b) You must have only transmitted sickle cell anemia to one of your children. What teaching needs to be given to Sabina Vasquez and her mother on the management of her EBP Pediatric Case 4: Sabina Vasquez (Complex) This was part of your 2. 80% crises, hospitalizations, precipitating events, medical treatment, and home She is breathing at 27 breaths per minute. Document your initial focused assessment of Sabina Vasquez. Blood pressure: 97/76 mmHg. discharge. SpO2: 93%. physical findings and family interaction. 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. Referring to your feedback log, document the nursing care you provided and Brittany Long's response. 125/84 mmHg. Opening Questions Soon after he was released, he noticed what he described as a gray spot in his field of vision. 4. Conscious state: Appropriate. d) Numeric pain intensity scale (0-10). You identified the relatives. 6:21 You should auscultate the lungs as part of a focused respiratory assessment. Before discharging Brittany Long and her family, I would educate them on how to Blood pressure: developing a plan of action to mitigate these triggers. When obtaining a health hx on a pt with sickle cell anemia, the nurse should elicit info r/t growth and development, frequency of vaso-occlusive crises, Past hospitalizations and Tx for pain crises, immunization status, hx of blood transfusions, current medication regiment, and precipitating events. Conscious state: Appropriate. Monitor her O2 sat and keep above 95% with frequently lab drawn and strict pain assessment and asked her if she would like any medication for her pain. 5:10 Child status - ECG: Sinus tachycardia. Wolters Kluwer Health. # On inspection, the pt's skin is flat & w/o erythema. Sabinas mother? Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. 10:09 You attached the pulse oximeter.<> This was indicated by response. to avoid asthma triggers. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. Her Journal articles and books should be referenced according to current APA style.Grading Rubric Your assignment will be graded according to the grading rubric.Essay/Paper RubricCriteriaRatingsPointsIdentification of Main Issues/Problems8 pointsDistinguishedIdentify and demonstrate a sophisticated understanding of the issues/problems.7 pointsExcellentIdentifies and demonstrate an accomplished understanding of most of issues/problems.5 pointsFairIdentifies and demonstrate an acceptable understanding of most of issues/problems.2 pointsPoorIdentifies and demonstrate an unacceptable understanding of most of issues/problems.8 pointsAnalysis and Evaluation of Issues/Problems8 pointsDistinguishedPresents an insightful, thorough analysis and evaluation of issues/problems.7 pointsExcellentPresents a thorough analysis and evaluation of most of the issues/problems.5 pointsFairPresents a superficial or incomplete analysis and evaluation of issues/problems.2 pointsPoorPresents unacceptable analysis and evaluation of issues/problems.8 pointsDemonstrates a Conceptual Understanding8 pointsDistinguishedProvides a thorough, competent and interpretive responses to all issues/problems, and shows a high level of conceptual understanding.7 pointsExcellentProvides a competent and interpretive responses to all issues/problems, and shows a moderate level of conceptual understanding.5 pointsFairProvides a competent responses to all issues/problems, but lacks interpretation and a moderate level of conceptual understanding.2 pointsPoorProvides an unacceptable response to all issues/problems, and lacks interpretation and a moderate level of conceptual understanding.8 pointsUse of Citations to Course Readings and Additional Research/Literature8 pointsDistinguishedEffectively uses the literature and other resources to inform their work. Also infections can cause a crisis to occur as well, so educating on proper hand hygiene to Infancy - A quick sheet on infant developmental stages. Wolters Kluwer Health. situation-background-assessment-recommendation (SBAR) format. children with asthma. Sabina Vasquez (complex) documentation.docx, Jackson Weber documentation assignments complex 2.pdf, PediatricCase10_CharlieSnow_Complex_DA.docx. Jackson is a patient with a 2 year history of tonic clonic seizures. " Brittang Long 1. Document the patient has hry you | Chegg.com most recent Hgb and Hct are 7/dL and 26%. Heart rate: 147. Sabina Vasquez (Complex) " PCC Then I listened to 119/79 mmHg. 5:30 # Studypool is not sponsored or endorsed by any college or university. Pulse: Present. bedside. (Explain d) Frequency of vaso-occlusive crises a) call the provider and request an order for a med for the itching as needed. You phoned the provider in order to discuss the patient. ! What should be done to overcome the language barrier between the health care team and The nurse is reviewing lab data on a pt with sickle cell anemia. Situation: Brittany long is a 5-year-old African American female who has a history of these actions, and why would you do them differently? should understand that interpretation services or additional explanations may be Blood pressure: It is correct to give this to a patient ! Guided Reflection Questions 120/80 mmHg. "! c) I am going to take your temp. Temp: 39.1 C Describe how you would apply the knowledge and skills obtained in Sabina Vasquezs case to an actual After that, I did a pain assessment with FACES scale taking her temperature (99 F), attaching the pulse ox (97% on 2L nasal cannula) and Document the patient history you obtained for Brittany Long, including previous pain Do not sell or share my personal information. signs Q2 hours. After the nurse has given discharge instructions regarding prevention of vaso-occlusive pain crisis, which response b Brittany's mother indicates that further teaching is needed? 0:00 b) Sickled cells mix w/ normal RBCs and cause the immune system to become depressed, which makes your child more prone to illness c) Ask the parent whether the pt is hurting Books You don't have any books yet. Pediatric Case 8: Brittany Long (Complex), Document your initial focused assessment of Brittany Long. Concluding Questions What is your attitude toward Sabina Vasquezs cultural background? Assessed skin. You don't have to be crying to be hurting a lot. played with and became more comfortable with. diagnosis and management of care. Date of Completion Identify and document key nursing diagnoses for Sabina Vasquez. Pediatric Case 4: Brittany Long Documentation | Chegg.com " Do your children have different fathers? EBP ! It is important to use the basic rights of Respiration: 30. Five years later, he began having problems again. bleeding, or drainage. The nurse is performing a physical assessment on a 5 y/o pt. pain medication for management of acute splenic sequestration with a history of sickle cell treat it. Saint Thomas University Research the Role of The Nurse Practitioner Discussion. 2. Which of the following responses by the nurse is correct? Moderate use of citations and extended referencing.2 pointsPoorIneffectively uses the literature and other resources to inform their work. out 5 on the FACES pain scale. Question 3 Relate the symptoms and signs to those of macular degeneration. This is important, as the patient is below 18 years of age. When obtaining a health hx, the nurse should include questions r/t which of the following? to a patient with pneumonia. Pulse: Present. The preschool-aged or young school-aged child may enjoy using an oral syringe to squirt meds into his or her mouth; it is engaging and gives them sense of control. What action should the nurse take? of the health care process. ydu sbduim cusnuitcto tbo iujks `dtb cjtoredriy cjm pdstoredriy. Jackson Weber Documentation Assignments Flashcards | Quizlet assessing her respiratory rate (34 bpm). Blood pressure: Documentation VSIM Brittany L.docx - Pediatric Case 8: Identify and document key nursing diagnoses for Sabina Vasquez. Breath sounds are clear and equal bilaterally. Eapcerom kcs oxnbcjko muo td muo td monrocsom dxykojctedj, Ejollontevo tessuo porlusedj muo td sengio noii cjoaec, Cnuto pcej muo td sengio noii niuap tdkotbor cjm ncusos `iddm td `ondao. The normal peak flow ranges for children aged 5 to 7 years and made me feel confident in the whole process. Fill in the assessment chart. There is tenting of the skin. These are the countries currently available for verification, with more to come! Thus, the maximum safe dose is 240 mg. A 5 y/o pt with sickle cell anemia has an order for oral codeine elixir 8 mg Q4H around the clock for pain. patient care situation. Which of the following demonstrates that the nurse understand developmentally appropriate communication? PCC What actions should be taken to ensure the delivery of appropriate information to Sabina # Course Hero is not sponsored or endorsed by any college or university. 3. Which of the following explanations b the nurse is correct? 5. T&C/I What key elements would you include in the handoff report for this patient? c) Both parents have the sickle cell trait and your risk for having a child with sickle cell anemia is 25% with each pregnancy dj tbo lcnos pcej sncio td bor rekbt, aoa`rcjos, sujgoj ldjtcjoiios, cjm moicyom ncp roleii. A patient hando was performed. your orders. APA style and writing mechanics need serious attention.8 points. There is a tenting sign of the skin. asked if she had any pain, she said yes. I proceeded to ask where her pain was, and she Her skin was slightly pale and cool to touch, except her right lower leg was Pediatric Case 4 Please do not choose the How would Native Americans provide living arrangements for the elderly or their loved ones, health and medicine homework help. Referring to your feedback log, document the nursing care you provided and Brittany Longs assessed her IV site for patency then administered the 2mg of morphine IV as ordered. Document your initial focused assessment of, (6/10) and checked her right lower leg and, 2. I assessed her abdomen and found that her regarding the blood and then administered it. The pt received morphine sulfate IV 1 hr ago for severe pain and is awake, alert, and complaining of generalized itching. Explain your recommendation for the chiropractic practice. Timely pain management. to keep hydrating, so encourage her to drink more fluids. My initial assessment included vitals signs (Pulse ox, BP, HR, Temp, RR, and pulses), a pain assessment using the FACES scale, relative history, and then auscultating the lungs and heart as well as examining the right leg. 4. The mother stated Brittany began 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. # Feedback Log Enter the email address associated with your account, and we will email you a link to reset your password. bronchospasms. Find attached file for the instructions and a sample paper for it. 6:10 Scenario Analysis Questions* If so, what were How did the simulated experience of Sabina Vasquezs case make you feel? What is the advantage of writing net ionic equations? Heart rate: 149. Title is descriptive University of Southern California Clinic Segmentation Paper. Heart rate: 146. The nurse enters the room to check on Brittany and finds her sitting gin bed playing video games with her sister. prevention of infection and dehydration, and pain management. While the nurse assesses Brittany, her mother questions why the nurse is checking the pt's heart and lungs when the admitting complaint was leg pain. Identify and document key nursing diagnoses for Brittany Long. IF you have four children, one or 25% will have sickle cell anemia. Document the patient has hry you obtaines for Brittany Long, including previous pain Crises, hospitalizations, Precipitation events, medical treatment, and home management 2. What would be the most appropriate med for the nurse to administer? I obtained baseline vitals, attached a 3 lead ECG monitor and pulse oximeter to d) You need to change into hospital gown before I can examine you. SpO2: You attached the <Pulseoximeter>pulse. 123/82 mmHg. I then assessed her abdominal region and it was tender. Title and reference pages do not count toward the total word or page count. Temp: 39.1 C 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? c) Past hospitalizations and Tx Referring to your feedback log, document the nursing care you provided and Brittany animal for comfort. 121/81 mmHg. The patient's problems with coordination and cognition result from alcohol penetrating the \rule{4cm}{0.15mm}. 10:13 Conscious state: Appropriate. Make sure there are competing positions on this issue that reflect differing ethical principles or interpretations. 3. Fill in the assessment chart below. : an American History (Eric Foner), The Methodology of the Social Sciences (Max Weber), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Psychology (David G. Myers; C. Nathan DeWall), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Civilization and its Discontents (Sigmund Freud), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Definitely coming back for more study materials. 4. NR439 Document the patient teaching that you would provide for Brittany Long and her family before discharge. " Temp: 39.1 C a) I want to listen to you breathe. Questions are posted anonymously and can be made 100% private. c) Use a dropper to place med in back of the pt's throat (SBAR) format to communicate what further care Brittany Long needs. Score DETACHED RETINA CASE STUDY 1 - Mr. Gray, a 65-year-old man, was in an automobile accident in which he suffered a concussio DETACHED RETINA CASE STUDY 1 - Mr. Gray, a 65-year-old man, was in an automobile accident in which he suffered a concussion. This is correct. Her temperature is 99 F. Her oxygen saturation is 97% on 2L nasal cannula. According to standing orders, S/QI The Scenario Analysis Questions are correlated to the Quality and Safety Education for Nurses (QSEN) Moderate use of citations and extended referencing.5 pointsFairIneffectively uses the literature and other resources to inform their work. The patient denies any pain, during the neuro assessment everything was normal and within defined limits. b) Visual analog scale A dropper is appropriate for use w/ infants and younger children; older children can take oral meds from a medicine cup or measured medicine spoon. There are 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. During the initial health hx & assessment, the nurse should ask which words the pt uses to describe pain and use those terms when assessing the pt's pain level. 1. Britney Long Documentation | PDF | Epidemiology | Medicine - Scribd ! sickle cell crisis. identify the child. Brittany was provided with juice to drink and stuffed You have been asked to make recommendations. Sabina Vasquez PCC Hypovolemia AEB pale extremities and capillary refill > 3 seconds. ADN to BSN 0:59 Documentation Assignments Brittany Long vSim Documentation Assignment - Homework Score I stayed to watch for any transfusion reaction and Which of the following would be the highest priority and most appropriate nursing diagnosis in this case? Document your initial focused assessment of Brittany Long. d) put med into a medicine cup and pour entire amount into the pt's mouth @ 1 time. responded, my tummy. She rated her pain 6/10 on FACES scale. a) acute leg pain and dactylitis Pain management AEB pain in right lower leg. oximeter.<> This was indicated by order. d)Enuresis and proteinuria. it to the lab. 3. pale, difficulty breathing, chest pain, abdominal plan. She has been having increase pain and, based on follow-up pain assessment scores, the morphine isn't as effective as it was initially. Pediatric Case 8: Brittany Long (Complex). A detached retina was diagnosed. Please answer the Documentation Assignments (file: DA) and Scenario Analysis Questions (file: GRQ) in the uploaded files, using the feedback log as a reference. # Documentation Assignments APA style and writing mechanics need more precision and attention to detail.2 pointsPoorDemonstrates issues in writing and communicating clearly. a) Administer the prescribed analgesic as ordered Document your initial focused assessment of Brittany Long. Brittany Long Complex Autumn .docx - Pediatric Case 8: Would you like to help your fellow students? The pt is lying quietly in bed watching TV. Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Document Assignment for Vsim Brittany Long. Heart sounds were normal without murmurs. Studypool matches you to the best tutor to help you with your question. Child status - ECG: Sinus tachycardia. 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. Experts are tested by Chegg as specialists in their subject area. Respiration: 29. 2:35 Wolters Kluwer Health. She has pain a 6/10 on the faces scale and is receiving morphine to SpO2: 94%. Her blood pressure is ! Document your initial focused assessment of Brittany long 3 Identify and document key nursing 3 diagnoses for Porutany long. these actions, and why would you do them differently? Background: Brittany Long has a history of sickle cell anemia being treated with a folic

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