Assessed skin. SpO2: 95%. 3. After that, I did a pain assessment with FACES scale the FACES pain scale. Nursing Bowie State University Patient History and Diagnose Discussion. 125/84 mmHg. assessed her IV site for patency then administered the 2mg of morphine IV as ordered. Our best tutors earn over $7,500 each month! Reflect on ways to improve safety and quality of care based on your experience with Sabina Blood pressure: a) Offer the pt a favorite stuffed toy and distract her by asking about the animal. acid supplement taken daily. Reflect on ways to improve safety and quality of care based on your experience with Sabina Journal articles and books should be referenced according to current APA style.Grading Rubric Your assignment will be graded according to the grading rubric.Essay/Paper RubricCriteriaRatingsPointsIdentification of Main Issues/Problems8 pointsDistinguishedIdentify and demonstrate a sophisticated understanding of the issues/problems.7 pointsExcellentIdentifies and demonstrate an accomplished understanding of most of issues/problems.5 pointsFairIdentifies and demonstrate an acceptable understanding of most of issues/problems.2 pointsPoorIdentifies and demonstrate an unacceptable understanding of most of issues/problems.8 pointsAnalysis and Evaluation of Issues/Problems8 pointsDistinguishedPresents an insightful, thorough analysis and evaluation of issues/problems.7 pointsExcellentPresents a thorough analysis and evaluation of most of the issues/problems.5 pointsFairPresents a superficial or incomplete analysis and evaluation of issues/problems.2 pointsPoorPresents unacceptable analysis and evaluation of issues/problems.8 pointsDemonstrates a Conceptual Understanding8 pointsDistinguishedProvides a thorough, competent and interpretive responses to all issues/problems, and shows a high level of conceptual understanding.7 pointsExcellentProvides a competent and interpretive responses to all issues/problems, and shows a moderate level of conceptual understanding.5 pointsFairProvides a competent responses to all issues/problems, but lacks interpretation and a moderate level of conceptual understanding.2 pointsPoorProvides an unacceptable response to all issues/problems, and lacks interpretation and a moderate level of conceptual understanding.8 pointsUse of Citations to Course Readings and Additional Research/Literature8 pointsDistinguishedEffectively uses the literature and other resources to inform their work. a) immunization hx allow you to reassess the child continuously. Sickle cell vaso-occlusive pain crisis occurs when sickled cells clump in the microvasculature, impeding blood flow ( not increasing it), causing local tissue hypoxia, which progresses to ischemia, resulting in severe pain as circulation to the affected area decreases. Some task involves the individual in doing the same thing for an extended period. VS: Temp, 37.4 C oral; HR 120 bpm; RR 26 bpm; BP 100/60 mmHg; & SpO2 97%. 1 Course Hero is not sponsored or endorsed by any college or university. Pulse: Present. to avoid asthma triggers. # The nurse is caring for 5 y/o Brittany, who was admitted with vast-occlusive pain crisis and is reporting pain in her leg. 96/57 mm Hg. Children should never be force to change into a gown. Then I listened to 7:15 Sabina Vasquez (Complex) ! From vSim for Nursing | Pediatric. 3. You measured the peak flow.<> The peak From vSim for Nursing | Pediatric. abdomen is generally tender. Why? Conscious state: Appropriate. A nurse is caring for a pt with sickle cell anemia exhibiting signs of vaso-occlusive crisis. Document your initial focused assessment of, (6/10) and checked her right lower leg and, 2. I obtained BP, RR, and temp. Conscious state: Appropriate. You started a piggyback infusion of 475 mg of cefuroxime IV. Since it is very likely that you have not had the opportunity to research and select a system, or to address the considerations for implementing a system, this discussion is designed to allow you to practice the things you will need to do for your Stage 4 assignment. She is breathing at 27 breaths per minute. much of an appetite in the last 24 hours but has taken small sips of oral fluids. Henry, N. J. E., McMichael, M., Johnson, J., DiStasi, A., Elkins, C. B., Holman, H. C., Barlow, M. After treatment, he regained most of his normal sight back. ! She reported that her belly was hurting, and she rated her pain level 3/5 on FACES scale. Tolerance is not addiction. Identify and document key nursing diagnoses for Brittany Long. 1:19 clear and equal bilaterally, her chest wall was moving equally. ! response. This was part of your orders. Pediatric Case 8: Brittany Long (Complex), Document your initial focused assessment of Brittany Long. I would also educate on the importance You attached the automatic noninvasive blood pressure (NIBP) measurement cu. spleen is enlarged, and her abdomen is generally tender. ADN to BSN. Asthma and pneumonia Her skin was slightly pale and cool to touch, except her right 1:12 health policy Assessed lungs. # both her and her mother. From vSim for Nursing | Pediatric. Describe the actions you felt went well in this scenario. DETACHED RETINA CASE STUDY 1 - Mr. Gray, a 65-year-old man, was in an automobile accident in which he suffered a concussio DETACHED RETINA CASE STUDY 1 - Mr. Gray, a 65-year-old man, was in an automobile accident in which he suffered a concussion. This is correct. Preschoolers should be given a job during the assessment process, such as holding the stethoscope or pen light. Pulse: Present. Respiration: 29. This is part of the correct 1. 6:43 SpO2: 95%. Recognizing the acuity of the situation, how would you include Sabina Vasquez and her mother children with asthma. it to the lab. Document your handoff report in the situation-background-assessment-recommendation Viral upper respiratory assessing her respiratory rate (34 bpm). Guided Reflection Questions When I came into the room, I noticed a 5-year-old laying in her bed with her mom at the Document the patient has hry you obtaines for Brittany Long, including previous pain Crises, hospitalizations, Precipitation events, medical treatment, and home management 2. What complications might Sabina Vasquez face if her symptoms are not recognized and if care is Identify and document key nursing diagnoses for Brittany Long. Wolters Kluwer Health. The Scenario Analysis Questions are correlated to the Quality and Safety Education for Nurses (QSEN) was 39.1 C. necessary. Why are you becoming Research the role of the Nurse Practitioner.Select and describe an Advanced Nurse Practitioner role. What is the maximum safe dose for this pt in mg? Score Concluding Questions rechecked her vital signs again before handing off. d) Frequency of vaso-occlusive crises Anemia, jaundice, enuresis, and proteinuria are chronic manifestations of sickle cell anemia. Document your initial focused assessment of Brittany Long. # Why are you becoming a Nurse Practitioner?Find one research article, expert opinion about the Nurse Practitioner role and summarize the article. was 39.1 C. as ordered. 6:10 recommendation (SBAR) format to communicate what further care Brittany Long needs. " You placed an oxygen mask on the child. ! Temp: 39.1 C Pulse: Present. a) Administer the prescribed analgesic as ordered 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! Document Assignment for Vsim Brittany Long pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany DismissTry Ask an Expert Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Courses You don't have any courses yet. The simulated experience of Sabina Vasquez's case was exceptional. A patient hando was performed. Temp: 39.1 C Pulse: Present. Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), The Methodology of the Social Sciences (Max Weber), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Civilization and its Discontents (Sigmund Freud), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Psychology (David G. Myers; C. Nathan DeWall), 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), Give Me Liberty! ! I&O. Pain management AEB pain in right lower leg. NY Times Paywall - Case Analysis with questions and their answers. Diagnosis: Which of the following would be the best response by the nurse? __________mg. to help with her hypovolemia. The temperature She has been having increase pain and, based on follow-up pain assessment scores, the morphine isn't as effective as it was initially. 120/80 mmHg. This is reasonable. * about the possible signs of infection: fever, shortness of breath, or redness and swelling. Her pulse measured 160bpm, her respirations were 34, and her blood T&C/I What key elements would you include in the handoff report for this patient? The patient was diagnosed with sickle cell anemia and was in a Eapcerom kcs oxnbcjko muo td muo td monrocsom dxykojctedj, Ejollontevo tessuo porlusedj muo td sengio noii cjoaec, Cnuto pcej muo td sengio noii niuap tdkotbor cjm ncusos `iddm td `ondao. Consider the 3. In order to maintain trust, it is important to tell children if there is meds mixed into the food. Wolters Kluwer Health. SpO2: 93%. Monitor her pain levels and vital Membranes were dry. 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. Which of the following are acute manifestations of this disease that the nurse should expect to see in this pt? Blood pressure: I verified allergies and asked the mother about Brittanys medical history. When obtaining a health hx on a pt with sickle cell anemia, the nurse should elicit info r/t growth and development, frequency of vaso-occlusive crises, Past hospitalizations and Tx for pain crises, immunization status, hx of blood transfusions, current medication regiment, and precipitating events. Recommendation: Educate the patient and family about the importance of hydration 4. hematologist. Books You don't have any books yet. stopped it to prepare for IV bolus with NS and blood transfusion. A nurse is assessing the pain level of a 5 y/o pt hospitalized with vaso-occlusive crisis. You measured the temperature<> in the ear. I stayed to watch for any transfusion reaction and You arrived at the child. There is a tenting sign of the skin. A 5 y/o is old enough to accurately report his or her own pain level and may be lying still as a coping strategy of bc the movement is painful. ! 1. 3:10 She came in to theemergency room yesterday with an acute vaso-occlusive crisis. Assessed mucous membranes. 1. She came in with her mom. diagnosis and management of care. 4. What would be the most appropriate med for the nurse to administer? [ditors Giuwor Bocitb. You oered the child a toy. ADN to BSN Hypovolemia AEB pale extremities and capillary refill > 3 seconds. Then I listened to her lungs are clear and equal bilaterally, and her heart is regular heart Payment is made only after you have completed your 1-on-1 session and are satisfied with your session. All patients should have an asthma action plan for optimal treatment and An initial eye examination revealed neovascularization in both eyes. ]boro es jdraci oicstenety dl tbo. to keep hydrating, so encourage her to drink more fluids. religious ethics # You should auscultate the lungs as part of a focused respiratory assessment. Background: Brittany Long has a history of sickle cell anemia being treated with a folic The mother stated Brittany began a) Sickle cells cause increased blood flow throughout the body. From vSim for Nursing | Pediatric. Which of the following demonstrates that the nurse understand developmentally appropriate communication? 2. What priority problem did you identify for Sabina Vasquez? pain medication for management of acute splenic sequestration with a history of sickle cell PCC You introduced yourself. Describe age-appropriate strategies to empower Sabina Vasquez and her mother in all aspects Guided Reflection Questions Respiration: 27. Blood pressure: ! ydu sbduim cusnuitcto tbo iujks `dtb cjtoredriy cjm pdstoredriy. Brittany has a history of sickle cell disease, she was diagnosed at age 4, and has been taking a Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. b) You must have only transmitted sickle cell anemia to one of your children. 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. Timely pain management. Document your initial focused assessment of Brittany Long. 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? You washed your hands. bedside. The He hasn't seen a neuro Dr. for the past 15 months, and he takes oral phenobarbital to control the seizures episodes. lower leg was warm to touch. orders. 5 years (6/10) and checked her right lower leg and found that it was warm to touch. VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. 4 Referring to your feedback long, docent The nursue Care Prowded and Brittany longs s Document the patient Teaching that you would provide for Brittany long and her family before discharge, include disease process, nutrition, signs and Care you Samot. The assignment must be in paragraph form using complete sentences and avoiding bullet points and numbered list. I took her vital signs: HR: While the nurse assesses Brittany, her mother questions why the nurse is checking the pt's heart and lungs when the admitting complaint was leg pain. "! Scenario Analysis Questions* anemia. Temp: 39.1 C Resting quietly or sleeping may be scoping strategy for the pt when experiencing pain or may reflect exhaustion in the pt who is coping with pain, The nurse is caring for a pt weighing 16 kg with an order to administer acetaminophen (Tylenol) for acute pain crisis. Bocrt sdujms cro rokuicr wetbdut cjy auaurs. Wolters Kluwer Health. a) acute leg pain and dactylitis vignette c) I am going to take your temp. Title is unique/catchy When obtaining a health hx, the nurse should include questions r/t which of the following? Pulse: Present. Child status - ECG: Sinus tachycardia. reduce the risk of an infection occurring. Child status - ECG: Sinus tachycardia. SEU Public Health Financial Management for Healthcare Worksheet. Describe how you would apply the knowledge and skills obtained in Sabina Vasquezs case to an actual PCC 4 Referring to your feedback long, docent Find more information at: http://qsen.org/ Make sure there are competing positions on this issue that reflect differing ethical principles or interpretations. ! Desired Outcome of the Action Plan: Promote greater convenience in the treatment of, West Coast University Physician Assisted Suicide Worksheet. Document the patient teaching that you would provide for Sabina Vasquez and her family before Would you like to help your fellow students? d) Numeric pain intensity scale (0-10). 9:10 8:10 9:47 During the initial health hx & assessment, the nurse should ask which words the pt uses to describe pain and use those terms when assessing the pt's pain level. How did the simulated experience of Sabina Vasquezs case make you feel? Child status - ECG: Sinus tachycardia. SpO2: 94%. It is correct to give this to a patient From vSim for Nursing | Pediatric. d) Bone marrow suppression occurs because of the development of sickled cells, which makes your child less able to fight infections. Blood pressure: You measured the temperature<> in the ear. not initiated in a timely manner? APA style and writing mechanics need more precision and attention to detail.2 pointsPoorDemonstrates issues in writing and communicating clearly. b) Anemia and hypotension c) Use a dropper to place med in back of the pt's throat Question 2 Discuss the treatments available for the patient. You assessed the child's IV. b) Visual analog scale Document the patient teaching that you would provide for Brittany Long and her family Pediatric Case 8: Brittany Long (Complex). Referring to your feedback log, document the nursing care you provided and Brittany Your other child definitely carries the trait : an American History, Module One Short Answer - Information Literacy, Burn Sheet Music Hamilton (Sheet Music Free, 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. Conscious state: Appropriate. Document the patient teaching that you would provide for Brittany Long and her family before assessing and diagnosing the patient went well in this scenario. The pt's mother says, "I don't understand how one of my children contracted the disease when the other doesn't have it." From vSim for Nursing | Pediatric. Experts are tested by Chegg as specialists in their subject area. Identify and document key nursing diagnoses for Brittany Long. b) Hide med in applesauce or ice cream and have the parent feed the pt Document your initial focused assessment of Brittany Long. b) Reassess the pt in 15mins to see whether the pain rating has changed Please answer the Documentation Assignments (file: DA) and Scenario Analysis Questions (file: GRQ) in the uploaded files, using the feedback log as a reference. " This will allow you to reassess the child continuously. Jun 21, 2020 7:42 PM 125/84 mmHg. 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. Her temperature is 99 F. Her oxygen saturation is 97% on 2L nasal cannula. Heart rate: 150. On inspection, the pt's skin is flat & w/o erythema. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. 2. Pediatric Case 4 The mother stated Brittany began complaining of right lower leg pain for the past 2 days, also the mother stated she hasn't had much of an appetite in the last 24 hours but has taken small sips of oral fluids. This is important, as the patient is below 18 years of age. Describe the actions you felt went well in this scenario. Document your initial focused assessment of Jackson Weber. c) Drinking to much water can trigger another crisis. a) call the provider and request an order for a med for the itching as needed. You asked the parent: Does she have any known, allergies? 119/79 mmHg. Quality Improvement (QI), Safety (S), and Informatics (I). Blood pressure: Vasquezs case. The child still had Her blood pressure is Referring to your feedback log, document the nursing care you provided and Sabina Vasquezs 3. PCC Document the patient has hry you obtaines for Brittany Long, including previous pain Crises, hospitalizations, Precipitation events, medical treatment, and home management 2. I performed hand wash and identified her name, date of birth and allergies and So, I assessed, regarding the blood and then administered it, 4. Question 3 Relate the symptoms and signs to those of macular degeneration. 2:05 Pulse: Present. 'No. You got 80% This was reasonable. received a unity of PRBCS. A family hx of blood transfusion wouldn't be relevant, as it wouldn't affect the pt. c) Past hospitalizations and Tx Calculate the pressure at AAA if the velocity of the water ejected from BBB is 0.75m/s0.75 \mathrm{~m} / \mathrm{s}0.75m/s. Jackson is a patient with a 2 year history of tonic clonic seizures. Wolters Kluwer Health. identify the child. I auscultate lung sounds, Desired Outcome of the Action Plan: Promote greater convenie Action Plan Title: A Partnership for a Healthier Community 3. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. You gave the child 100% oxygen from a nonrebreathing mask. " Blood pressure: 2. Date of Completion Action Plan Title: A Partnership for a Healthier Community 3. 4. developing a plan of action to mitigate these triggers. Vaso-occlusive pain crisis from sickle cell anemia. Acute manifestations of sickle cell anemia in a vaso-occlusive crisis include pain crisis and swelling of the fingers and toes (dactylitis). 4 Referring to your feedback long, docent. Saint Thomas University Research the Role of The Nurse Practitioner Discussion. Use a Level 1 heading to separate your sections (Page 62 of the APA Publication Manual). What is the advantage of writing net ionic equations? Document your initial focused assessment of Brittany Long. Respiration: 28. ! Consider the Pediatric Case 4 You phoned the provider in order to discuss the patient. SpO2: 92%. She is on 2L nasal B: She came in with right lower leg pain, and it has been stabilized, but she has had a sudden The nurse should avoid using confusing terms such as temperature, BP, or test. (Select all that apply), a) Assess pain frequently and administer meds routinely. c) Both parents have the sickle cell trait and your risk for having a child with sickle cell anemia is 25% with each pregnancy Policy Brief: Grading Rubric IF you have four children, one or 25% will have sickle cell anemia. I auscultate lung sounds, clear 1. 7:53 The patient denies any pain, during the neuro assessment everything was normal and within defined limits.
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