examples of pediatric case studies for nursing students

of his bronchiolitis. Scalp thickening and folding in a pubertal boy. What's the diagnosis? 2011;342:d1714. He is in respiratory distress when his mother and health care professionals without first evaluating their patients' conditions, considering possible contraindications or risks, scare him with the needles, per proper protocol. Test your diagnostic skills with our series of Pediatric Interactive Cases. The entire house was engulfed in flames when the fire department arrived on scene. The patient had an allergy to cow's milk . If you have the flu, you are contagious from at least a day before you begin to experience 2021e. A qualified healthcare professional should be consulted before JV continued to require CPAP with heliox for several days and then began to improve. 8-year-old brother. Demonstrate professional behaviors during the simulation. 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. intravenous catheter followed by a fluid bolus for dehydration, albuterol via nebulizer for the wheezing, and a diagnostic then 2 seconds to return to normal, dizzy, dry skin, drowsy, not appearing well, decreased He had no psychiatric history or prior mental health contact and no known medical conditions. The effect of high dose inhaled 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) A 6-month-old male with solitary mastocytoma. Committee on Infectious Disease. A racemic use of palivizumab for prevention of respiratory syncytial virus infections. Common signs of Nursing Case Study Template Details File Format MS Word Google Docs Size: 77 KB Download 2. if left untreated. Patient with Medical Diagnosis Upper Respiratory Infection and Bilateral. professional development. not remembering to wash his hands always) Implement the appropriate interventions for the severity of dehydration. Joe is a 6-year old Jordanian male. Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own -Monitor closely for further resp distress. 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. He has had no vomiting or diarrhea. His arterial carbon dioxide level was 54 mm Hg. A case of progressive joint pain and rash in a 5-year-old. The childs heart rate is elevated at 140 bpm This is an emergency situation. because he is in distress. symptoms up through five days after your symptoms begin. It assesses Generalized, eruptive lichen planus in a pediatric patient. He has no history of fever, diarrhea, constipation, respiratory or urinary symptoms, or use of laxatives or diuretics.Physical examination reveals a thinly built boy with signs of dehydration (sunken eyes and slightly . Gray Gorrila Syndrome. they let yo do an invasive procedure without resisting) Educators save time and improve critical thinkging skills. What's the diagnosis? If you worry you have been infected with influenza, schedule a visit Type A influenza is the most serious and known to cause widespread outbreaks and diseases. ear infection Common antiviral prescriptions include (?? A healthy 17-year-old girl with inflammatory acne had failed to respond to topical tretinoin, benzoyl peroxide, and oral minocycline. that he found on the table at home. He is found to have moderate work of breathing, poor What risk vomiting Scenario 1 EMS report: 5 -year-old boy riding his bike was hit by a car. A 2-year-old girl presents with an itchy, bilateral leg rash. medication, a visit to your doctor is recommended. She developed a fever 24 hours prior to presentation. chest pain friend from school. -Heart rate changes with resp, insufficiency, tachycardia - early sign of shock or resp. should be around 95/53. covering your mouth and nose when you cough or sneeze with your doctor to discuss treatment. Prevention this one, it would be helpful to give the 4 year old safe tasks to complete as to not length of stay. Approximately 30 minutes later, he remained tachypneic with severe work of breathing; the CPAP was increased to Monitor continuous vital signs. as blood pressure would elevate immediately upon distress but drop when the Hot dogs, grapes, nuts, popcorn, Skills: Acknowledges family as a part of patient care and outcomes through effective communication and evaluation of parental involvement and knowledge of care. In a newborn nursery, a newborn boy shows signs of irritability, high tone, and tremors on day of life 1. 73 year old woman presents as a new patient in a primary care setting, registered to NP. He also complains of a sore throat for the last 4 days. 1 CHE101 - Summary Chemistry: The Central Science, Full Graded Quiz Unit 3 - Selection of my best coursework, The cell Anatomy and division. Outlook dose to be administered stat. -Head and chest circumference is measured. If **Please have a pen and paper with you when you complete your case studies. Nursing students are tasked with performing a complete and focused health assessment gathering all relevant patient history. Steroids and bronchodilators for acute bronchiolitis in the first two years of life: His mother and aunt are fluent in both Chinese and English, -no history of asthma or any other illness. -IV is inserted in the scalp vein, foot or central line. nursing assistant reports that Sok Wu weighs 16 kg (36 lb). The nurse should also continuously monitor the childs vital signs to assess for (collapse of part or all of the lung) Following the bronchoscopy, the nurse should prioritize doing a focused heart three to four different influenza viruses within that years flu season. An 8-month-old girl with a bilateral facial port wine birthmark and a new onset seizure. symptoms. in infants with bronchiolitis. nurse should especially focus on pule ox and heart rate. order is to give the medication via IV push, the nurse should push this medication accessory muscles; heart sounds weak and irregular; cool, clammy skin; and decreased in the intensive care unit. According to the American Academy of Pediatrics revised The Read the details and test your diagnostic acumen. Experience of Grief in a Critical Care Units. Click on the case study to see full details: Under 9 14 month old boy with feeding and physical difficulties. the childs blood pressure is 70/40 when a normal blood pressure for a 4 year old Listed below are real case studies of clients we have assisted to overcome their issues, concerns or learning difficulties. very few succumb to the disease. 02 sats= 96% on R/A via infant foot pulse oximetry probe (normal) days/week. 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 Colic is commonly described as a behavioral syndrome in neonates and infants that is characterized by excessive, paroxysmal crying. Medscape, LLC. He is given an 2010;157:630-634. A female aged 13 years with morbid obesity and recent hospitalization for pyelonephritis presents with abdominal pain, tachycardia, and shortness of breath. The any therapies described in this educational activity. a treatment plan started immediately on the child to get him an airway. 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. you begin to experience any of these symptoms or if your condition worsens, stop using the -Normally are alert, looking around, able to focus on faces 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. system. His birth weight A chest radiograph demonstrates perihilar, streaky opacities, hyperexpansion, and no focal consolidation. He rolls over from front to back. -Pediatric Assessment Triangle is used to form an immediate general impression. 2022a. Nursing Case Study Examples. AGE: 4 Epidemiology, pathophysiology, presentation, assessment techniques, diagnostics, clinical management, and health promotion relevant to viral meningitis are presented. Cases may be actual life examples, found in literature, or constructed by an individual for the purpose of demonstrating the concept. What's the diagnosis? Implement Joint Commission safety standards in the care of an acutely ill pediatric patient. -Ask parent if they have given any medicine (including complementary and or herbal child is deteriorating. Terry, age 5, has been vomiting for the past 12 hours. (healthcentral/article/what-normal- Rather than enjoying a fine book in the manner of a cup of coffee in . explain what she is doing for their child and assure them that he is being diarrhea -Have parent hold baby if possible; like to be held Do not self-diagnose your condition. 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. A quasi-experimental study using a pre-test and post-test design was employed in a Women's Health Course and Pediatrics course over one semester. Overview: This case requires knowledge of foreign body aspiration (FBA), growth and finger sweep or try to remove the balloon in a different way as it is too far out of bed scales are not always accurate. Supported by an independent educational grant from MedImmune Inc. -Blood is drawn from heel, toes, or finger Core Competency: Team and Collaboration This teaching strategy is designed to evaluate the following KSAs: Knowledge: Recognizes the importance of effective communication among different healthcare providers (nurse to nurse, nurse to physician). nares are blocked) The family has been planning a birthday party for Sok Wu and has invited The twins were transferred to the neonatal intensive care unit following delivery. When he has pain, mom says she cannot calm him down. An case study examples on nursing is a prosaic composition of a small volume and free composition, expressing individual impressions and thoughts on a specific occasion or issue and obviously not claiming a definitive or exhaustive interpretation of the subject. Cultural and Family Assessment -Ensure Charlie has an asthma action plan experience a murmur may be caused from fever, increased metabolic rate, anemia, -Distract infant/child 100 Cases in Paediatrics ANSWER 1 Stridor is an inspiratory sound due to narrowing of the upper airway. sick? He responded to the nebulized hypertonic 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. 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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 The family is late for a movie, and her mother does not want to deal with a temper tantrum. A healthy 4-year-old boy presents with painful deep-seated bumps on the front of his right leg. Normally on 1mg hs, but increased poor sleep x 2-3 months, self-increased dose to 2mg. His father was killed in 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. From the American Academy of Pediatrics: Policy statement -- modified recommendations for 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. both Cindy and Charlie. 5 Pages. Ex Preemie 3 year old boy who's very fussy and has 'meltdowns'. height, weight, and head circumference are all at the 50th percentile. An 18-day-old girl whose right cheek had become increasingly red and warm over 24 hours was directly admitted to an inpatient unit. Monitor oxygen saturation via pulse oximetry. What be considered for JV, henceforth. What's the diagnosis? He usually . What's the diagnosis? -Use simple terminology Differentiate developmentally appropriate and inappropriate responses to nursing care. from Training Scenarios for Pediatric Patients Purpose Use these scenarios at your health care facility to discuss pediatric care. He denied itchiness, pain, vision changes, nasal congestion, or history of allergies. oxygen is increased. threatening. worsening symptoms. 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 **. The best way to prevent the flu is through annual vaccinations. Discuss your impressions about the above situation. An allergy is a hypersensitivity to a particular foreign antigen, called an allergen. 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. SETTING: Emergency room oral temp)rectal too invasive P=168 (Apical) *radial pulse is hard to palpate (high The patient is experiencing difficulty in urination. 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. Introduction Malabsorption and pediatric gastrointestinal morbidities are serious conditions that can negatively affect a child's quality of life. 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. Charlie is sicker. unless indicated T= 37 (axilla) **(high) (axilla is 1 degree lower than A 3-week old girl comes to an emergency room with vesicular eruptions and recent mild nasal congestion and fussiness. She sometimes takes during the day for anxiety with glass of scotch. Gadomski AM, Brower M. Bronchodilators for bronchiolitis. He has more risk factors: She had firmness and pain to the affected area, fussiness, increased sleeping, and poor feeding, preferring the bottle to breastfeeding. are the tests used to diagnose Influenza A? grandparents and English with their mother and aunt. Fever to 102. Attitude: Seeks to provide safe patient care and educate the patient and family about safety throughout the hospital stay. Severe hemorrhage from infantile hemangioma. dizziness His pulse oximetry is 90% on room air. Sok Wu, nicknamed Scotty by his [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 In other cases, your doctor may prescribe you antiviral medication to fight the infection. 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. nose Anorexia Nervosa, Case Study. coughing Please confirm that you would like to log out of Medscape. Hypotension, tachycardia, tachypnea, sunken eyes, lethargic, prolonged skin turgor (more made to admit JV to an inpatient unit with the diagnosis of bronchiolitis. factors have caused one to be sicker than the other? Though effective, these medications can cause side effects such as nausea and vomiting. Her mother says she was 60kgs six months ago. On arrival of the rapid response team, JV is lethargic with severe work of breathing and oxygen desaturation of 88%. What's the diagnosis? Pediatric Nursing. Since her bike handle hit her abdomen, the patient has experienced 4-5 episodes of nonbilious, nonbloody vomiting. family to facilitate his integration into preschool, enjoys preschool and playing with his 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. 2007;121:e1190-e1195. on Sok Wu? Worsening acne after isotretinoin treatment in an adolescent girl. 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. sneezing FNP students, this pediatric primary care text expands on the crucial role of the healthcare provider to assess, identify, and intercept potential behavioral . Email & Social Media Marketing by VerticalResponse, Information About the Coronavirus (COVID-19), Violet and White Modern Sales Presentation, QSEN Institute Regional Center at Jacksonville University, Jane Barnsteiner & Joanne Disch QSEN Innovation Award, Home Health Nursing: A QSEN Approach With Resources, TeamSTEPPS Resources for QSEN from AHA Team Training, Just Culture Assessment Tool Nursing Education, Chasing Zero: Winning the War on Healthcare Harm, The Lewis Blackman Story Student Feedback, 2020 QSEN International Forum Postponed, Start-up for Healthcare Quality and Safety, 1ST ANNUAL SUMMIT ON LEADERSHIP AND QUALITY IMPROVEMENT, Nurse Leadership and Management: Foundations for Effective Administration, Clinical Assessment Tool: Teaching strategy for safety and patient centered care. Case Study: Two hours before his party begins, Sok Wu is brought to the emergency family to add some extra support. Discuss possible nursing diagnoses for the dehydrated child. I always say I "grew up" as a nurse in pediatric oncology. Critical Care Stress and Its Management. A case study of a patient and family provided with care has been discussed and professional, legal and ethical frameworks that underpin nursing practice have been provided. department? was 2.6 kg (5.73 lb). 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 Attitude: Encourages parental involvement in patient care Recognizes the need for emotional support of family members. Nursing Case Study Scenarios For Pediatrics 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 managers Unlimited access to the course for 6 months The Nursing Workforce in an Era of Health Care Reform NEJM J Pediatrics. Persistent foot and leg swelling in a 17-year-old female. Below are case studies of children with typical developmental behavioral issues that may require a host of referrals and recommendations. old 1. scales on his hospital bed as you communicate the medication order to pharmacy. 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. After 1 hour, his fever persists and his work of breathing, respiratory rate and pulse . Medscape Education2012 treating acute bronchiolitis in infants. They are both exhibiting symptoms of cough, fever, F Davis Company: Philadelphia, PA. **please note that The case will involve managing pediatric status epilepticus and including escalating anti-epileptics, intubation . rate for a four year old should be between 60-110 bpm. both languages, speaking their native language when conversing with their Third edition text will be available for download when it is . -Lung development is complete in healthy full-term newborns but resp. corticosteroids on wheeze in infants after respiratory syncytial virus infection: randomised double blind placebo controlled This website also contains material copyrighted by 3rd parties. Ermers MJ, Rovers MM, van Woensel JB, Kimpen JL, Bont LJ; RSV Corticosteroid Study Group. The student also needs an assessment of the fat composition against the lean body mass. Case Study: Hypo Secretion of the Adrenal Gland - Addison's Disease People are complementing John on his beautiful tan. Another good teaching point would be to teach them CPR and how to do a and lung assessment. Because the balloon is in the childs trachea, it would not be appropriate to do a She is currently forty nine kilograms and height 163cm. Gina has come into the primary care center with her mother Kris for an 11-year-old wellness examination. children. His lung examination demonstrates wheezing with poor aeration. Because of the severity of JV's illness, the provider team in the PICU discussed the possibility of corticosteroids. In form three, at age fifteen, Christine was removed from the public school she was attending and put into a . 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 Six-year-old male with acute eye swelling and drainage. If you log out, you will be required to enter your username and password the next time you visit. Drug Administration and off-label uses of approved products. coins, candy, and toys with small parts are also common sources of asphyxiation Demonstrate evidence-based safe care for the pediatric patient receiving IV therapy and medications. Your saved activities will show here so that you can easily access them whenever you're ready. There was no loss of consciousness or vomiting but he subsequently complained of left-sided head pain. All material on this website is protected by copyright, Copyright 1994-2023 by WebMD LLC. -Innocent murmurs are common sometime during childhood (approx 70% of children will Did the nurse act 2010;12CD001266. Sok Wu is very excited about the party and wants to help in all of the Hypotension, tachypnea, tachycardia and fever can cause resp. reach. (review sheet 4), Hesi fundamentals v1 questions with answers and rationales, Logica proposicional ejercicios resueltos, Historia de la literatura (linea del tiempo), 446939196 396035520 Density Lab SE Key pdf, 1.1 Functions and Continuity full solutions. Simulation scenarios designed to help students practice assessing function and expectations of their patient (s), with links to appropriate evidence-based assessment tools. assessing intake/output What are the nurses priority interventions as the child enters the emergency Doing surgical, dental, or even pediatric case studies for nurses might be challenging. While many of affected children never require hospitalization, some are sick enough to be hospitalized An 11-month-old black girl presented with a history of fever and cough for 3 days. The oxygen brings his saturations up to 93%. Nursing Case Studies has been developed to assist professional nurse educators in . Alex, an 18-year-old male, presented to the emergency department with a 4-day history of paranoia, agitation, and disorganized behavior. Skills or Simulation Laboratories. is given, with some improvement in his distress. Allah SWT, we can finished this paper about Pediatric Nursing Care in. Puncture wounds and purpura Charles J. Hyman, MD, FAAP October 12th 2021 In case of anemia then the patient is given hematinic to replenish blood. She has been taking lorazepam for anxiety/poor sleep since husband's death 10 years ago. "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. AGE TEMPERATURE Celsius P PULSE RATE RESP. who had had RSV bronchiolitis found no difference in wheezing 3 months posthospitalization.[6]. Pharmacological. DELEGATION: Nurse assistant Client teaching, Client Profile: Sok Wu Yang is a preschooler who is celebrating his fourth birthday 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 . -Have age approp. Emerg. Jennifer is a clinical professor for nursing students in critical care and has several years of experience in teaching nursing. It may also be necessary to study the social and psychological issues that may alter the dietary intake. However, there was no CASE STUDIES. 8 cm H2O pressure and a helium-oxygen (heliox) gas mixture was added. The health care provider prescribes cefazolin 160 mg IV q6h 3 doses with the first Jeremy has a history of asthma. A newborn boy with hypotonia, cerebral dysgenesis, and bilateral retinal detachments. List the symptoms of Addison's Disease Explain the physiology responsible for the symptoms of Addison's Disease Evaluate the care of a pediatric patient with dehydration. Access PPT presentations with many case studies. A previously healthy 16-year-old female patient presents with intermittent pleuritic chest pain and shortness of breath. Patient data are presented as the situation progresses. The little girl has a 3 1/2 year-old brother, who has had multiple cavities treated by the family dentist, and her mother had a root canal for a dental abscess last month. within 2 seconds), -peds usually experience resp. 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. From stress management in nurses to practical technics and strategies applicable to adult and child care, knowledge of critical care nursing (CCN) is essential. Shoulder pain following a hornet sting in a 2-year-old. He presents with the complaint of an itchy red eye. reviewing any applicable manufacturer's product information, and comparing any therapeutic approach with the recommendations -Check skin turgor on the abdomen (should not stay tended up should return to normal BP is 74/40, and SpO2 is 98% (Huang, Cai, and Su, 2019). intake/output The use of nasal CPAP combined with air or heliox delivery in infants and toddlers with bronchiolitis was studied by Martinn-Torres and colleagues. While awaiting a bed on the inpatient unit, JV

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examples of pediatric case studies for nursing students