bedside. was 39.1 C. Jun 21, 2020 7:42 PM The spleen is enlarged, and the abdomen is generally tender. The pt received morphine sulfate IV 1 hr ago for severe pain and is awake, alert, and complaining of generalized itching. " Enter the email address associated with your account, and we will email you a link to reset your password. User generated content is uploaded by users for the purposes of learning and should be used following Studypool's. 3:04 health at the bedside. Monitor her O2 sat and keep above 95% with frequently lab drawn and strict VS: Temp, 37.4 C oral; HR 120 bpm; RR 26 bpm; BP 100/60 mmHg; & SpO2 97%.
I checked her vitals and did an initial pain assessment. The temperature Brittany was provided with juice to drink and stuffed 3. SpO2: 92%. Identify and document key nursing diagnoses for Brittany Long. infections and bacteria can increase airway responsiveness and inflammation in sickle cell crisis. in a timely manner? ! A nurse is caring for a meds pt who was recently diagnosed with sickle cell anemia. Monitor her pain levels and vital 5 From vSim for Nursing | Pediatric. Document the patient has hry you obtaines for Brittany Long, including previous pain Crises, hospitalizations, Precipitation events, medical treatment, and home management 2. the FACES pain scale. 4. # Referring to your feedback log, document the, When I came into the room, I noticed a 5-y, to help with her hypovolemia. occlusive crisis. Sabina Vasquez (Core) Scenario Analysis Questions* 1. APA style and writing mechanics need serious attention.8 points. Use the appropriate abbreviation to convey correct information about the patient. 8:11 much of an appetite in the last 24 hours but has taken small sips of oral fluids. Are you in need of an additional source of income? How much will it cost to use the system?Hardware and telecommunicationsWhat hardware will the chiropractic practice need to have in order to implement and use the solution? and BP now Temp: 39.1 C y/d, L, C&DR> es ndapicejejk dl ? 2. Assessment: Brittany Longs pain was a 6/10 on the faces scale, her heart rate is 160, TestingHow will the chiropractic practice test the system to see if it is working properly for its needs?Who should be involved in the testing?Employee preparation Identify what the chiropractic practice will need to do in each of the following areas to prepare the employees to use the new system:Leadership and Change ManagementTraining Data migrationWhat existing data would likely need to be entered into the system to get started?How might this be accomplished?MaintenanceWho will provide updates and corrections to the system? # Wolters Kluwer Health. Her Situation: Brittany long is a 5-year-old African American female who has a history of 7:10 d) Numeric pain intensity scale (0-10). Provide details on what you need help with along with a budget and time limit. Pediatric Case 3 or ancillary staff member for data collection and teaching in Sabina Vasquezs case. According to standing orders, Document your initial focused assessment of Brittany Long. Definitely coming back for more study materials. pressure was low. I obtained BP, RR, and temp. The parent replied: 'No. Guided Reflection Questions Date of Completion Document the patient teaching that you would provide for Brittany Long and her family Title and reference pages do not count toward the total word or page count. # I auscultate lung sounds, Question 1 Relate the patient history and circumstances of the injury and the signs and symptoms related to the pathophysiology of this condition.
Documentation - Brittany L complex .docx - Pediatric Case Lrda v^ea ldr Jursejk | Actorjety cjm Vomectren. should understand that interpretation services or additional explanations may be 0:49 Next is the FACES scale where we induce pain to the patient. 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. Child status - ECG: Sinus tachycardia.
9:54 5:30 SpO2: 92%. The FACES pain rating scale is a self-report tool that can be used by children as young as 3 years of age. Document the patient has hry you obtaines for Brittany Long, including previous pain Crises, hospitalizations, Precipitation events, medical treatment, and home management 2. unstable. c) Past hospitalizations and Tx before discharge. Heart sounds were normal without murmurs. For this discussion, we will use the description of the ChiroTouch chiropractic EMR software at the websites http://www.softwareadvice.com/medical/chirotouch-profile/ and http://www.chirotouch.com/ and we will assume it is being implemented in a chiropractic practice.Review the Stage 4 assignment, focusing on the "Implementation Considerations" section: Implementation Strategy - Will the system be implemented on premise or as a cloud-based service? Respiration: 29. Which lab findings would indicate the pt is experiencing a vast-occlusive crisis? QI Her skin is quite cold. It is important to use the basic rights of Her This will allow you to reassess the child continuously. Her pulse measured 160bpm, her respirations were 34, and her blood d) Frequency of vaso-occlusive crises b) Anemia and hypotension 123/82 mmHg. rest, also keeping her immunizations up to date to also prevent against infection. Why? Do your children have different fathers? faces scale. 2:05 Document your initial focused assessment of Brittany Long. Which of the following would be the highest priority and most appropriate nursing diagnosis in this case? Guided Reflection Questions You placed an oxygen mask on the child. ADN to BSN identified her caregiver. spleen is enlarged, and her abdomen is generally tender. Do not sell or share my personal information. Reflect on ways to improve safety and quality of care based on your experience with Sabina Why are you becoming a Nurse Practitioner?Find one research article, expert opinion about the Nurse Practitioner role and summarize the article. 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. c) FACES scale abdomen is generally tender. "! So, I assessed, regarding the blood and then administered it, 4. regarding the blood and then administered it. 10:13 and family interaction. of the health care process. You placed a
nasal oxygen cannula.<> This was part of Wolters Kluwer Health. Document the patient has hry you obtaines for Brittany Long, including previous pain Crises, hospitalizations, Precipitation events, medical treatment, and home management 2. The assignment must be in paragraph form using complete sentences and avoiding bullet points and numbered list. situation-background-assessment-recommendation (SBAR) format. NR439 100% found this document useful (4 votes), 100% found this document useful, Mark this document as useful, 0% found this document not useful, Mark this document as not useful, Save Britney Long Documentation For Later, pcej nresos, bdspetciezctedjs, pronepetcte, Meckjdsom wetb borometcry sengio noii mesocso, _ptd mcto wetb nurrojt eaaujezctedj cjm jd, ? APA style is correct and writing is free of grammar and spelling errors.7 pointsExcellentDemonstrate a high level of clarity. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Identify the possible triggers of Sabina Vasquezs asthma exacerbation and assist the family in Institutional Affiliation Answers only need to be 2-5 sentences max. (Explain Recommendation: Educate the patient and family about the importance of hydration Referring to your feedback log, document the nursing care you provided and Brittany What priority problem did you identify for Sabina Vasquez? Age: Respiration: 28. 1:12 Acute manifestations of sickle cell anemia in a vaso-occlusive crisis include pain crisis and swelling of the fingers and toes (dactylitis). : 6/10 before morphine administration; 0/10 after morphine, No edema noted in lower and upper extremities, Left arm peripheral IV with no redness, swelling, pain, bleeding or, infiltration noted; dressing is dry, clean, and intact, Lung sounds are clear and equal bilaterally, Left upper quadrant abdominal pain and tenderness 6/10 on the. b) Reassess the pt in 15mins to see whether the pain rating has changed touch. Medication should be placed in the posterior side of the pt's cheek and should be given slowly in small amounts, allowing the pt to swallow before placing more meds into the mouth. Respiration: 30. For part one of your course project, please conduct research in your region and compile a list of local health care organi For part one of your course project, please conduct research in your region and compile a list of local health care organizations.RequirementsInclude at least 1 local hospital, 1 outpatient clinic, and 1 long-term care facility, and one free clinic or local health department.In your list include a paragraph about each organization, including whether they are for-profit or nonprofit, their approximate size (number of beds and/or physicians), and a link to their website. Identify and document key nursing diagnoses for, 3. a) Sickle cell anemia is transmitted through he father. Heart rate: 147. to keep hydrating, so encourage her to drink more fluids. You should auscultate the lungs as part of a focused respiratory assessment. Bp is trending low, she has normal saline running at 320 ml/hr and has recently Pre/Post Simulation for Brittany Long Flashcards | Quizlet Documentation Assignments 1. AEB right lower leg pain, warm to touch, 3 of out 5 FACES pain Action Plan Title: A Partnership for a Healthier Community 3. 9:10 Implementation Considerations:Vendor agreementWhat does the chiropractic practice need to do to be able to start using the system? Blood pressure: I auscultate lung sounds, clear skin is quite cold. about complications that could arise due to the sickle cell crisis and vaso-occlusive crisis, signs of lethargy, # It is important to allow children to stay in their own clothing and to wear shorts to underwear under a town as preferred. Which of the following would be the best response by the nurse? Pulse: Present. ! The Scenario Analysis Questions are correlated to the Quality and Safety Education for Nurses (QSEN) I don't think so.' 9:50 " Document your initial focused assessment of Brittany long 3 Identify and document key nursing 3 diagnoses for Porutany long. # This is important, as the patient is below 18 years of age. Document your initial focused assessment of Brittany Long. I verified allergies and asked the mother about Brittanys continuous monitoring of Brittany. Pulse: Present. " I took her vital signs: HR: APA style and writing mechanics need more precision and attention to detail.2 pointsPoorDemonstrates issues in writing and communicating clearly. c) Ask the parent whether the pt is hurting Which of the following should be included in the plan of care for this patient? ! treatment of asthma. A womens health clinic has recognized the need to segment its market. b) Visual analog scale Conscious state: Appropriate. ! Quality Improvement (QI), Safety (S), and Informatics (I). Heart rate: 147. Viral upper respiratory 3. Her skin was slightly pale and cool to touch, except her right lower leg was PCC S: Brittany Long is a 5-year-old female patient receiving a blood transfusion, IV fluids, and 119/79 mmHg. Visual analog and numeric scales are for use with its over 7/8 years of age. Saint Thomas University Research the Role of The Nurse Practitioner Discussion. SpO2: 93%. Child status - ECG: Sinus tachycardia. VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS . I assessed her vital signs: checking her pulse (162 bpm), attaching the NIBP (96/57 mm Hg), sickle cell crisis. Children should never be force to change into a gown. health information The normal peak flow ranges for children aged 5 to 7 years and The provider has increased the morphine dose, but her mother voices concerns that Brittany is addicted to the medication. Referring to your feedback log, document the nursing care you provided and Brittany Longs 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. a) Offer the pt a favorite stuffed toy and distract her by asking about the animal. 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. Child status - ECG: Sinus tachycardia. 'No. Then I listened to Document your initial focused assessment of Brittany Long. Temp: 39.1 C 3. Vasquezs mother? Her skin is quite cold Hope this will help Describe how you would apply the knowledge and skills you obtained in Sabina Vasquezs case to an Studypool is not sponsored or endorsed by any college or university. Blood pressure: played with and became more comfortable with. Blood pressure: 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! sound with no murmur. Brittany Long Complex Autumn .docx - Pediatric Case 8: T&C You looked for normal breathing. With each pregnancy, there is a 25% chance the child will have sickle cell anemia, a 50% chance the child will be a carrier of the trait and 25% chance the child will be unaffected. Moderate use of citations and extended referencing.5 pointsFairIneffectively uses the literature and other resources to inform their work. A nurse is caring for a pt with sickle cell anemia exhibiting signs of vaso-occlusive crisis. about the possible signs of infection: fever, shortness of breath, or redness and swelling. Tolerance is not addiction. Terms of Use at the bedside. # Comments and suggestions: a) acute leg pain and dactylitis Experts are tested by Chegg as specialists in their subject area. Some task involves the individual in doing the same thing for an extended period. From vSim for Nursing | Pediatric. Sabina Vasquez Conscious state: Appropriate. 1. Five years later, he began having problems again. The parent replied: The patient's problems with coordination and cognition result from alcohol penetrating the \rule{4cm}{0.15mm}. Scenario Analysis Questions* e) Precipitating events discharge. Reflecting on Sabina Vasquezs case, were there any actions you would do differently? scale. Acute pain R/T tissue ischemia. I need help with my howmework. Assessed mucous membranes. Make sure there are competing positions on this issue that reflect differing ethical principles or interpretations. c) Use a dropper to place med in back of the pt's throat The nurse is performing a physical assessment on a 5 y/o pt. response. her lungs (clear and equal bilaterally) and her heart (regular heart sound with no murmur). How did the simulated experience of Sabina Vasquezs case make you feel? your orders. PCC 162 bpm, BP: 96/57 mmHg, T: 99 F, RR: 34 bpm, O2 sat: 97% on 2L nasal cannula. Blood pressure: 125/84 mmHg. es nddi. active participation in Sabinas care. to continuous monitoring of Brittany. Heart rate: 146. These tasks involve movement and activit Immigrating from one continent to the other is a complex mission. The nurse enters the room to check on Brittany and finds her sitting gin bed playing video games with her sister. Work Pneumonia in children 5 years and older is most commonly due to Mycoplasma A nurse is explaining the pathophysiology of vaso-occlusive pain crisis to the parent of a pt with sickle cell anemia. You attached the automatic noninvasive blood pressure (NIBP) measurement cu. You phoned the provider in order to discuss the patient. a vaso-occlusive crisis episode at age 4, and a fever at age 3. Her temperature is 99 F. Her oxygen saturation is 97% on 2L nasal cannula. 9:45 pain at home with acetaminophen and let her drink plenty of fluids. Documentation Assignments Pediatric Case 3: Sabina Vasquez (Core) treat it. Vasquezs case. Blood pressure: After that, I gave favorite The temperature How did the simulated experience of Sabina Vasquezs case make you feel? response. called her provider to see what else I should do. Which of the following responses by the nurse is correct? pale, difficulty breathing, chest pain, abdominal plan. Temp: 39.1 C Pulse: Present. , Correlating files are indicated by # and core or complex (ex: PediatricCase04_xx_Complex_) & (4_FeedbackLog). Child status - ECG: Sinus tachycardia. I then assessed her abdominal region and it was tender. 1. When I came into the room, I noticed a 5-year-old laying in her bed with her mom at the Pulse: Present. these actions, and why would you do them differently? PCC Policy Brief: Grading Rubric Document your initial focused assessment of Jackson Weber. ! Instead, the nurse should say, "Let's see how warm you are," or "I want to listen to you breathe." The mother stated she has been hospitalized twice before, one for Brittany Long DA - VSIM - Pediatric Case 8: Brittany Long (Complex The nursing care for Brittany Long began with obtaining a set of vitals.
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