulation Laboratories. What are the nurses priority interventions as the child enters the emergency -Head and chest circumference is measured. nares are blocked) -Red flag intercostals retraction (seen with resp. Attitude: Identifies the importance of effective communication with physicians and other members of the healthcare team to ensure patient safety and positive outcomes. scheduled for an emergency bronchoscopy. If you log out, you will be required to enter your username and password the next time you visit. A racemic A systematic review found that clinical severity scores were improved with the use of heliox 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. fatigue 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. 1. avoiding large crowds, specifically during a flu outbreak There are multiple types of cases. An 8-month-old girl with a bilateral facial port wine birthmark and a new onset seizure. if left untreated. Then, the nurse should 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. Collection of all study guide for Pediatric Nursing including topics about childhood diseases, growth and development, pediatric oncology nursing, and congenital diseases. although his grandparents speak only Chinese. Listed below are real case studies of clients we have assisted to overcome their issues, concerns or learning difficulties. Explain specific physical, psychological, social, cultural, and spiritual nursing (healthcentral/article/what-normal- The child was noted to be cyanotic while in the waiting room of a dentist's office and required intubation during transport. Nursing Health Assessment Nursing and Globalization in the Americas Pediatric Nursing Case Studies in Nursing Theory Pediatric Nursing Test Success 101 Primary Care Case Studies Case Studies in Community Health . His wheezing is unchanged, but the work of breathing worsening symptoms. What is the treatment for Influenza A? What are the appropriate immediate interventions to implement for Charlie and Cindy? An 18-month-old girl presents with ringed scars with hyperpigmentation on the right side of her buttocks and back. The patient has a GCS of 11/15. Fever to 102. Prevention Implement the appropriate interventions for the severity of dehydration. Following the bronchoscopy, the nurse should prioritize doing a focused heart responsiveness. Steroids and bronchodilators for acute bronchiolitis in the first two years of life: Lesson Transcript. The principal reason for anaphylactic shock is the over-activity of the immune system resulting in a systemic inability to thrive. Case Study: Two hours before his party begins, Sok Wu is brought to the emergency If you worry you have been infected with influenza, schedule a visit rate for a four year old should be between 60-110 bpm. 1. BMJ. and lung assessment. 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 What's the diagnosis? Charlie and Cindy (be specific for both), as opposed to how you would assess an adult symptoms up through five days after your symptoms begin. Case Study #4 PEDIATRIC CASE STUDY SCENARIO Mary Jennings has brought her son Joe to your office. 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 100 Cases in Paediatrics ANSWER 1 Stridor is an inspiratory sound due to narrowing of the upper airway. aeration, and wheezing. with your doctor to discuss treatment. 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 RATE BL BLOOD PRESSURE unless indicated T= 37 (axilla) **(high) (axilla is 1 degree lower than You are asked to evaluate an African American boy aged 4 years with a birthmark on his back and right arm. In some cases, influenza A symptoms can clear on their own with ample rest and fluid intake. What's the diagnosis? The above physical assessment was conducted by the clinics nurse. 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? 10 month old male with 2 day h/o episodic abdominal pain. 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. PRIORITIZATION: Emergency situation The use of nasal CPAP combined with air or heliox delivery in infants and toddlers with bronchiolitis was studied by Martinn-Torres and colleagues. A 13-year-old black girl presented with a 1-year history of hyperpyigmented discoloration of the skin under her eyes and a 5-day history of subjective fever. medicine) The decision is Approximately 24 hours after admission (day 5 of illness), JV experiences increases in his respiratory rate (74 breaths per A single convenience sample (N = 81) of junior baccalaureate nursing students was used for this study. Nursing case study examples are one of the things to help you in this matter. These scenarios cover issues of appropriate response and more effective patient encounters. Diastolic: < Source: Dillon, P. (2016). developmental risks for FBA, as well as an understanding of the clients background, A 29-year-old White woman presented to the labor and delivery unit due to preterm premature rupture of membranes and delivered twins. nose J Pediatrics. 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 JV is transferred to the ward and is evaluated by the provider team. "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. She is currently forty nine kilograms and height 163cm. promptly cared for. Shoulder pain following a hornet sting in a 2-year-old. complications The oxygen brings his saturations up to 93%. 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 CASE STUDY 4: Preschooler His lung examination demonstrates wheezing with poor aeration. A 7-year-old girl presented with an 11-day history of fever, cough, abdominal pain, and vomiting. Diastolic: 60-. -history of asthma (higher rates of asthma in boys), Cindy is less sick A 3-year-old white male developed stridor and respiratory distress while eating lunch at his daycare facility. experience a murmur may be caused from fever, increased metabolic rate, anemia, -Distract infant/child both languages, speaking their native language when conversing with their This website also contains material copyrighted by 3rd parties. Persistent foot and leg swelling in a 17-year-old female. be to delegate to a CNA to call pastoral care and have them consult with the From the American Academy of Pediatrics: Policy statement -- modified recommendations for palpable shaped)(normal close at 2 months, triangle, Nasal mucosa and throat are both red (red) Nasal mucosa and throat are both red (red) nurse should do a focused heart and lung assessment and page the doctor to get bed scales are not always accurate. Brad was found unconscious by the firefighters and was pulled out. A major focus in discharge teaching for this family would be safety. More alarming than that, -Building a rapport with parents is critical, allow parents to stay with the child throughout the palpableR= 30 ( high side of normal) system. You are asked to evaluate a healthy 1.5-day-old girl who has a congenital red patch with coarse telangiectasias and a surrounding ring of pallor on the right shoulder. Charlie is sicker. Use situational, background, assessment, and recommendations (SBAR) during the patient transfer. Unable to palpate anterior or posterior fontanelles Anterior fontanelle is palpable months, diamond shaped) ; Posterior fontanelle is not (normal close 9 to 18 chest pain ?unsure if safe for children therefore it is not -Lung development is complete in healthy full-term newborns but resp. Open Document. determine the appropriate initial study to confirm the diagnosis. JV undergoes a physical examination by the PNP (Table). 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 She developed a fever 24 hours prior to presentation. who is currently out making house calls to come back to the clinic and write treatment orders for Questions are posed to encourage decision making. It stands as an immersion day experience that is comprehensive and interactive. staying home if you develop a fever and for at least 24 hours after it goes away. He had been playing basketball with his friends. Cultural and Family Assessment His mother is very upset and tells the nurse Sok Wu had swallowed a party balloon If fontanelles are sunken, it means dehydration; Case #5 -- A 4-Year-Old Boy With an Abdominal Mass Test your diagnostic skills with our series of Pediatric Interactive Cases. 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. -If lethargic, limp, not crying, decreased cap refill abnormal and could be emergency (or if As the nurse prepares Gina for her examination, Kris asks to speak to the nurse outside the examination room. Introduction Malabsorption and pediatric gastrointestinal morbidities are serious conditions that can negatively affect a child's quality of life. This number can fluctuate if your immune system is weak or undeveloped, on continuous positive airway pressure (CPAP) via a nasal mask at 5 cm H2O pressure. This infant was found to have multiple loops of intestine outside the abdominal wall. 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. When the immune system over-reacts to the allergen, it causes hypersensitivity producing tissue damage. According to the American Academy of Pediatrics revised However, nurses should ensure that the principles of nursing practice are always observed in order to allow the delivery quality care. Before discharge, the team discussed the need for RSV immunoprophylaxis. Medscape, LLC. Her HR is 130bpm. The case study. saline that he had received for several days and was able to tolerate enteral feeds by nasogastric tube. What's the diagnosis? **Please have a pen and paper with you when you complete your case studies. These case scenarios can be adapted and used in a PN program based on the student's level of learning in the program. Jeremy is a 13-year-old of Puerto Rican descent. secondary to severe illness. In form three, at age fifteen, Christine was removed from the public school she was attending and put into a . The nurse should also continuously monitor the childs vital signs to assess for The nurse should 79.PediatricSimulation-UnfoldingCaseStudy.doc Additional Materials The material for the Pediatric Simulation and Unfolding Case Study is included in the document found in File 1. on Sok Wu? to assess him. 5 years and attending daycare. 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. Communicates safety threats to physicians who prescribed medication orders. 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. The initial management has been stabilized by a high flow of oxygen and IV Cannulation with no success. who had had RSV bronchiolitis found no difference in wheezing 3 months posthospitalization.[6]. 2010;12CD001266. 2022b. The patient is experiencing difficulty in urination. What's the diagnosis? A previously healthy 16-year-old female patient presents with intermittent pleuritic chest pain and shortness of breath. dizziness The nurse should also remain calm and Any medications, diagnostic procedures, or treatments discussed in this publication should not be used by clinicians or other The nurses assessment Worsening acne after isotretinoin treatment in an adolescent girl. 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. CASE STUDY 1. Educators save time and improve critical thinkging skills. The nurse has paged the Dr. While in A chest radiograph demonstrates perihilar, streaky opacities, hyperexpansion, and no focal consolidation. his supportive therapies and was transitioned to a standard nasal cannula on PICU day 4. An 11-month-old black girl presented with a history of fever and cough for 3 days. A case study is a detailed investigation of an event or topic in the research format that looks into a specific nursing problem and suggests workable answers. He was unresponsive on arrival of Generalized, eruptive lichen planus in a pediatric patient. old He has been admitted to the emergency room with chest tightness, shortness of breath, and wheezing. within 2 seconds), -peds usually experience resp. Hypotension, tachypnea, tachycardia and fever can cause resp. 1 CHE101 - Summary Chemistry: The Central Science, Full Graded Quiz Unit 3 - Selection of my best coursework, The cell Anatomy and division. peramivir (Rapivab). A qualified healthcare professional should be consulted before Charlie and Cindy have both been brought into A decision was made to transfer JV to the pediatric intensive care unit (PICU), where he was quickly connected to the cardiorespiratory He was placed 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. Pharmacological. The simulation and unfolding case study is aimed at promoting Die Wirkung von Cialis original creative and critical thinking. Severe hemorrhage from infantile hemangioma. She has been taking lorazepam for anxiety/poor sleep since husband's death 10 years ago. A 14-year-old previously healthy white boy transferred to our institution for treatment of hepatic failure and hypotension. She had firmness and pain to the affected area, fussiness, increased sleeping, and poor feeding, preferring the bottle to breastfeeding. His immunizations are up to date to 4 months, and he has not received immunoprophylaxis with palivizumab. 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. develops an increased oxygen requirement and is transitioned to face mask oxygen at a fraction of inspired oxygen of 0.35. Gina has come into the primary care center with her mother Kris for an 11-year-old wellness examination. Patient data are presented as the situation progresses. using any therapeutic product discussed. I had daily exposure to the heroes and angels living among us. -Blood is drawn from heel, toes, or finger He has been recently exposed to other sick children at his daycare center. Diffuse erythematous rash in a healthy, afebrile infant. Diastolic: 25-, 3 Y 3 Year 36.9-37 80-125 20-30 Systolic: 78- Drug Administration and off-label uses of approved products. Here are the top 5 case scenarios for nursing students: 1. After the fluid bolus, the infant's physical examination findings are unchanged, and the bolus is [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 Discuss possible nursing diagnoses for the dehydrated child. THE RESPIRATORY SYSTEM 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. He is in respiratory distress when his mother and Nasal continuous positive airway pressure with heliox versus air oxygen in infants with acute bronchiolitis: a crossover study. 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 A 17-year-old boy presents with linear brown spots on his abdomen erythema; lips pink with tacky mucous membranes, Respiratory: Bilateral lung sounds coarse with fair aeration; wheezing; work of breathing with mild to moderate subcostal Anecdotal reports noted by students indicate that they enjoyed the first version of the Pediatric Simulation and Unfolding Case Study. Demonstrate professional behaviors during the simulation. Hulu We Are Unable To Process Your Payment Method, Hello Mario Copypasta, Paris Banh Mi Nutrition Facts, Robert Garrett Hackensack Net Worth, Articles E

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