Download file to see previous pages...
This shows that she is staining to breathe. The other priority problem that the nurse should note in the diagnostic statement is that Jane is experiencing dehydration. Dehydration is shown by dryness of the lips and the fact that her skin has lost its turgor and has become (Shen, Johnston and Hays, 2011). The other priority problem that should be noted by the nurse is that the patient is experiencing pain. During the examination it is observed that Jane is having problems forming sentences and she is not able to take Ventolin. Q2. During the diagnosis, it has been identified that Jane’s oxygen saturation is alarming which suggests that the oxygen saturation are 90 percent of Room air. To deal with this problem, the nurse will use the four components of the nursing interventions. The intervention will be performed by the nurse who will be in contact with the patient for most of the time during her stay in the hospital. The other nursing component that will be included in the intervention is performance of respiratory evaluations of the respiratory rate and effort that Jane is using when breathing (Shen, Johnston and Hays, 2011). Assessment of the respiratory rate is critical given that Jane has already shown signs of having problems in breathing and asthma is usually characterized by respiratory problems. The other nursing intervention to be implemented to rectify the problem is to carry out frequent assessment of the patient at least once daily. Frequent monitoring will allow the nurse note the progress of the patient and in case any emergency care is required, a physician can be called in immediately. The fourth nursing intervention that will used to rectify the problem is to administer pain relief to the patient. This is because the patient has shown signs of being in pain (Shen, Johnston and Hays, 2011). Q3. During the assessment of Jane, it becomes evident that she is experiencing chronic pain as she coughs. According to Gagnon (2011), pain is a subjective symptom and when measuring pain, the medical practitioner aims at identifying pain location, its intensity, temporal patterns, relieving factors and interference. It is hard to measure pain that Jane is experiencing given that she is an infant and has difficulties in communication. However, the best assessment tool should be relying on behavioral assessment of the child. The nurse should therefore observe facial expression as the child coughs and how she makes facial expression after medication has been administered. Therefore the best tool for the case should be the Wong-Baker Faces Pain Rating Scale which uses to evaluate the level of pain based on the face. Q4. The recommended dosage of paracetamol is 15mg of paracetamol per kilogram. This is calculated by dividing 210 by 14 which gives 15mg per kg. Therefore the dosage recommended by the RMO is correct. Q5. Given the age of Jane and her present condition that gives her difficulties when swallowing, the nurse can utilize different strategies to administer paracetamol to her. The nurse can administer the paracetamol through a syringe placed at the corner of the mouth after which the nurse pushes the syringe slowly to release the medicine into the throat of the child (Ganzewinkel et.al., 2012). The other strategy that the nurse can use is by giving the paracetamol using a teat bottle where Jane will suck the medicine. The nurse may also administer the pa
...Download file to see next pagesRead More
During the initial learning in this course, assessment and therapeutic interventions in health care have been learned. This assignment will consider the knowledge of assessment and therapeutic interventions relevant to children and child development in order to establish episodic nursing care of sick children and families.
In addition to that, the boy would smile at both parents when he was 6 months old, and he was able to roll over by the time he was 12 months old; he showed no anxiety when he was left alone. However, Isagani, now aged five, is hardly meeting the expectations for normal development because of unresolved conflicts and rivalries from the early childhood, which need to be resolved for infants to develop supportive relationships (Conger and Kramer, 2010); for instance, Isagani talks at home and to other kids but he does not talk in the presence of his teacher and adults outside his family.
There is not one specific single parameter that functions as the only and best parameter to discover malnourished patients or individuals with risk for malnutrition. There is no golden set-standard; because of this we always use more parameters to constitute a representation of the nutritional status of a patient.
The presentation of this patient was with fever up to 102 degrees Fahrenheit, increased cough over his baseline chronic cough with mild distress of respiration, fatigue, weakness, and anorexia for over a period of 1 week. Being a nurse within the relations is a reason, where one needs to cater her skills on the relatives, and this is one such case.
A chest radiograph showed a large ( 50% of the hemithorax) right pleural effusion with mediastinal shift to the contralateral side.
His clinical diagnosis on presentation is Impaired Gas Exchange (IGE) which is defined as "the excess or deficit in oxygenation and/or carbon dioxide elimination at the alveolar - capillary membrane" (NANDA definition).
She described it as " the worst headache [she] had ever experienced" with associated photobia, nausea and vomiting and neck stiffness. Upon assessment, Mrs B had a GCS of 14/15, apyrexial, and her blood pressure was 155 over 92, pulse 86. Her respiratory rate was 16, and sao2, 96%.
Her husband has been bearing the brunt of the difficulties associated with her erratic behavior and is now again putting up with it for the recent three months. The erratic behavior was a feature of her mania and led her in and out of jobs. Now she is out of
An assessment of the application of such ethical elements is necessary as a means of improving the practice. The case of Emily, as presented below, is the basis of this case presentation.
The RN, Sue, indicated that she made observations of the patient.