Assessed lungs. Respiration: 29. The patient denies any pain, during the neuro assessment everything was normal and within defined limits. When assessing a preschool-aged pt, the pt can sit in the caregiver;s lap or sit on the exam table w/i reach and eye contact of the caregiver. ! " She reported that her belly was hurting, and she rated her pain level 3/5 on FACES scale. Please answer the Documentation Assignments (file: DA) and Scenario Analysis Questions (file: GRQ) in the uploaded files, using the feedback log as a reference. Heart rate: 147. 0:59 I auscultate lung sounds, clear From vSim for Nursing | Pediatric. 4 Referring to your feedback long, docent y/d, L, C&DR> es ndapicejejk dl ? or ancillary staff member for data collection and teaching in Sabina Vasquezs case. sound with no murmur. bedside. # # 6:10 Do not sell or share my personal information. You attached the automatic noninvasive blood, pressure (NIBP) measurement cuff. You measured the temperature<> in the ear. After treatment, he regained most of his normal sight back. ]boro es jdraci oicstenety dl tbo. teaching needs to be provided? You identified the relatives. identify the child. SpO2: 95%. ! d) Over time, drug tolerance occurs, requiring higher doses of morphine to relieve Brittany's pain. order. sickle cell anemia, she came into the hospital yesterday suffering from a sickle cell. I would explain the importance of pain She came in with her mom. From vSim for Nursing | Pediatric. faces scale. as ordered. The child still had I would also educate Jun 21, 2020 7:42 PM Technologies Institute. Brittang Long 1. I took her vital signs: HR: ! "! Document your initial focused assessment of Brittany Long. Age: When I went through the simulation for the first time, it felt great. 1:12 Document your initial focused assessment of Brittany Long. TestingHow will the chiropractic practice test the system to see if it is working properly for its needs?Who should be involved in the testing?Employee preparation Identify what the chiropractic practice will need to do in each of the following areas to prepare the employees to use the new system:Leadership and Change ManagementTraining Data migrationWhat existing data would likely need to be entered into the system to get started?How might this be accomplished?MaintenanceWho will provide updates and corrections to the system? APUS Swimming Pool Fencing Policy for Children Safety Project. both her and her mother. Scenario Analysis Questions* 0:10 patient care situation. # Find more information at: http://qsen.org/ The assignment must be in paragraph form using complete sentences and avoiding bullet points and numbered list. This is important, as the patient is below 18 years of age. Which of the following should the nurse do? She looked visually uncomfortable and reported feeling pain, a 6/10 on the The nurse is assessing for which of the following complications of vast-occlusive crisis? Apply to become a tutor on Studypool! This was part of your "! # If so, what were Title is descriptive University of Southern California Clinic Segmentation Paper. Child status - ECG: Sinus tachycardia. recommendation (SBAR) format to communicate what further care Brittany Long needs. I stayed to watch for any transfusion reaction and Heart rate: 147. , Correlating files are indicated by # and core or complex (ex: PediatricCase04_xx_Complex_) & (4_FeedbackLog). The simulated experience of Sabina Vasquez's case was exceptional. Temp: 39.1 C unstable. Infancy - A quick sheet on infant developmental stages. 126/84 mmHg. affect the care you provide to Sabina and her family? response. her lungs (clear and equal bilaterally) and her heart (regular heart sound with no murmur). The FACES pain rating scale is a self-report tool that is acceptable for use w/ a developmentally appropriate 5 y/o. The nurse enters the room to check on Brittany and finds her sitting gin bed playing video games with her sister. ! avoid a sickle cell crisis in the future. # What teaching needs to be given to Sabina Vasquez and her mother on the management of her This was too early. " regular folic acid supplement. Use a Level 1 heading to separate your sections (Page 62 of the APA Publication Manual). response. Username is too similar to your e-mail address, Critical Nursing Diagnoses Sabina Vasquez Pediatric Case Study 4. 6:21 PCC You started a piggyback infusion of 475 mg of cefuroxime IV. Consider the I assessed her IV site for patency then administered the 2mg of morphine IV it to the lab. The FLACC behavioral scale is appropriate for hone the pt can't accurately report his or her own level of pain due to age or developmental level. responded, my tummy. She rated her pain 6/10 on FACES scale. All patients should have an asthma action plan for optimal treatment and Brittany stated she had a 3 of S: Brittany Long is a 5-year-old female patient receiving a blood transfusion, IV fluids, and From vSim for Nursing | Pediatric. A family hx of blood transfusion wouldn't be relevant, as it wouldn't affect the pt. actual patient care situation. before discharge, including disease process, nutrition, signs and symptoms of crises, What kind of telecommunications will be needed for the solution, including local connectivity inside the practice and Internet access?ConfigurationWhat options does the vendor offer for configuring the off-the-shelf system to the chiropractic practice's needs?How will the configuration be done and by whom? Temp: 39.1 C Which of the following demonstrates that the nurse understand developmentally appropriate communication? 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PRBCS. 5:10 How will that be done?GROUP 3: Select one of the 7 implementation considerations (preferably different from others previously chosen, but this is not required) and:Put the title of your Implementation Consideration in the Subject line of your posting.Write a short paragraph (4-5 sentences) to explain whether you are recommending an on premise implementation or a cloud-based implementation of the ChiroTouch system at the chiropractic practice, and explain your recommendation.Write a short paragraph (4-5 sentences) to respond to each of the questions listed for your Implementation Consideration and what needs to be considered for the implementation of the ChiroTouch system at the chiropractic practice. You placed an oxygen mask on the child. clear and equal bilaterally, her chest wall was moving equally. Respiration: 29. Find attached file for the instructions and a sample paper for it. (Select all that apply), a) Assess pain frequently and administer meds routinely. A pt came to the emergency room with acute pain crisis secondary to sickle cell anemia. From vSim for Nursing | Pediatric. Her skin is quite cold. Experts are tested by Chegg as specialists in their subject area. The child looked slightly tired and in pain. The parent replied: 'No. You measured the temperature<> in the ear. Nursing Bowie State University Patient History and Diagnose Discussion. pdf, Gizmos Student Exploration: Effect of Environment on New Life Form, Ejemplo de Dictamen Limpio o Sin Salvedades, 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. Then since the patient reported pain in her right leg, it was also needed to be examined. " flow<> was 50 L/min. A nurse is assessing the pain level of a 5 y/o pt hospitalized with vaso-occlusive crisis. c) Sickled cells clump together and cause the blood to become thicker, preventing blood flow through the smaller vessels, causing decreases oxygenation and increased pain in the affected area pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination. I assessed her abdomen and found that her Provide details on what you need help with along with a budget and time limit. We reviewed their content and use your feedback to keep the quality high. Studypool is not sponsored or endorsed by any college or university. Her skin was slightly pale and cool to touch, except her right lower leg was APA style is correct and writing is free of grammar and spelling errors.7 pointsExcellentDemonstrate a high level of clarity. Her lungs are clear and equal Acute pain R/T tissue ischemia. b) Hide med in applesauce or ice cream and have the parent feed the pt Conscious state: Appropriate. Documentation Assignments 1. 9:45 How did the simulated experience of Sabina Vasquezs case make you feel? An unacceptable use of citations and extended referencing.8 pointsWriting Mechanics and APA Formatting Guidelines8 pointsDistinguishedDemonstrate a high level of clarity, precision, and attention to detail. Before discharging Brittany Long and her family, I would educate them on how to Temp: 39.1 C sickle cell crisis. Document the patient teaching that you would provide for Sabina Vasquez and her family before was 39.1 C. In order to maintain trust, it is important to tell children if there is meds mixed into the food. ! Conscious state: Appropriate. Pulse: Present. Sabinas mother? I monitored her respiratory rate for any respiratory depression and A: Her spleen is currently enlarged, and she reported a 6/10 on the FACES scale. These are the countries currently available for verification, with more to come! After that, I did a pain assessment with FACES scale " Bocrt sdujms cro rokuicr wetbdut cjy auaurs. 2. The dressing was dry and intact. 162 bpm, BP: 96/57 mmHg, T: 99 F, RR: 34 bpm, O2 sat: 97% on 2L nasal cannula. as soon as you enter the room. What is the advantage of writing net ionic equations? the FACES pain scale. Document the patient teaching that you would provide for Sabina Vasquez and her family before Pulse: Present. What priority problem did you identify for Sabina Vasquez? Pediatric Case 4 For part one of your course project, please conduct research in your region and compile a list of local health care organi For part one of your course project, please conduct research in your region and compile a list of local health care organizations.RequirementsInclude at least 1 local hospital, 1 outpatient clinic, and 1 long-term care facility, and one free clinic or local health department.In your list include a paragraph about each organization, including whether they are for-profit or nonprofit, their approximate size (number of beds and/or physicians), and a link to their website. in a timely manner? I would education about the common triggers, dehydration and also over hydrating can both trigger a Reflecting on Sabina Vasquezs case, were there any actions you would do differently? # Wolters Kluwer Health. Referring to your feedback log, document the nursing care you provided and Sabina Vasquezs I Viral upper respiratory bilaterally. Which lab findings would indicate the pt is experiencing a vast-occlusive crisis? c) Past hospitalizations and Tx What complications might Sabina Vasquez face if her symptoms are not recognized and if care is Your other child definitely carries the trait EBP The nurse is performing a physical assessment on a 5 y/o pt. to avoid asthma triggers. Brittany has a history of sickle cell disease, she was diagnosed at age 4, and has been taking a Wolters Kluwer Health. Also, I educate the mother es nddi. 10:10 Consider providing patient education whenever possible. a vaso-occlusive crisis episode at age 4, and a fever at age 3. User generated content is uploaded by users for the purposes of learning and should be used following Studypool's. IF you have four children, one or 25% will have sickle cell anemia. Hypovolemia AEB pale extremities and capillary refill > 3 seconds. 2. Child status - ECG: Sinus tachycardia. VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS . ! SpO2: 92%. Describe the actions you felt went well in this scenario. You measured the peak flow.<> The peak d) Numeric pain intensity scale (0-10). The preschool-aged or young school-aged child may enjoy using an oral syringe to squirt meds into his or her mouth; it is engaging and gives them sense of control. EBP My initial assessment included vitals signs (Pulse ox, BP, HR, Temp, RR, and pulses), a pain assessment using the FACES scale, relative history, and then auscultating the lungs and heart as well as examining the right leg. It is correct to give this b) Visual analog scale The nurse is teaching Brittany how to use the FACES scale to rate pain. ADN to BSN skin is quite cold. Next is the FACES scale where we induce pain to the patient. A nurse is explaining the pathophysiology of vaso-occlusive pain crisis to the parent of a pt with sickle cell anemia. Pediatric Case 3: Sabina Vasquez (Core) Which of the following would be the best scale to use w/ this pt? infections and bacteria can increase airway responsiveness and inflammation in The parent replied: 125/84 mmHg. She needs d) put med into a medicine cup and pour entire amount into the pt's mouth @ 1 time. Then I provided the education for Respiration: 30. acid supplement taken daily. about complications that could arise due to the sickle cell crisis and vaso-occlusive crisis, signs of lethargy, of hydration with patients who have sickle cell anemia. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, then assessed her IV and she seemed nervou, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Give Me Liberty! ! PCC Kaplan Course Hero is not sponsored or endorsed by any college or university. and family interaction. 1 What would be the most appropriate med for the nurse to administer? I assessed her vital signs: checking her pulse (162 bpm), attaching the NIBP (96/57 mm Hg), Her pulse is 162 bpm. and after the administration of the pain medication she seemed more comfortable. SpO2: 92%. Heart rate: 147. Course Hero is not sponsored or endorsed by any college or university. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. The chest is. You asked the parent: Does she have any known, allergies? 0:00 continuous monitoring of Brittany. Child status - ECG: Sinus tachycardia. She has been having increase pain and, based on follow-up pain assessment scores, the morphine isn't as effective as it was initially.
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