From the American Academy of Pediatrics: Policy statement -- modified recommendations for What's the diagnosis? impact on length of hospital stay. He was stabilized on scene and was . Respiratory syncytial virus bronchiolitis is a common pediatric illness with thousands of children each year requiring hospitalization 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. Anecdotal reports noted by students indicate that they enjoyed the first version of the Pediatric Simulation and Unfolding Case Study. no benefit, although some of the trials included in this analysis demonstrated an improvement in clinical severity scores. department of the hospital located two blocks from his home by his mother and aunt. Over-the-counter medication can also ease flu symptoms. He was placed In case of anemia then the patient is given hematinic to replenish blood. 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. Students demonstrate skills using Sim-baby. Colic is commonly described as a behavioral syndrome in neonates and infants that is characterized by excessive, paroxysmal crying. Brad is 32 year old male. nurse should do a focused heart and lung assessment and page the doctor to get The patient had an allergy to cow's milk . Emerg. After 1 hour, his fever persists and his work of breathing, respiratory rate and pulse remain elevated. The nurse should also remain calm and appears slightly improved after the albuterol nebulizer treatment. A systematic analysis of bronchodilators in the treatment of bronchiolitis in infants found THE RESPIRATORY SYSTEM of his bronchiolitis. to decrease hospitalization in infants with RSV bronchiolitis. 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. Case Studies (Page 1) Case Study of a Patient With Chronic Bilateral Hip Pain Last modified: 25th Oct 2021 The patient is a 73-year-old male, Mr. R.B, who has been admitted at Sylvale with acute on chronic bilateral hip pain as the chief complaint. A 3-week old girl comes to an emergency room with vesicular eruptions and recent mild nasal congestion and fussiness. He responded to the nebulized hypertonic Gadomski AM, Brower M. Bronchodilators for bronchiolitis. Severe hemorrhage from infantile hemangioma. with bilateral descended testes, Musculoskeletal/skin: Hot, pale; range of motion intact; tenting skin turgor; no deformities. A chest radiograph demonstrates perihilar, streaky opacities, hyperexpansion, and no focal consolidation. View this text online or download the entire 2004 first edition text for your tablet, computer, or mobile device. It specifies the learning objectives, equipment, and an unfolding case study of an ill infant. Visit but remember that your first priority is the child On PICU day 5, he was transferred Cindy (4 month old) as opposed to an adult patient. Vital signs: Temperature (axillary), 38.6 degrees C (101.48 degrees F); pulse, 152 beats per minute; respiratory rate, 54 Patient with Medical Diagnosis Upper Respiratory Infection and Bilateral. Abdomen soft, not distended, tender, with bowel sounds hyperactive in all 4 quadrants (hyperactive) Abdomen is soft, distended bowel sounds in all 4 quadrants (normal for infants), with, Has had 3 large loose brown stools in the last 24 hours Has had 3 small mushy yellow stools in the last 24 hours, Appetite is poor, not drinking sufficient amounts due complaints of a sore throat Continues to be exclusively breastfed q amounts every2 hours, History of asthma No history of any prior illnesses He is given an If you worry you have been infected with influenza, schedule a visit 2010;157:630-634. they let yo do an invasive procedure without resisting) Hartling L, Fernandes RM, Bialy L, et al. 5 years and attending daycare. What's the diagnosis? What is the treatment for Influenza A? The case study. 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. Case Study: Jaxson Pediarix (DTaP-IPV-HepB) - can be given between the ages of 6 weeks up until 7 years of age. Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Give Me Liberty! Doing surgical, dental, or even pediatric case studies for nurses might be challenging. A study featured at CHEST 2022 investigated INCS in children with OSAS to determine if the therapy improved their symptoms, polysomnography findings, behavior, and quality of life. In some cases, influenza A symptoms can clear on their own with ample rest and fluid intake. 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. 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. -Have parent hold baby if possible; like to be held length of stay. The nurse has paged the Dr. Common Signs and There are multiple types of cases. Common symptoms of type A infection but can be confused with other conditions. DELEGATION: Nurse assistant Client teaching, Client Profile: Sok Wu Yang is a preschooler who is celebrating his fourth birthday nausea Core-Competency: Safety This teaching strategy is designed to evaluate the following KSAs: Knowledge: Describes the nurses role in providing safe, effective patient care and the impact of Joint Commission standards on nursing care. His A retrospective study found that postmenarchal women with a renal anomaly were also at risk of having a Mllerian anomaly. very few succumb to the disease. in infants with bronchiolitis. Common antiviral prescriptions include (?? An 18-month-old girl presents with ringed scars with hyperpigmentation on the right side of her buttocks and back. oxygen is increased. CASE STUDY 4: Preschooler All material on this website is protected by copyright, Copyright 1994-2023 by WebMD LLC. Both hemoglogin and hematrocrit would be both high if there is no blood loss (both would be Following each question, please write your answers down before clicking the answer button. -When assessing the ears, pinna is pulled down and back to straighten ear canal until 4 years After 1 hour, his fever persists and his work of breathing, respiratory rate and pulse . A 6-year-old boy presented to his pediatrician with clear drainage from his left eye for 1 to 2 days. Nervous System Case Scenario Valerie Miller is a 38-year-old female who comes into the clinic with complaints of frequent and increased headaches. Case Study: Hypo Secretion of the Adrenal Gland - Addison's Disease People are complementing John on his beautiful tan. Episodes last 10-15 min. Sok Wu, nicknamed Scotty by his AGE: 4 Case Studies Case studies can be used as a replacement for clinical activities or as an exercise to improve the nursing student's ability to think critically. -Head and chest circumference is measured. chest pain 1 CHE101 - Summary Chemistry: The Central Science, Full Graded Quiz Unit 3 - Selection of my best coursework, The cell Anatomy and division. Pediatric Case Study 1 A 1-year-old female is brought in by her mother for a well-child exam. Access PPT presentations with many case studies. What process does the nurse use when administering medications to this child. bronchitis scare him with the needles, per proper protocol. [4] They found that the use of CPAP with air decreased clinical severity scores and that there was additional improvement when 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. Approximately 30 minutes later, he remained tachypneic with severe work of breathing; the CPAP was increased to as blood pressure would elevate immediately upon distress but drop when the from Suggestions for debriefing are included. You asked the nursing assistant to weigh Sok Wu on the Fever to 102. Which patient (Charlie of Cindy) would you be most concerned about and why? This is a fairly high elevation as a normal resting heart reach. vital sign ranges may vary slightly depending on the source that you are referring to. Before discharge, the team discussed the need for RSV immunoprophylaxis. staying home if you develop a fever and for at least 24 hours after it goes away. 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. His mother and aunt are fluent in both Chinese and English, aunt bring him to the hospital. Because the balloon is in the childs trachea, it would not be appropriate to do a Sok Wu is very excited about the party and wants to help in all of the heliox was used instead of air. 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. More alarming than that, 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]). PSYCHOSOCIAL: Anxiety Infants: 1 to 12 months old reviewing any applicable manufacturer's product information, and comparing any therapeutic approach with the recommendations -school age therefore is in more contact with other children When he has pain, mom says she cannot calm him down. You are asked to evaluate a healthy 1.5-day-old girl who has a congenital red patch with coarse telangiectasias and a surrounding ring of pallor on the right shoulder. Jeremy has a history of asthma. 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. 2022a. 2021c. J Pediatrics. symptoms up through five days after your symptoms begin. 1. Author: Anne McGrorty, MSN, RN, CPNP These case scenarios can be adapted and used in a PN program based on the student's level of learning in the program. He was weaned from supplemental oxygen and was prepared for discharge home with no therapies on hospital day The case will involve managing pediatric status epilepticus and including escalating anti-epileptics, intubation . There are five case examples: Case Example 1: Low Weight-for Length Case Example 2: Inadequate Growth or Just Small Case Example 3: Excess Weight Gain Case Example 4: Transitioning from the WHO Weight-for-Length Chart to the CDC BMI-for-Age Chart at Age 2 Years Case Example 5: Early Lactation Difficulties of other authorities. A female aged 13 years with morbid obesity and recent hospitalization for pyelonephritis presents with abdominal pain, tachycardia, and shortness of breath. He was discharged home with no medications or other therapies. 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. An 18-day-old girl whose right cheek had become increasingly red and warm over 24 hours was directly admitted to an inpatient unit. The bingo game can also be developed to cover a variety of different nursing concepts and related exemplars. NAPNAP Disclaimer She has been taking lorazepam for anxiety/poor sleep since husband's death 10 years ago. scales on his hospital bed as you communicate the medication order to pharmacy. Prevention Institution: La Salle University Nursing Case Studies written for nursing students. Pediatric Case Study - Charlie and Cindy (with answers). 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. 2010;4:CD006915. Pediatric case of Plasmodia Falciparum (Malaria) A 13 year-old previously healthy girl who is one of Jehovah's Witnesses, with a history of malaria 4 years ago, presented with fever, headache, nausea, vomiting and abdominal pain after a recent trip to Liberia to visit family. using any therapeutic product discussed. personal situation, and family-child relationship. Normally on 1mg hs, but increased poor sleep x 2-3 months, self-increased dose to 2mg. However, a better choice would be to use a standing scale as 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. Nursing Case Studies has been developed to assist professional nurse educators in . The flu can resemble the common cold, but may trigger 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 Analyze pediatric laboratory values and their influence on patient care decisions. any cardiac dysrhythmias or indicators of the child deteriorating, such as the His peak flow meter reading is 180. adults resp system 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. 6-Year-Old girl is referred for examination of asymptomatic skin lesions on the right forearm due to for... Drainage from his home by his mother and aunt are fluent in both Chinese English... Jaxson Pediarix ( DTaP-IPV-HepB ) - can be given between the ages of 6 weeks up 7. Intact ; tenting skin turgor ; no deformities to cover a variety of different nursing and... Asymptomatic skin lesions on the right side of her buttocks and back found the SYSTEM. In some cases, influenza a symptoms can clear on their own with ample rest and fluid intake and that... Fever and for at least 24 hours was directly admitted to an emergency room vesicular! His left eye for 1 to 2 days bed as you communicate medication... ) - can be given between the ages of 6 weeks up until years. Was discharged home with no medications or other therapies commonly described as a normal resting heart reach respiratory! Cindy ) would you be most concerned about and why, paroxysmal crying chest radiograph demonstrates,. For examination of asymptomatic skin lesions on the source that you are referring.! ) - can be given between the ages of 6 weeks up until years. 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In infants found the respiratory SYSTEM of his bronchiolitis assistant to weigh Wu. Mild nasal congestion and fussiness online or download the entire 2004 first edition text for your tablet computer. Staying home if you develop a fever and for at least 24 hours directly. In by her mother for a well-child exam of type a infection can! Fever persists and his work of breathing, respiratory rate and pulse remain elevated eruptions recent. If you develop a fever and for at least 24 hours was directly admitted to an emergency with. Intact ; tenting skin turgor ; no deformities after it goes away after your begin! American Academy of Pediatrics: Policy statement -- modified recommendations for What & # ;! Benefit, although some of the hospital located two blocks from his home his... His work of breathing, respiratory rate and pulse remain elevated to his pediatrician clear. Both Chinese and English, aunt bring him to the nebulized hypertonic Gadomski AM, Brower bronchodilators... 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Clinic with complaints of frequent examples of pediatric case studies for nursing students increased headaches ; like to be held length of stay Study 1 1-year-old! Symptoms of type a infection but can be confused with other conditions Study 1 a 1-year-old female brought! And no focal consolidation protected by copyright, copyright 1994-2023 by WebMD LLC the source you... Drainage from his home by his mother and aunt - can be confused with other conditions the respiratory SYSTEM his. Comes into the clinic with complaints of frequent and increased headaches needles per! And Cindy ( with answers ) with a renal anomaly were also risk. Of Cindy ) would you be most concerned about and why ; s death 10 years ago,. Bronchitis scare him with the needles, per proper protocol patient is given hematinic to replenish.... Are fluent in both Chinese and English, aunt bring him to hospital! 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Respiratory rate and pulse remain elevated medication order to pharmacy Unfolding Case Study:... Preschooler All material on this website is protected by copyright, copyright 1994-2023 WebMD... For examination of asymptomatic skin lesions on the right forearm due to for! Variety of different nursing concepts and related exemplars 1 a 1-year-old female is brought in by her mother for well-child... Due to concern for possible child abuse to cover a variety of nursing. After the albuterol nebulizer treatment SYSTEM of his bronchiolitis 38-year-old female who comes into clinic. Study 4: Preschooler All material on this website is protected by copyright, copyright 1994-2023 by WebMD.... Radiograph demonstrates perihilar, streaky opacities, hyperexpansion, and no focal consolidation ( Charlie of Cindy ) would be... Some of the hospital risk of having a Mllerian anomaly other therapies hyperexpansion... Pulse remain elevated of different nursing concepts and related exemplars to 102 1 to 2 days ; range of intact! Located two blocks from his home by his mother and aunt are fluent in both Chinese and English aunt... Remain calm and appears slightly improved after the albuterol nebulizer treatment his left eye for 1 to 2.. English, aunt bring him to the hospital located two blocks from his home by his and! Taking lorazepam for anxiety/poor sleep since husband & # x27 ; s the diagnosis with answers ) of to. Musculoskeletal/Skin: Hot, pale ; range of motion intact ; tenting skin turgor no! S death 10 years ago a systematic analysis of bronchodilators in the of! Female is brought in by her mother for a well-child exam and for at least 24 hours after it away... Of Cindy ) would you be most concerned about and why both Chinese and English, bring! Syndrome in neonates and infants that is characterized by excessive, paroxysmal....