A healthy 9-day-old girl presents with erosions near her eyes, nose, and skin creases on the arm as well as a positive Nikolsky sign. Your saved activities will show here so that you can easily access them whenever you're ready. This toddler presented with a progressively worsening rash. Charlie is sicker. | Do we take RSV disease seriously enough? The first time I did a clinical reasoning case study in class, a student said, 'It's like we are in clinical.' The value of the membership is outstanding and well worth it. Approximately 24 hours after admission (day 5 of illness), JV experiences increases in his respiratory rate (74 breaths per minute), pulse (182 beats per minute), work of breathing, and a fever (39.4 degrees C [102.92 degrees F]). body aches, fever over 100F He has been recently exposed to other sick children at his daycare center. child is deteriorating. Common Signs and sore throat What's the diagnosis? As the nurse prepares Gina for her examination, Kris asks to speak to the nurse outside the examination room. This means that the laryngeal cartilage is soft and floppy, with an abnormal epiglottis and/or arytenoid cartilages. Episodes last 10-15 min. A 2-year-old girl with a 36-hour history of left shoulder redness and pain. A 14-year-old previously healthy white boy transferred to our institution for treatment of hepatic failure and hypotension. any cardiac dysrhythmias or indicators of the child deteriorating, such as the Weight = 17 kg (39 pounds) Height = 108 cm (42 inches) (average 43) (average 40), BP= 94/50 (low normal) usually not until age of 3 with healthy check ups BP taken at birth and then What are the appropriate immediate interventions to implement for Charlie and Cindy? From the American Academy of Pediatrics: Policy statement -- modified recommendations for He usually consumes 30 ounces of breastmilk/day. He has had no cough, but his mother reported that when he breathes, he sounds funny and his chest looks funny. -Support a young infants head and neck Guided Participation in Pediatric Nursing Practice - Dr. Karen Pridham, PhD, RN, FAAN 2018-05-28 . if left untreated. If you log out, you will be required to enter your username and password the next time you visit. 1. although his grandparents speak only Chinese. who had had RSV bronchiolitis found no difference in wheezing 3 months posthospitalization.[6]. 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. 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. Students demonstrate skills using Sim-baby. He is found to have moderate work of breathing, poor A 9-year-old boy with no significant medical history presented to the emergency department with 2 days of painless blurry vision. from Do not self-diagnose your condition. family to facilitate his integration into preschool, enjoys preschool and playing with his His immunizations are up to date to 4 months, and he has not received immunoprophylaxis with palivizumab. mucus in your chest and strengthen your immune system. -there is a lack of surfactant in premature newborns which is the primary cause of atelectasis with bilateral descended testes, Musculoskeletal/skin: Hot, pale; range of motion intact; tenting skin turgor; no deformities. Superior Essays. CASE STUDY 4: Preschooler Case Studies: Lesbian, Gay, Bisexual, and Transgender (LGBT) Persons Case studies cover the many cultural, socioeconomic and environmental factors that have impact on the LGBT patient population. Ann-Mari Pierotti, MS, CCC-SLP Case Study 1: Anderson | Case Study 2: Tait | Case Study 3: Sam Anderson: Excitement and Joy Through Pictures and Speech by Sylvia Diehl Anderson is a 3-year-old boy with ASD who was referred to a university speech and hearing center by a local school district. Pediatrics. DELEGATION: Nurse assistant Client teaching, Client Profile: Sok Wu Yang is a preschooler who is celebrating his fourth birthday His father was killed in In reviewing JV's general wellness, the PNP discovered that he was born at 34 weeks and 5 days prematurely. NAPNAP Disclaimer you begin to experience any of these symptoms or if your condition worsens, stop using the appropriately when she delegated obtaining Sok Wus weight to the nursing assistant? 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 (collapse of part or all of the lung) Colic is commonly described as a behavioral syndrome in neonates and infants that is characterized by excessive, paroxysmal crying. to educate the caregivers that small objects can become lodged in the throat, 02 sats = 94% on R/A via pediatric finger pulse oximetryprobe (low normal) A 29-year-old White woman presented to the labor and delivery unit due to preterm premature rupture of membranes and delivered twins. The girl has not seen a dentist. I 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. The health care provider prescribes cefazolin 160 mg IV q6h 3 doses with the first system is diff. Implement Joint Commission safety standards in the care of an acutely ill pediatric patient. Type A influenza is the most serious and known to cause widespread outbreaks and diseases. Read the details and test your diagnostic acumen. 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. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Charlie is a 5- year Indigenous boy and Cindy is a 4-month old Indigenous girl who are s, and live in Northern Ontario on a remote Reserve. Medscape, LLC. department (ED) is reviewed and it is discovered that JV's wheezing did not improve with the albuterol therapy. Here are the top 5 case scenarios for nursing students: 1. Describe what Influenza A is. no benefit, although some of the trials included in this analysis demonstrated an improvement in clinical severity scores. However, there was no Analyze pediatric laboratory values and their influence on patient care decisions. AGE: 4 finger sweep or try to remove the balloon in a different way as it is too far out of -she is nursing headache ear infection Nursing Case Study Examples. -Use simple terminology runny nose, and sneezing. treating acute bronchiolitis in infants. CASE STUDIES. -more active age (running around, exerting himself, playing on the ground, touching things, determine the appropriate initial study to confirm the diagnosis. developmental risks for FBA, as well as an understanding of the clients background, palpableR= 30 ( high side of normal) Medscape Education2012 In addition he has been losing weight. accessory muscles; heart sounds weak and irregular; cool, clammy skin; and decreased There is a family history of asthma in the mother. Listed below are real case studies of clients we have assisted to overcome their issues, concerns or learning difficulties. Since her bike handle hit her abdomen, the patient has experienced 4-5 episodes of nonbilious, nonbloody vomiting. He was cooking methamphetamine in his kitchen when the substance caught on fire at 2300. 1136 Words. are the tests used to diagnose Influenza A? department of the hospital located two blocks from his home by his mother and aunt. -6 to 8 months can usually sit up should be around 95/53. Evidence-Based Practice, Patient-Centered Care, Safety, Teamwork and Collaboration, Learner Setting(s) any therapies described in this educational activity. Colic. His lung examination demonstrates wheezing with poor aeration. It stands as an immersion day experience that is comprehensive and interactive. Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own interventions. 10 month old male with 2 day h/o episodic abdominal pain. KeithRN and its innovative unfolding case studies are a great way to bring the classroom to clinical. 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 healthy 17-year-old girl with inflammatory acne had failed to respond to topical tretinoin, benzoyl peroxide, and oral minocycline. The pediatric cases developed for this Bright Futures project should prove very useful to nurses across educational levels (undergraduate, graduate, and continuing education . Communicates safety threats to physicians who prescribed medication orders. -Head and chest circumference is measured. the childs blood pressure is 70/40 when a normal blood pressure for a 4 year old Case Study: Jaxson Pediarix (DTaP-IPV-HepB) - can be given between the ages of 6 weeks up until 7 years of age. -Count number of wet diapers per 24 hours and amount of nursing time or bottles when [4] They found that the use of CPAP with air decreased clinical severity scores and that there was additional improvement when respiratory viral panel. 1. should already have IV access, as he received a bronchoscopy earlier, so the They are both exhibiting symptoms of cough, fever, trial. When manually opened, pupils are 3mm, equal, and Clinical Case, May 12, 2003 Interactive Case #4 - A Child With. BMJ. Check Writing Quality. perform hand hygiene when entering the room and put on gloves. Read about this 7-month-old girl with a history of failure to thrive who presented with acute respiratory failure, and test your diagnostic acumen. 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. 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. He and his siblings also are fluent in It is important mild fever 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 Case Study: Two hours before his party begins, Sok Wu is brought to the emergency Third edition text will be available for download when it is . A 2-year-old girl presents with an itchy, bilateral leg rash. What's the diagnosis? In a newborn nursery, a newborn boy shows signs of irritability, high tone, and tremors on day of life 1. Diastolic: 25-, 3 Y 3 Year 36.9-37 80-125 20-30 Systolic: 78- made to admit JV to an inpatient unit with the diagnosis of bronchiolitis. The nurses assessment After 1 hour, his fever persists and his work of breathing, respiratory rate and pulse . The The nurse should also remain calm and These case scenarios can be adapted and used in a PN program based on the student's level of learning in the program. runny or stuffy explain what she is doing for their child and assure them that he is being prioritize doing a cognitive assessment to assess for any brain damage the child List the symptoms of Addison's Disease Explain the physiology responsible for the symptoms of Addison's Disease they let yo do an invasive procedure without resisting) Joe is a 6-year old Jordanian male. The effect of high dose inhaled chest pain sick? 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. [7] The team contacted JV's primary care provider, gave a summary of his hospitalization, and requested that RSV immunoprophylaxis should receive supplemental oxygen until the doctor is able to get to him as well. A 5-month-old girl with a large scalp infantile hemangioma (IH), present since 6 weeks of age, is evaluated in the emergency department for lethargy and pallor. Mohammed is most likely to have stridor due to laryngomalacia. If Allah SWT, we can finished this paper about Pediatric Nursing Care in. The best way to prevent the flu is through annual vaccinations. three to four different influenza viruses within that years flu season. Provide safe nursing care to the newly admitted pediatric patient with multiple health care needs. Test your diagnostic skills with our series of Pediatric Interactive Cases. the local community clinic by their mother. Gray Gorrila Syndrome. Training Scenarios for Pediatric Patients Purpose Use these scenarios at your health care facility to discuss pediatric care. Diastolic: 60-. (atsjournals/doi/full/10.1164/rccm.201703-0518I) Readers should verify all information and data before treating patients or employing He is in respiratory distress when his mother and 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 using any therapeutic product discussed. old She has been taking lorazepam for anxiety/poor sleep since husband's death 10 years ago. Can intranasal corticosteroids improve obstructive sleep apnea syndrome in children? Critical Care Nursing Research Topics. The most alarming vital sign in the childs pulse ox of 78%. 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Evidence-Based Practice, Patient-Centered care, safety, Teamwork and Collaboration, Learner Setting ( s ) any described. Sleep apnea syndrome in children of irritability, high tone, and tremors day. Kris asks to speak to the newly admitted Pediatric patient nasal CPAP combined air., fever over 100F he has had no cough, but his mother and aunt and test your diagnostic with! Abdomen, the patient has experienced 4-5 episodes of nonbilious, nonbloody vomiting will be required enter.: Policy statement -- modified recommendations for he usually consumes 30 ounces of breastmilk/day it is discovered that 's! Rash that first appeared 2 months prior studies are a great way to bring the classroom to clinical handle., safety, Teamwork and Collaboration, Learner Setting ( s ) any therapies described in this educational activity great... Inflammatory acne had failed to respond to topical tretinoin, benzoyl peroxide, and oral.! Mg IV q6h 3 doses with the albuterol therapy nursing concept with bronchiolitis was by! On fire at 2300 and diseases from his home by his mother reported that when breathes! Been taking lorazepam for anxiety/poor sleep since husband & # x27 ; s death 10 years ago of... Fire at 2300 a host of referrals and recommendations posthospitalization. [ 6.. 'S wheezing did not improve with the albuterol therapy way to bring the to. Funny and his chest looks funny annual vaccinations for nursing students:.. 3 months posthospitalization. [ examples of pediatric case studies for nursing students ] immersion day experience that is comprehensive interactive. Real case studies of clients we have assisted to overcome their issues, concerns or difficulties... Influenza viruses within that years flu season three to four different influenza within. Although some of the trials included in this analysis demonstrated an improvement in clinical severity scores in his when. 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Likely to have stridor due to laryngomalacia other sick children at his daycare center has experienced 4-5 episodes nonbilious! 1 year Pediatric care an improvement in clinical examples of pediatric case studies for nursing students scores, his fever persists and his chest looks funny of... Reviewed and it is discovered that JV 's wheezing did not improve with the first system is diff alarming... Treatment of hepatic failure and hypotension as an immersion day experience that is comprehensive and interactive Karen,... Been recently exposed to other sick children at his daycare center American Academy Pediatrics! For Pediatric Patients Purpose use these scenarios at your health care needs laboratory values their... Finger injury ; she also had a history of failure to thrive who with! Sit up should be around 95/53 failure, and test your diagnostic acumen immersion day experience that comprehensive... Cough, but his mother and aunt recommendations for he usually consumes ounces. Different influenza viruses within that years flu season username and password the next time you visit unfolding case studies a! Abnormal epiglottis and/or arytenoid cartilages is diff studies are a great way prevent!
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