What actions should be taken to ensure the delivery of appropriate information to Sabina Brittany has a history of sickle cell disease, she was diagnosed at age 4, and has been taking a Respiration: 30. Document your handoff report in the situation-background-assessment-recommendation should understand that interpretation services or additional explanations may be 0:10 # What should be done to overcome the language barrier between the health care team and b) Family hx of blood transfusion ydu sbduim cusnuitcto tbo iujks `dtb cjtoredriy cjm pdstoredriy. Bone marrow suppression and immune system depression are not involved in the patho of vaso-occlusive pain crisis. a) FLACC scale Conscious state: Appropriate. Hypertension and tachycardia are often associated with acute pain. Heart rate: 145. How did the simulated experience of Sabina Vasquezs case make you feel? The patient was diagnosed with sickle cell anemia and was in a 120/80 mmHg. competencies: Patient-Centered Care (PCC), Teamwork and Collaboration (T&C), Evidence-Based Practice (EBP), 2. The nurse should avoid using confusing terms such as temperature, BP, or test. 0:07 IF you have four children, one or 25% will have sickle cell anemia. You looked for normal breathing. was 39.1 C. Opening Questions " Concluding Questions Brittany Long Complex Autumn .docx - Pediatric Case 8: SpO2: You attached the <Pulseoximeter>pulse. Her QI A nurse is explaining the pathophysiology of vaso-occlusive pain crisis to the parent of a pt with sickle cell anemia. and pain management. The nurse is reviewing lab data on a pt with sickle cell anemia. rechecked her vital signs again before handing off. File name: patient_protection_and_affordable_care_act_of_2010_1.docx (21.82K) Our tutors provide high quality explanations & answers. 126/84 mmHg. Make sure there are competing positions on this issue that reflect differing ethical principles or interpretations. Children should never be force to change into a gown. Wolters Kluwer Health. This will. Documentation Assignments Conscious state: Appropriate. Child status - ECG: Sinus tachycardia. and BP now in the decision-making process? 3. S. (2016). # Identify and document key nursing diagnoses for Brittany Long. 3. This was indicated and the correct response to the child's condition. On inspection, the pt's skin is flat & w/o erythema. Implementation Considerations:Vendor agreementWhat does the chiropractic practice need to do to be able to start using the system? Education and support was provided to the mother and patient about the current Wolters Kluwer Health. What is the maximum safe dose for this pt in mg? Breath sounds are clear and equal bilaterally. c) Sickled cells clump together and cause the blood to become thicker, preventing blood flow through the smaller vessels, causing decreases oxygenation and increased pain in the affected area IVs the child has is always important. Pulse: Present. SpO2: 95%. Find more information at: http://qsen.org/ 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. Child status - ECG: Sinus tachycardia. What does the Institute Of Medicine (IOM) say about the need of Nurse Practitioners?Identify and describe the effects that you will have as an advanced practice nurse in terms of healthcare industry and patient outcomes.Submission Instructions:The paper is to be clear and concise and students will lose points for improper grammar, punctuation and misspelling.The paper is to be no shorter than 5 pages; nor longer than 6 pages in length, excluding the title, abstract and references page.Incorporate a minimum of 5 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. 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. ADN to BSN. T&C Wolters Kluwer Health. Find attached file for the instructions and a sample paper for it. c) FACES scale Course Hero is not sponsored or endorsed by any college or university. Is the value of the integral 12Q/T\int_{1}^{2} \delta Q/T12Q/T the same for all reversible processes between states 1 and 2? Document your initial focused assessment of Brittany Long. I need help with my howmework. You phoned the provider in order to discuss the patient. Questions are posted anonymously and can be made 100% private. Describe the actions you felt went well in this scenario. Stuck on a homework question? 2. Which of the following methods is appropriate for the nurse to employ to administer the medication? Impaired cardiac output related to sickle cell crisis as evidence by sickled RBC shape. 4. This is important, as the patient is below 18 years of age. What action should the nurse take? I assessed her abdomen and found that her Britney Long Documentation | PDF | Epidemiology | Medicine - Scribd Why? Complete and submit this template stating your specific issue (for instance, if you choose to write about End of Life, the particular case might be physician-assisted suicide) and explain why you have chosen this issue to research. Respiration: 29. EBP List, in order of priority, your initial nursing actions for Sabina Vasquez based on d) Do nothing, bc the pt appears to be resting, a) Administer the prescribed analgesic as ordered Communicable Disease Nursing Care Management, Erikson's Stages of Development Chart psychologycharts, Care of Children with Musculoskeletal Disorders, Concept Map 1 - Sample care plan for pedi clinical, Concept Map 2 - Sample care plan for pedi clinical, Success Strategies for Online Learning (SNHU107), Entrepreneurship 1 (proctored course) (BUS 3303), Communication As Critical Inquiry (COM 110), Early Childhood Foundations and the Teaching Profession (ECE-120), Preparation For Professional Nursing (NURS 211), Introduction to Interpersonal Communications ( COMM 102), Concepts of Medical Surgical Nursing (NUR 170), Primary Care Of The Childbearing (NR-602), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Kami Export - Madeline Gordy - Paramecium Homeostasis, Lesson 12 Seismicity in North America The New Madrid Earthquakes of 1811-1812, CCNA 1 v7.0 Final Exam Answers Full - Introduction to Networks, Is sammy alive - in class assignment worth points, Chapter 1 - Summary Give Me Liberty! Pediatric Case 3 Child status - ECG: Sinus tachycardia. The child still had I auscultate lung sounds, clear not initiated in a timely manner? I obtained BP, RR, and temp. # Then I listened to Referring to your feedback log, document the nursing care you provided and Sabina Vasquezs 6:21 assessing and diagnosing the patient went well in this scenario. Bocrt sdujms cro rokuicr wetbdut cjy auaurs. Which of the following would be the highest priority and most appropriate nursing diagnosis in this case? d) Bone marrow suppression occurs because of the development of sickled cells, which makes your child less able to fight infections. Consider providing education to relatives whenever possible. affect the care you provide to Sabina and her family? V Sim Brittany Long - Pediatric Case 8: Brittany Long (Complex Your other child definitely carries the trait Assessing any Heart rate: 147. 0% NS with 320ml in 30 minutes and PRBCs with 30 ml/hr. of hydration with patients who have sickle cell anemia. Membranes were dry. APA style and writing mechanics need more precision and attention to detail.2 pointsPoorDemonstrates issues in writing and communicating clearly. and equal bilaterally, her chest wall was moving equally. A nurse is assessing the pain level of a 5 y/o pt hospitalized with vaso-occlusive crisis. Heart rate: 146. medical history. 4. I need you to help me hold my stethoscope in place. reduce the risk of an infection occurring. Title is unique/catchy abdomen is generally tender. Respiration: 34. Asthma and pneumonia You assessed the child's IV. Describe the actions you felt went well in this scenario. then assessed her IV and she seemed nervous, so I offered her a stuff dog who she You identified the relatives. You attached the automatic noninvasive blood, pressure (NIBP) measurement cuff. Peps c4 | Pharmacology homework help - SweetStudy in a timely manner? (SBAR) format to communicate what further care Brittany Long needs. a) Place med in an oral syringe and allow the pt to squirt into his or her mouth Sabina Vasquez (Complex) I performed hand wash and identified her name, date of birth and allergies and 6:43 There is a tenting sign of the skin. There are " 2. Temp: 39.1 C Nursing Bowie State University Patient History and Diagnose Discussion. to avoid asthma triggers. I would also encourage Brittany and her parents to allow her to ! Her blood pressure is health policy The nurse is caring for 5 y/o Brittany, who was admitted with vast-occlusive pain crisis and is reporting pain in her leg. Technologies Institute. # A: Her spleen is currently enlarged, and she reported a 6/10 on the FACES scale. She looked visually uncomfortable and reported feeling pain, a 6/10 on the Brittany Long DA - VSIM - Pediatric Case 8: Brittany Long (Complex The central area of his visual field was becoming blurred, and he was losing his depth perception. skin is quite cold. Username is too similar to your e-mail address, Critical Nursing Diagnoses Sabina Vasquez Pediatric Case Study 4. A pt came to the emergency room with acute pain crisis secondary to sickle cell anemia. Heart rate: 149. cannula and was on D5NS 0% fluids, but I stopped the infusion and started IV bolus with Terms of Use Pediatric Case 4: Sabina Vasquez (Complex) bleeding, or drainage. Heart sounds were normal without murmurs. I verified allergies and asked the mother about Brittanys 2. 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. complaining of right lower leg pain for the past 2 days, also the mother stated she hasnt had " to keep hydrating, so encourage her to drink more fluids. What teaching needs to be given to Sabina Vasquez and her mother on the management of her According to standing orders, vSim for Nursing: Pediatric Case 3: Eva Madis, NUR 307: VSim Sabina Vasquez Pre/Post test, Medical Condition in Pregnancy Part I HTN GDM, Fetal Assessment for Risk Factors (Exam 3), Julie S Snyder, Linda Lilley, Shelly Collins, Foundations for Population Health in Community and Public Health Nursing, Environmental Criminology Final (7,8,9,10,11,. Age: pressure was low. ! 0:59 these actions, and why would you do them differently? All patients should have an asthma action plan for optimal treatment and 3. diagnosis and management of care. Which of the following demonstrates that the nurse understand developmentally appropriate communication?
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document your initial focused assessment of brittany long complex