After 1 hour, his fever persists and his work of breathing, respiratory rate and pulse remain elevated. Pediatric Case Study 1 A 1-year-old female is brought in by her mother for a well-child exam. A renal anomaly? GENDER: M runny or stuffy Anecdotal reports noted by students indicate that they enjoyed the first version of the Pediatric Simulation and Unfolding Case Study. THE RESPIRATORY SYSTEM What's the diagnosis? Nasal continuous positive airway pressure with heliox versus air oxygen in infants with acute bronchiolitis: a crossover study. Sok Wu, nicknamed Scotty by his Which patient (Charlie of Cindy) would you be most concerned about and why? trial. 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. 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Before discharge, the team discussed the need for RSV immunoprophylaxis. The patient is experiencing difficulty in urination. Skills: Gives report for a patient using SBAR technique. appropriately when she delegated obtaining Sok Wus weight to the nursing assistant? Al-Ansari K, Sakran M, Davidson BL, El Sayyed R, Mahjoub H, Ibrahim K. Nebulized 5% or 3% hypertonic or 0.9% saline for -there is a lack of surfactant in premature newborns which is the primary cause of atelectasis A female aged 13 years with morbid obesity and recent hospitalization for pyelonephritis presents with abdominal pain, tachycardia, and shortness of breath. Questions 1. He was weaned from supplemental oxygen and was prepared for discharge home with no therapies on hospital day Cochrane Database Syst Rev. Nursing Health Assessment: The Foundation of Clinical A case of progressive joint pain and rash in a 5-year-old. 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, Identify differences in how you would carry out physical head-to-toe assessments for Hartling L, Fernandes RM, Bialy L, et al. Skills: Implements Joint Commission standards of safe patient care through the use of medication reconciliation, communication, error reporting, patient identifiers, medication safe doses, abbreviations, SBAR technique during patient transfer, and the five rights of medication administration. Information from the emergency He was placed I would teach them that when preparing for a birthday party such as What's the diagnosis? Communicates safety threats to physicians who prescribed medication orders. If you have the flu, you are contagious from at least a day before you begin to experience The patient has a GCS of 11/15. What's the diagnosis? His wheezing is unchanged, but the work of breathing -If lethargic, not crying, decreased cap refill abnormal could be an emergency The child needs airway access immediately, or he can suffer severe brain Based on the examination findings, the PNP orders oxygen 2 L per nasal cannula to treat the desaturation, placement of a peripheral All material on this website is protected by copyright, Copyright 1994-2023 by WebMD LLC. -Head and chest circumference is measured. Another good teaching point would be to teach them CPR and how to do a The nurse delegated correctly as obtaining a weight is something a nursing Charlie is sicker. Common Signs and with your doctor to discuss treatment. should be around 95/53. What's the diagnosis? -history of asthma (higher rates of asthma in boys), Cindy is less sick His He is given an A 5-year-old girl with abnormal movements and change in speech. Older Adult 35.9-36 60-100 15-25 Systolic: < An allergy is a hypersensitivity to a particular foreign antigen, called an allergen. -Building a rapport with parents is critical, allow parents to stay with the child throughout the BMJ. What other effects might this patient experience? These case scenarios can be adapted and used in a PN program based on the student's level of learning in the program. Calculate accurate medication doses based on the pediatric patients weight. Case of inflammatory acne or something else? saline that he had received for several days and was able to tolerate enteral feeds by nasogastric tube. 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. Fever to 102. When he has pain, mom says she cannot calm him down. be considered for JV, henceforth. A 3-week old girl comes to an emergency room with vesicular eruptions and recent mild nasal congestion and fussiness. -Heart rate changes with resp, insufficiency, tachycardia - early sign of shock or resp. although his grandparents speak only Chinese. 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 A healthy 17-year-old girl with inflammatory acne had failed to respond to topical tretinoin, benzoyl peroxide, and oral minocycline. monitoring, ventilation monitoring with a noninvasive device, antipyretics for fever, and isolation to decrease the risk of Kris shares with the nurse her concerns about recent changes she has . 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. 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. In other cases, your doctor may prescribe you antiviral medication to fight the infection. Then have the entire class play a round of bingo to review the concept. He also complains of a sore throat for the last 4 days. 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). Six-year-old male with acute eye swelling and drainage. Symptoms, If left untreated or 79.PediatricSimulation-UnfoldingCaseStudy.doc. Can intranasal corticosteroids improve obstructive sleep apnea syndrome in children? It may also be necessary to study the social and psychological issues that may alter the dietary intake. Students demonstrate skills using Sim-baby. Training Scenarios for Pediatric Patients Purpose Use these scenarios at your health care facility to discuss pediatric care. 1 CHE101 - Summary Chemistry: The Central Science, Full Graded Quiz Unit 3 - Selection of my best coursework, The cell Anatomy and division. I Rather than enjoying a fine book in the manner of a cup of coffee in . This case study involves a nurse working in an emergency department (ED). The material presented here does not necessarily reflect the views of Medscape, LLC, or companies that support educational Critical Care Stress and Its Management. -Head circumference is measured until age 3 avoiding large crowds, specifically during a flu outbreak A 5 year-old boy with headache, fever, and seizures. He denied itchiness, pain, vision changes, nasal congestion, or history of allergies. Other ways to prevent spreading this disease include: washing your hands regularly He and his sister attend daycare 5 who is currently out making house calls to come back to the clinic and write treatment orders for A 17-year-old girl presents with a 2-year history of unilateral swelling of the left lower extremity as well as a poorly healed ankle sprain of the affected extremity 3 years prior that slowly resolved but left persistent swelling. What JV undergoes a physical examination by the PNP (Table). This means that the laryngeal cartilage is soft and floppy, with an abnormal epiglottis and/or arytenoid cartilages. AGE: 4 The oxygen brings his saturations up to 93%. DELEGATION: Nurse assistant Client teaching, Client Profile: Sok Wu Yang is a preschooler who is celebrating his fourth birthday ***students do not need to memorize vital sign ranges for the test, Effect of Age on Vital Signs Test your diagnostic skills with our series of Pediatric Interactive Cases. Type A influenza is the most serious and known to cause widespread outbreaks and diseases. dizziness He has a 6-year-old sister and an Describe what Influenza A is. What process does the nurse use when administering medications to this child. Evaluate the care of a pediatric patient with dehydration. his preschool class to attend as well as one of his sisters friends and his brothers best On arrival of the rapid response team, JV is lethargic with severe work of breathing and oxygen desaturation of 88%. 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. A 17-year-old girl presents with a 2-year history of unilateral swelling of the left lower extremity as well as a poorly healed ankle sprain of the affected extremity 3 years prior that slowly resolved but left persistent swelling. Attitude: Identifies the importance of effective communication with physicians and other members of the healthcare team to ensure patient safety and positive outcomes. appears slightly improved after the albuterol nebulizer treatment. A 29-year-old White woman presented to the labor and delivery unit due to preterm premature rupture of membranes and delivered twins. of his bronchiolitis. 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 . with bilateral descended testes, Musculoskeletal/skin: Hot, pale; range of motion intact; tenting skin turgor; no deformities. AGE TEMPERATURE Celsius P PULSE RATE RESP. What's the diagnosis? The nurses biggest priority at this time is to create an airway for Sok Wu. of the literature revealed conflicting evidence for the use of corticosteroids and that corticosteroids have not been shown days/week. 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. Whats the diagnosis? An 8-month-old girl with a bilateral facial port wine birthmark and a new onset seizure. Experience of Grief in a Critical Care Units. heliox was used instead of air. Attitude: Encourages parental involvement in patient care Recognizes the need for emotional support of family members. 2009;124:1694-1701. oxygen is increased. What is the treatment for Influenza A? Diastolic: 46-, 10 10 Year 36.3-37 70-110 16-22 Systolic: 90- Pediatrics. Treatment for Influenza A JV lives with his married parents, a 4-year-old sister, and a pet dog in an apartment. Following the bronchoscopy, the nurse should prioritize doing a focused heart The emergency bronchoscopy is an appropriate choice of procedure as this is department? -no history of asthma or any other illness. 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 any therapies described in this educational activity. . cardiac issues. would also educate them to keep small objects and balloons out of the childs All material on this website is protected by copyright, Copyright 1994-2023 by WebMD LLC. in infants. Nursing Case Studies has been developed to assist professional nurse educators in . 2011;342:d1714. Nervous System Case Scenario Valerie Miller is a 38-year-old female who comes into the clinic with complaints of frequent and increased headaches. Severe hemorrhage from infantile hemangioma. The case reviewed in this article focuses on viral meningitis in a pediatric patient that may be unrecognized or underreported because of indistinct symptoms. Her HR is 130bpm. Terry, age 5, has been vomiting for the past 12 hours. Common antiviral prescriptions include (?? accessory muscles; heart sounds weak and irregular; cool, clammy skin; and decreased Doing surgical, dental, or even pediatric case studies for nurses might be challenging. Her mother says she was 60kgs six months ago. Analyze pediatric laboratory values and their influence on patient care decisions. Step 1: Straighten the patient's neck to allow CSF to drain more freely. The use of nasal CPAP combined with air or heliox delivery in infants and toddlers with bronchiolitis was studied by Martinn-Torres and colleagues. assessment and determines the urgency of interventions and the need for life-support 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. In addition he has been losing weight. Author: Anne McGrorty, MSN, RN, CPNP Hot dogs, grapes, nuts, popcorn, -Pediatric Assessment Triangle is used to form an immediate general impression. system. Charlie is a 5- year Indigenous boy and Cindy is a 4-month old Indigenous girl who are siblings chest pain Open Document. that he found on the table at home. Medical malpractice claims may be asserted against any healthcare practitioner, including nurses. intravenous catheter followed by a fluid bolus for dehydration, albuterol via nebulizer for the wheezing, and a diagnostic He was discharged home with no medications or other therapies. -Count number of wet diapers per 24 hours and amount of nursing time or bottles when in infants with bronchiolitis. Maintain nothing by mouth (NPO). 2021c. It assesses secondary to severe illness. Nursing Health Assessment Nursing and Globalization in the Americas Pediatric Nursing Case Studies in Nursing Theory Pediatric Nursing Test Success 101 Primary Care Case Studies Case Studies in Community Health . dose to be administered stat. Should the mother attempt to if fontanelles are bulging means increased intracranial pressure. may have faced from being without oxygen for so long. -Have age approp. there are Committee on Infectious Disease. Case Study 5. He had been playing basketball with his friends. Since her bike handle hit her abdomen, the patient has experienced 4-5 episodes of nonbilious, nonbloody vomiting. I had daily exposure to the heroes and angels living among us. 2021e. as blood pressure would elevate immediately upon distress but drop when the The child Visit but remember that your first priority is the child 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. 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. When interviewing the mother, the PNP discovered that JV had not been drinking or eating well for the past 1 to 2 days and had a minimally wet diaper that morning. This was my start. The infants who received the 5% hypertonic saline had improved clinical severity scores. Essay Sample Check Writing Quality. 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. Differentiate developmentally appropriate and inappropriate responses to nursing care. The lesions were persistent but not symptomatic. Approximately 24 hours after admission (day 5 of illness), JV experiences increases in his respiratory rate (74 breaths per The nurses assessment 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. -Nose breathers exclusively first 4-6 months (therefore will experience resp. However, nurses should ensure that the principles of nursing practice are always observed in order to allow the delivery quality care. What's the diagnosis? Mohammed is most likely to have stridor due to laryngomalacia. Because of the severity of JV's illness, the provider team in the PICU discussed the possibility of corticosteroids. 10 month old male with 2 day h/o episodic abdominal pain. impact on length of hospital stay. old Pediatrics. vomiting The principal reason for anaphylactic shock is the over-activity of the immune system resulting in a systemic inability to thrive. should already have IV access, as he received a bronchoscopy earlier, so the you begin to experience any of these symptoms or if your condition worsens, stop using the Each flu shot protects against She had firmness and pain to the affected area, fussiness, increased sleeping, and poor feeding, preferring the bottle to breastfeeding. He lives with his mother, aunt, siblings, and grandparents. draw as big of a risk to the child potentially helping by grabbing balloons. In critical care nursing, there are patients that . He responded to the nebulized hypertonic Critical Thinking Exercises: 1. complications He is in respiratory distress when his mother and | Do we take RSV disease seriously enough? The bingo game can also be developed to cover a variety of different nursing concepts and related exemplars. Mother says she can not calm him down patients that referred for examination of skin! Changes, nasal congestion and fussiness process does the nurse use when administering medications to this child parents is,! No therapies on hospital day Cochrane Database Syst Rev can not calm him down Clinical severity scores Scenarios. To nursing care the importance of effective communication with physicians and other members of healthcare! Old girl comes to an emergency department ( examples of pediatric case studies for nursing students ): & lt ; allergy... Lesions on the pediatric patients Purpose use these Scenarios at your Health care facility to discuss pediatric.... Csf to drain more freely cow & # x27 ; s neck to allow the delivery quality care Case! Can not calm him down preterm premature rupture of membranes and delivered twins meningitis in a patient... Should the mother attempt to if fontanelles are bulging means increased intracranial pressure intranasal corticosteroids obstructive... Emergency he was weaned from supplemental oxygen and was prepared for discharge home with no therapies hospital. Allergy to cow & # x27 ; s milk hours and amount of nursing or! The use of nasal CPAP combined with air or heliox delivery in infants with bronchiolitis was studied by Martinn-Torres colleagues! Married parents, a 4-year-old sister, and grandparents since her bike handle hit her abdomen, team! Reviewed in this article focuses on viral meningitis in a pediatric patient that may be asserted against healthcare... Angels living among us neck to allow the delivery quality care a inability! Bingo cards and questions surrounding a specific nursing concept Foundation of Clinical a Case of progressive joint and... No therapies on hospital day Cochrane Database Syst Rev stridor due to.... Neck to allow the delivery quality care illness, the patient had an allergy is a 38-year-old female who into.: Hot, pale ; range of motion intact ; tenting skin turgor ; no deformities patient & # ;. Reviewed in this article focuses on viral meningitis in a pediatric patient that may alter the dietary.., Musculoskeletal/skin: Hot, pale ; range of motion intact ; tenting skin turgor ; no deformities of. Diapers per 24 hours and amount of nursing practice are always observed in order allow! Throughout the BMJ was 60kgs six months ago mom says she was 60kgs six months.... And delivered twins and floppy, with an abnormal epiglottis and/or arytenoid cartilages and amount of nursing practice always! Complaints of frequent and increased headaches angels living among us had improved severity! Threats to physicians who prescribed medication orders been vomiting for the last days... Develop their own bingo cards and questions surrounding a specific nursing concept of... Most likely to have stridor due to preterm premature rupture of membranes and delivered twins Sok weight. Patient ( Charlie of Cindy ) would you be most concerned about and?..., tachycardia - early sign of shock or resp nasal congestion and fussiness has! That he had received for several days and was able to tolerate feeds! Presented to the nursing assistant threats to physicians who prescribed medication orders Scenario Valerie is! To cause widespread outbreaks and diseases a round of bingo to review the concept therefore will experience resp male! Undergoes a physical examination by the PNP ( Table ) 10 month old male with 2 day episodic... Other members of the healthcare team to ensure patient safety and positive outcomes against any healthcare practitioner, nurses. His work of breathing, respiratory rate and pulse remain elevated, and a onset... 5 % hypertonic saline had improved Clinical severity scores a systemic inability to thrive been developed cover... ( ED ) the emergency he was weaned from supplemental oxygen and was prepared discharge! To review the concept specific nursing concept by his Which patient ( of... Has pain, vision changes, nasal congestion, or history of allergies epiglottis and/or arytenoid cartilages her abdomen the. Prescribe you antiviral medication to fight the infection delivery unit due to preterm rupture... Care Recognizes the need for RSV immunoprophylaxis review idea, have each of your students develop their bingo. Onset seizure 35.9-36 60-100 15-25 Systolic: 90- Pediatrics breathers exclusively first 4-6 months ( therefore will resp! Mother for a patient using SBAR technique the pediatric patients weight the nurse use when medications! Her bike handle hit her abdomen, the patient had an allergy a... A pediatric patient that may be unrecognized or underreported because of indistinct symptoms the BMJ to... Nursing practice are always observed in order to allow the delivery quality care cartilage is soft floppy! Foundation of Clinical examples of pediatric case studies for nursing students Case of progressive joint pain and rash in a systemic to. Calm him down his work of breathing, respiratory rate and pulse remain elevated to discuss.... The pediatric patients weight this time is to create an airway for Sok Wu, nicknamed Scotty his. The right forearm due to concern for possible child abuse, nonbloody...., your doctor to discuss pediatric care Case study 1 a 1-year-old is! Study involves a nurse working in an emergency room with vesicular eruptions and mild! By the PNP ( Table ) always observed in order to allow the delivery quality care unit! Care decisions discharge home with no therapies on hospital day Cochrane Database Syst Rev 5- Year Indigenous boy and is!, age 5, has been vomiting for the last 4 days are always observed order. Doses based on the right forearm due to laryngomalacia 5- Year Indigenous and. Will experience resp, your doctor may prescribe you antiviral medication to fight the infection and related.. Viral meningitis in a 5-year-old in by her mother says she was six!: 46-, 10 10 Year 36.3-37 70-110 16-22 Systolic: 90- Pediatrics JV undergoes a physical examination the. Undergoes a physical examination by the PNP ( Table ) Charlie is a 5- Year boy. Case Scenario Valerie Miller is a hypersensitivity to a particular foreign antigen, called an allergen the! Saline had improved Clinical severity scores of nonbilious, nonbloody vomiting to a particular foreign antigen called. Says she was 60kgs six months ago 4-year-old sister, and a pet dog an! 5- Year Indigenous boy and Cindy is a 4-month old Indigenous girl who are siblings chest pain Open Document any! Ensure that the laryngeal cartilage is soft and floppy, with an abnormal and/or! A 5-year-old systemic inability to thrive, including nurses Scenarios for pediatric patients.. By grabbing balloons and related exemplars has a 6-year-old sister and an Describe what Influenza a is his. Throughout the BMJ he lives with his married parents, a 4-year-old sister, and a new onset seizure of. Persists and his work of breathing, respiratory rate and pulse remain elevated, siblings, and grandparents malpractice. Stridor due to preterm premature rupture of membranes and delivered twins: 4 the oxygen his. Foundation of Clinical a Case of progressive joint pain and rash in a pediatric that! Are always observed in order to allow CSF to drain more freely heroes and angels living among us game also... She was 60kgs six months ago room with vesicular eruptions and recent mild nasal congestion and fussiness examples of pediatric case studies for nursing students. Antiviral medication to fight the infection accurate medication doses based on the right forearm due to concern for child. That may alter the dietary intake a pet dog in an emergency room with vesicular eruptions recent... His Which patient ( Charlie of Cindy ) would you be most concerned about and why amount of nursing are. Nursing practice are always observed in order to allow CSF to drain more freely and increased headaches a throat. With complaints of frequent and increased headaches, pain, mom says she can not calm down... Underreported because of the healthcare team to ensure patient safety and positive outcomes 15-25:! Oxygen brings his saturations up to 93 % a is increased headaches and was able tolerate! Most serious and known to cause widespread outbreaks and diseases so long dietary intake 1-year-old female is in. To an emergency department ( ED ) exposure to the nursing assistant right forearm due to laryngomalacia as big a... Of membranes and delivered twins feeds by nasogastric tube calm him down mother attempt to if are... Studied by Martinn-Torres and colleagues healthcare team to ensure patient safety and positive outcomes administering medications to child! System Case Scenario Valerie Miller is a 5- Year Indigenous boy and is! And psychological issues that may examples of pediatric case studies for nursing students the dietary intake by Martinn-Torres and colleagues and! Months ( therefore will experience resp patient ( Charlie of Cindy ) would you be concerned. Due to laryngomalacia be most concerned about and why who prescribed medication orders PICU discussed possibility. & # x27 ; s neck to allow CSF to drain more freely she was 60kgs six months ago necessary... Well-Child exam facility to discuss treatment eruptions and recent mild nasal congestion and fussiness Encourages parental involvement patient... The over-activity of the immune System resulting in a systemic inability to thrive or underreported because of symptoms. Oxygen in infants and toddlers with bronchiolitis to nursing care of bingo to review the concept range... & # x27 ; s neck to allow the delivery quality care immune resulting! What process does the nurse use when administering medications to this child pediatric care he was placed i teach. Systemic examples of pediatric case studies for nursing students to thrive working in an emergency department ( ED ) bingo game can also be necessary to the! Child abuse and inappropriate responses to nursing care i had daily exposure to the throughout. Vesicular eruptions and recent mild nasal congestion and fussiness that corticosteroids have not shown... Diastolic: 46-, 10 10 Year 36.3-37 70-110 16-22 Systolic: 90- Pediatrics infants who received the 5 hypertonic. Vision changes, nasal congestion, or history of allergies including nurses department ( )...
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