His normal is 425. should be around 95/53. 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. Generalized, eruptive lichen planus in a pediatric patient. The most alarming vital sign in the childs pulse ox of 78%. Lower-extremity nodules in a 2-year-old girl. assessment and determines the urgency of interventions and the need for life-support In critical care nursing, there are patients that . 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. Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own distress, bradycardia (later sign of hypoxia) The flu can resemble the common cold, but may trigger Visit but remember that your first priority is the child Pediatric Case Study - Charlie and Cindy (with answers). What's the diagnosis? complications Cochrane Database Syst Rev. Ultimate Nursing Brainsheet Database How to Dissect An NCLEX Question How to Answer NCLEX Priority Questions mild fever 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. -When assessing the ears, pinna is pulled down and back to straighten ear canal until 3 years Common symptoms of type A infection but can be confused with other conditions. -Monitor closely for further resp distress. Pharmacological. appears slightly improved after the albuterol nebulizer treatment. 2010;4:CD006915. Nursing Case Studies has been developed to assist professional nurse educators in . What other effects might this patient experience? His birth weight Ad Adult 36-37 60-100 15-20 Systolic: < in infants with bronchiolitis. His wheezing is unchanged, but the work of breathing 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. then 2 seconds to return to normal, dizzy, dry skin, drowsy, not appearing well, decreased You asked the nursing assistant to weigh Sok Wu on the his preschool class to attend as well as one of his sisters friends and his brothers best 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. The decision is Introduction. If fontanelles are sunken, it means dehydration; 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. An allergy is a hypersensitivity to a particular foreign antigen, called an allergen. Al-Ansari K, Sakran M, Davidson BL, El Sayyed R, Mahjoub H, Ibrahim K. Nebulized 5% or 3% hypertonic or 0.9% saline for Medical malpractice claims may be asserted against any healthcare practitioner, including nurses. Collection of all study guide for Pediatric Nursing including topics about childhood diseases, growth and development, pediatric oncology nursing, and congenital diseases. -Normally are alert, looking around, able to focus on faces 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. For both Cindy and Charlie: His immunizations are up to date to 4 months, and he has not received immunoprophylaxis with palivizumab. What's the diagnosis? 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). distress if the Anorexia Nervosa, Case Study. This website also contains material copyrighted by 3rd parties. Nervous System Case Scenario Valerie Miller is a 38-year-old female who comes into the clinic with complaints of frequent and increased headaches. Guided Participation in Pediatric Nursing Practice - Dr. Karen Pridham, PhD, RN, FAAN 2018-05-28 . The night before her symptoms started, she hit her chest on a door after a "fainting" episode. Common antiviral prescriptions include (?? 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. Severe hemorrhage from infantile hemangioma. Case Study 5. finger sweep incase these caregivers ever ended up in a similar situation where -Have age approp. If you have the flu, you are contagious from at least a day before you begin to experience fatigue **Please have a pen and paper with you when you complete your case studies. aeration, and wheezing. Committee on Infectious Disease. Charlie is sicker. -no history of asthma or any other illness. -IV is inserted in the scalp vein, foot or central line. Communicates safety threats to physicians who prescribed medication orders. The importance of physical assessment, rapid response to findings with time-constrained empirical interventions, the relevance of pediatric sepsis to the provider, the consideration of . A retrospective study found that postmenarchal women with a renal anomaly were also at risk of having a Mllerian anomaly. JV is transferred to the ward and is evaluated by the provider team. Critical Thinking Exercises: 1. Recognize the importance of family-centered care. friend from school. 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 medicine) A 2-year-old girl presents with an itchy, bilateral leg rash. Before discharge, the team discussed the need for RSV immunoprophylaxis. 1 CHE101 - Summary Chemistry: The Central Science, Full Graded Quiz Unit 3 - Selection of my best coursework, The cell Anatomy and division. The child should be on continuous vital signs still, and the Pentacel (DTaP-IPV-Hib)- should not be used for any dose in the primary series for children age 5 years or older or as the booster dose for children ages 4-6 years. Worsening acne after isotretinoin treatment in an adolescent girl. repeated with improvement. The pediatric cases developed for this Bright Futures project should prove very useful to nurses across educational levels (undergraduate, graduate, and continuing education . This means that the laryngeal cartilage is soft and floppy, with an abnormal epiglottis and/or arytenoid cartilages. A previously healthy 16-year-old female patient presents with intermittent pleuritic chest pain and shortness of breath. The plan depends on the findings from the assessment. Evidence-Based Practice, Patient-Centered Care, Safety, Teamwork and Collaboration, Learner Setting(s) that he found on the table at home. 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. The case study. 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. Your saved activities will show here so that you can easily access them whenever you're ready. palpableR= 30 ( high side of normal) Type A influenza is a contagious viral infection that can cause life-threatening complications 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. within 2 seconds), -peds usually experience resp. 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. There is a family history of asthma in the mother. The health care provider prescribes the following for Sok Wu: Following the successful bronchoscopy, what assessments should the nurse perform Then have the entire class play a round of bingo to review the concept. A 17-year-old boy presents with linear brown spots on his abdomen is given, with some improvement in his distress. Patient data are presented as the situation progresses. This is a fairly high elevation as a normal resting heart Type A influenza is the most serious and known to cause widespread outbreaks and diseases. For example, you diagnosed the patient with cancer. health care professionals without first evaluating their patients' conditions, considering possible contraindications or risks, It assesses She had firmness and pain to the affected area, fussiness, increased sleeping, and poor feeding, preferring the bottle to breastfeeding. 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 Demonstrate adherence to infection control standards when performing nursing care. 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 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. oral temp)rectal too invasive P=168 (Apical) *radial pulse is hard to palpate (high You can also use these files as a reference for creating your research paper. The child was noted to be cyanotic while in the waiting room of a dentist's office and required intubation during transport. Rather than enjoying a fine book in the manner of a cup of coffee in . Fever to 102. No vomiting, has had no stools. avoiding large crowds, specifically during a flu outbreak It is important unless indicated T= 37 (axilla) **(high) (axilla is 1 degree lower than JV lives with his married parents, a 4-year-old sister, and a pet dog in an apartment. If you log out, you will be required to enter your username and password the next time you visit. Outlook nose department of the hospital located two blocks from his home by his mother and aunt. bronchitis develops an increased oxygen requirement and is transitioned to face mask oxygen at a fraction of inspired oxygen of 0.35. A case of progressive joint pain and rash in a 5-year-old. She developed a fever 24 hours prior to presentation. His supplemental oxygen is increased and a call is made to the rapid response team if left untreated. 8-year-old brother. There was no loss of consciousness or vomiting but he subsequently complained of left-sided head pain. -Lung development is complete in healthy full-term newborns but resp. -Red flag intercostals retraction (seen with resp. professional development. His lung examination demonstrates wheezing with poor aeration. promptly cared for. should receive supplemental oxygen until the doctor is able to get to him as well. A female aged 13 years with morbid obesity and recent hospitalization for pyelonephritis presents with abdominal pain, tachycardia, and shortness of breath. abdominal pain An 18-month-old girl presents with ringed scars with hyperpigmentation on the right side of her buttocks and back. Overview: This case requires knowledge of foreign body aspiration (FBA), growth and According to the American Academy of Pediatrics revised Diastolic: < Charlie is a 5- year Indigenous boy and Cindy is a 4-month old Indigenous girl who are siblings Open Document. : an American History (Eric Foner), Civilization and its Discontents (Sigmund Freud), pediatrics case study for practice (answers included), Covid Nasal Swab Collection (updated August 2020), NRSG78 - Week 10 Simulation Prep and Plan, NRSG78 - Week 12 Simulation Prep and Plan, Recalculating IV Flow Rates Practice Questions, Language Arts Instruction and Intervention (C365), History Greek & Roman Civilization (hist 1421), Anatomy & Physiology I With Lab (BIOS-251), Organizational Theory and Behavior (BUS5113), Management of Adult Health II (NURSE362), Microsoft Azure Architect Technologies (AZ-303), Leadership And Management For Nursing (NSG 403), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Summary Reimagining Global Health - Chapter 5 & 6, ECO 201 - Chapter 2 Thinking like an economist part 2, Ch. A major focus in discharge teaching for this family would be safety. 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. After 1 hour, his fever persists and his work of breathing, respiratory rate and pulse . Allah SWT, we can finished this paper about Pediatric Nursing Care in. What's the diagnosis? Prevention -6 to 8 months can usually sit up -Approach in a calm, professional manner, talk softly, praise frequently Nasal continuous positive airway pressure with heliox versus air oxygen in infants with acute bronchiolitis: a crossover study. Medscape Education2012 73 year old woman presents as a new patient in a primary care setting, registered to NP. and chest that developed when he was on a beach vacation with his family the week prior. Gray Gorrila Syndrome. Jeremy is a 13-year-old of Puerto Rican descent. -If lethargic, limp, not crying, decreased cap refill abnormal and could be emergency (or if 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. Hot dogs, grapes, nuts, popcorn, The material presented here is a thorough revision of that teaching strategy. days/week. this case? [4] They found that the use of CPAP with air decreased clinical severity scores and that there was additional improvement when This infant was found to have multiple loops of intestine outside the abdominal wall. of the literature revealed conflicting evidence for the use of corticosteroids and that corticosteroids have not been shown 1. The case reviewed in this article focuses on viral meningitis in a pediatric patient that may be unrecognized or underreported because of indistinct symptoms. A healthy 17-year-old girl with inflammatory acne had failed to respond to topical tretinoin, benzoyl peroxide, and oral minocycline. abundant case studies, examples and research findings, chapters analyze how GP . you begin to experience any of these symptoms or if your condition worsens, stop using the Coauthors: Kristine Ellis, MSN, RN, Competency Category(s) today. nurse should especially focus on pule ox and heart rate. A 14-year-old previously healthy white boy transferred to our institution for treatment of hepatic failure and hypotension. The case will involve managing pediatric status epilepticus and including escalating anti-epileptics, intubation . It stands as an immersion day experience that is comprehensive and interactive. Cases may be actual life examples, found in literature, or constructed by an individual for the purpose of demonstrating the concept. Scenario 1 EMS report: 5 -year-old boy riding his bike was hit by a car. [5] However, this improvement did not lead to reduced intubation rates, need for mechanical ventilation, or length of PICU stay. 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. vomiting Unable to palpate anterior or posterior fontanelles Anterior fontanelle is palpable months, diamond shaped) ; Posterior fontanelle is not (normal close 9 to 18 -Head and chest circumference is measured. 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. no benefit, although some of the trials included in this analysis demonstrated an improvement in clinical severity scores. secondary to severe illness. body aches, fever over 100F -Use the Wong Baker Scale (faces to rate feelings - for Charlie) Information from the emergency He had no psychiatric history or prior mental health contact and no known medical conditions. JV's therapeutic plan is as follows: intravenous fluids for hydration, nothing per mouth, oxygen support, cardiac and respiratory I had daily exposure to the heroes and angels living among us. 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. Practice, 3rd edition, page 23. on Sok Wu? specifically in cases of children. In addition, a trial of inhaled corticosteroids in infants worsening symptoms. Nursing Health Assessment: The Foundation of Clinical 2007;121:e1190-e1195. Email: mcgrorty@lasalle.edu pneumonia interventions. (healthcentral/article/what-normal- It specifies the learning objectives, equipment, and an unfolding case study of an ill infant. in children. -there is a lack of surfactant in premature newborns which is the primary cause of atelectasis antipyretic. What are the nurses priority interventions as the child enters the emergency . What's the diagnosis? Be sure to stay hydrated to loosen There are five case examples: Case Example 1: Low Weight-for Length Case Example 2: Inadequate Growth or Just Small Case Example 3: Excess Weight Gain Case Example 4: Transitioning from the WHO Weight-for-Length Chart to the CDC BMI-for-Age Chart at Age 2 Years Case Example 5: Early Lactation Difficulties nursing assistant reports that Sok Wu weighs 16 kg (36 lb). While sitting at a stoplight, their car is hit head-on by a car being pursued by . systematic review and meta-analysis. -Loud noises, bright lights will startle infants Brad was found unconscious by the firefighters and was pulled out. height, weight, and head circumference are all at the 50th percentile. although his grandparents speak only Chinese. A case of late-onset group B Streptococcus infection in fraternal twins. He was weaned from 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. perform hand hygiene when entering the room and put on gloves. Medscape, LLC. Case Based Pediatrics For Medical Students and Residents Department of Pediatrics, University of Hawaii John A. Burns School of Medicine Cases for Teaching PICO or Literature Searching the EBM Librarian website Clinical Case of the Month LSUHSC School of Medicine ElectricAirway: Upper Airway Problems in Children Virtual Pediatric Hospital website 2009;338:b897. Pediatric Nursing. A 6-year-old boy presented to his pediatrician with clear drainage from his left eye for 1 to 2 days. equipment, Cindy - 4 months old (this applies for Neonates (first month) to infants (first 12 months) However, there was no epinephrine nebulizer treatment is given instead, with limited improvement of his condition. Case Study #4 PEDIATRIC CASE STUDY SCENARIO Mary Jennings has brought her son Joe to your office. in infants. Though effective, these medications can cause side effects such as nausea and vomiting. Simulation scenarios designed to help students practice assessing function and expectations of their patient (s), with links to appropriate evidence-based assessment tools. experience a murmur may be caused from fever, increased metabolic rate, anemia, -Distract infant/child The principal reason for anaphylactic shock is the over-activity of the immune system resulting in a systemic inability to thrive. 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 What's the diagnosis? "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. Kris shares with the nurse her concerns about recent changes she has . be considered for JV, henceforth. Suggestions for debriefing are included. He has more risk factors: Gadomski AM, Brower M. Bronchodilators for bronchiolitis. He was discharged home with no medications or other therapies. Diastolic: < Source: Dillon, P. (2016). scales on his hospital bed as you communicate the medication order to pharmacy. scheduled for an emergency bronchoscopy. What's the diagnosis? When he has pain, mom says she cannot calm him down. Diastolic: 46-, 10 10 Year 36.3-37 70-110 16-22 Systolic: 90- The nurse delegated correctly as obtaining a weight is something a nursing 10 month old male with 2 day h/o episodic abdominal pain. developmental risks for FBA, as well as an understanding of the clients background, -Support a young infants head and neck some milder cases the flu can resolve on its own, severe cases of type A influenza can be life- He has had no vomiting or diarrhea. What is your diagnosis? sore throat 8. After the fluid bolus, the infant's physical examination findings are unchanged, and the bolus is A newborn boy with hypotonia, cerebral dysgenesis, and bilateral retinal detachments. 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. AGE: 4 Some signs of nursing case study: the presence of a specific topic or question. covering your mouth and nose when you cough or sneeze There are no smokers at home, although the neighbors smoke. (atsjournals/doi/full/10.1164/rccm.201703-0518I) Implement the appropriate interventions for the severity of dehydration. The entire house was engulfed in flames when the fire department arrived on scene. Monitor oxygen saturation via pulse oximetry. 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. 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. 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. -Support a young infants head an neck 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) While awaiting a bed on the inpatient unit, JV Demonstrate evidence-based safe care for the pediatric patient receiving IV therapy and medications. A single convenience sample (N = 81) of junior baccalaureate nursing students was used for this study. The effect of high dose inhaled Jennifer is a clinical professor for nursing students in critical care and has several years of experience in teaching nursing. Colic. The nurses biggest priority at this time is to create an airway for Sok Wu. 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. A 3-year-old white male developed stridor and respiratory distress while eating lunch at his daycare facility. He presents with the complaint of an itchy red eye. and lung assessment. The information presented in this activity is not meant to serve as a guideline for patient management. -not at school therefore less exposure to the virus would also educate them to keep small objects and balloons out of the childs THE RESPIRATORY SYSTEM 02 sats= 96% on R/A via infant foot pulse oximetry probe (normal) nursing assistant to take Sok Wus vital signs with the following results: Temperature: chills A 26-month-old boy presents for mild altered mental status and balance issues following a fall the day before. not remembering to wash his hands always) ***students do not need to memorize vital sign ranges for the test, Effect of Age on Vital Signs distress, thorax appears to be sinking in, Each case includes the following: A first-person monologue that introduces the family and the complex problems they are facing. Her HR is 130bpm. dizziness immediately go to administer the medication after preparing it. 5 Pages. 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