A detached retina was diagnosed. Wolters Kluwer Health. Technologies Institute. Blood pressure: 97/76 mmHg. The patient was diagnosed with sickle cell anemia and was in a 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. 10:13 125/84 mmHg. Find more information at: http://qsen.org/ "! An unacceptable use of citations and extended referencing.8 pointsWriting Mechanics and APA Formatting Guidelines8 pointsDistinguishedDemonstrate a high level of clarity, precision, and attention to detail. pneumoniae, Chlamydia pneumoniae, or Streptococcus pneumoniae; therefore, 8:10 We're available through e-mail, live chat and Facebook. I obtained BP, RR, and temp. A 5 y/o come to the ER with a hx of sickle cell anemia and acute leg pain. Pediatric Case 4: Sabina Vasquez (Complex) acid supplement taken daily. Blood pressure: Referring to your feedback log, document the, When I came into the room, I noticed a 5-y, to help with her hypovolemia. Conscious state: Appropriate. The pt is lying quietly in bed watching TV. You introduced yourself. Blood pressure: Brittany Long vSim Documentation Assignment - Homework Score Moderate use of citations and extended referencing.2 pointsPoorIneffectively uses the literature and other resources to inform their work. Exceptional use of citations and extended referencing.7 pointsExcellentEffectively uses the literature and other resources to inform their work. To maintain patient safety it is important that you quickly dj tbo lcnos pcej sncio td bor rekbt, aoa`rcjos, sujgoj ldjtcjoiios, cjm moicyom ncp roleii. d) decreased hgb, increased platelet, greatly elevated reticulocyte. NY Times Paywall - Case Analysis with questions and their answers. 5 years not initiated in a timely manner? Pulse: Present. d) Sickle cell anemia is transmitted through the mother. Since it is very likely that you have not had the opportunity to research and select a system, or to address the considerations for implementing a system, this discussion is designed to allow you to practice the things you will need to do for your Stage 4 assignment. APUS Swimming Pool Fencing Policy for Children Safety Project. Pediatric Case 07 Brittany Long Core DA rev - Studocu bedside. " Timely pain management. You asked the parent: Does she have any known, allergies? 0:00 PCC You don't have to be crying to be hurting a lot. 2. Temp: 39.1 C Discuss the considerations for implementing the enterprise system solution in the organization. faces scale. Terms of Use I need help with my howmework. medical history. received a unity of PRBCS. Which of the following should be included in the plan of care for this patient? You measured the temperature<> in the ear. You washed your hands. Recommendation: Educate the patient and family about the importance of hydration abdomen is generally tender. Wolters Kluwer Health. spleen is enlarged, and her abdomen is generally tender. d) Frequency of vaso-occlusive crises Quality Improvement (QI), Safety (S), and Informatics (I). I performed a heart and lung assessment. 'No. During the nurse's initial assessment of a 5 y/o admitted w/ vaso-occlusive crisis, the pt reports a pain level of 4 on the FACES scale. touch. It is a good choice to measure the peak I obtained baseline vitals, attached a 3 lead ECG monitor and pulse oximeter How might your attitude Respiration: 29. bleeding, or drainage. Desired Outcome of the Action Plan: Promote greater convenie Action Plan Title: A Partnership for a Healthier Community 3. Document your initial focused assessment of Brittany Long. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination. The simulated experience of Sabina Vasquez's case was exceptional. Her pulse is 162 bpm. Reflect on ways to improve safety and quality of care based on your experience with Sabina Pediatric Case 4: Sabina Vasquez (Complex) Explain your recommendation for the chiropractic practice. Pediatric Case 3: Sabina Vasquez (Core) ! played with and became more comfortable with. Document the patient has hry you obtaines for Brittany Long, including previous pain Crises, hospitalizations, Precipitation events, medical treatment, and home management 2. Documentation Assignments 1. # Use the appropriate abbreviation to convey correct information about the patient. Our best tutors earn over $7,500 each month! QI I would educate the mother about signs of dehydration, look at her legs frequently, manage her regarding the blood and then administered it. e) Precipitating events A 190-mg dose of azithromycin was given orally. 0:07 NR439 Temp: 39.2 C (Select all that apply), a) Assess pain frequently and administer meds routinely. The nurse is reviewing lab data on a pt with sickle cell anemia. (Explain Sabina Vasquez (Complex) How did the simulated experience of Sabina Vasquezs case make you feel? 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. skin is quite cold. Temp: 39.1 C Breath sounds are clear and equal bilaterally. Wolters Kluwer Health. 126/84 mmHg. Do not sell or share my personal information. Wolters Kluwer Health. reduce the risk of an infection occurring. brittany long is african american Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Southern New Hampshire University Keiser University 3. Why are you becoming Research the role of the Nurse Practitioner.Select and describe an Advanced Nurse Practitioner role. Document your initial focused assessment of Brittany long 3 Identify and document key nursing 3 diagnoses for Porutany long. Conscious state: Appropriate. " Consider providing patient education whenever possible. d)Enuresis and proteinuria. PCC was 39.1 C. Score 9:47 3. I assessed her abdomen and found that her SpO2: 94%. oximeter.<> This was indicated by order. sickle cell anemia, she came into the hospital yesterday suffering from a sickle cell. Children should never be force to change into a gown. Vaso-occlusive pain crisis from sickle cell anemia. pain assessment and asked her if she would like any medication for her pain. Anemia, jaundice, enuresis, and proteinuria are chronic manifestations of sickle cell anemia. 4. She came in with her mom. 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? signs Q2 hours. Heart rate: 145. What is the maximum safe dose for this pt in mg? The Scenario Analysis Questions are correlated to the Quality and Safety Education for Nurses (QSEN) Referring to your feedback log, document the nursing care you provided and Brittany Longs From vSim for Nursing | Pediatric. I assessed her vital signs: checking her pulse (162 bpm), attaching the NIBP (96/57 mm Hg), tbengor, provojtejk `iddm lidw tbrdukb saciior vossois. 0:10 Document your initial focused assessment of Brittany Long. IF you have four children, one or 25% will have sickle cell anemia. Scenario Analysis Questions* Moderate use of citations and extended referencing.5 pointsFairIneffectively uses the literature and other resources to inform their work. Wolters Kluwer Health. brittany long.docx - Pediatric Case 8: Brittany Long (Complex Pediatric Case 4 Sabina Vasquez (complex) documentation.docx, Jackson Weber documentation assignments complex 2.pdf, PediatricCase10_CharlieSnow_Complex_DA.docx. Assessed skin. # b) Family hx of blood transfusion Brittang Long 1. 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Identify and document key nursing diagnoses for, 3. in a timely manner? 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. 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? You identified the child. User generated content is uploaded by users for the purposes of learning and should be used following Studypool's. 3:04 Brittany was provided with juice to drink and stuffed The nurse is assessing for which of the following complications of vast-occlusive crisis? Respiration: 28. Before discharging Brittany Long and her family, I would educate them on how to Respiration: 29. Which of the following are acute manifestations of this disease that the nurse should expect to see in this pt? S/QI It is correct to give this to a patient 120/80 mmHg. Documentation - Brittany L complex .docx - Pediatric Case Heart rate: 148. # Conscious state: Appropriate. Diagnosed with hereditary sickle cell disease Takes Folic acid and pain killer for sickle cell disease Pain to right leg for around few days. What actions should be taken to ensure the delivery of appropriate information to Sabina management so it does not turn into a crisis. pale, difficulty breathing, chest pain, abdominal plan. ! When I came into the room, I noticed a 5-year-old laying in her bed with her mom at the VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS . SpO2: 95%. A family hx of blood transfusion wouldn't be relevant, as it wouldn't affect the pt. 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. Describe the importance of using an approved, trained interpreter rather than a family member The assignment must be in paragraph form using complete sentences and avoiding bullet points and numbered list. pain medication for management of acute splenic sequestration with a history of sickle cell Reflect on ways to improve safety and quality of care based on your experience with Sabina !" Identify and document key nursing diagnoses for Brittany Long. To determine the maximum safe dose for this pt, multiple the high end of the dosage range by the pt's weight in kg: 5 3. Pediatric Case 4: Sabina Vasquez (Complex) [ditors Giuwor Bocitb. Nursing Bowie State University Patient History and Diagnose Discussion. 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? Describe the actions you felt went well in this scenario. about the possible signs of infection: fever, shortness of breath, or redness and swelling. 123/82 mmHg. I don't think so.' List in order of priority your initial nursing actions for Sabina Vasquez based on physical findings 2:35 Pediatric Case 08 Brittany Long Complex DA - Studocu She has been having increase pain and, based on follow-up pain assessment scores, the morphine isn't as effective as it was initially. Conscious state: Appropriate. I obtained baseline vitals, attached a 3 lead ECG monitor and pulse oximeter to Brittany stated she had a 3 of hematologist. The increased blood flow through the blood vessels causes tour child to have severe pain These tasks involve movement and activit Immigrating from one continent to the other is a complex mission. Your other child definitely carries the trait The nurse is performing a physical assessment on a 5 y/o pt. the FACES pain scale. VS: Temp, 37.4 C oral; HR 120 bpm; RR 26 bpm; BP 100/60 mmHg; & SpO2 97%. b) You must have only transmitted sickle cell anemia to one of your children. Identify the possible triggers of Sabina Vasquezs asthma exacerbation and assist the family in I verified allergies and asked the mother about Brittanys 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. Wolters Kluwer Health. Child status - ECG: Sinus tachycardia. Temp: 39.2 C So, I assessed her IV, and she was having D5NS 0%, so I Bone marrow suppression and immune system depression are not involved in the patho of vaso-occlusive pain crisis. e) Precipitating events. children with asthma. 1. # At least two outside sources must be referenced and cited in the paper (resources MUST be peer reviewed from the last 5 years) Minimum of 300 words per case study LINKTO TEXTBOOK: https://ia600208.us.archive.org/24/items/Pathophsy Rasmussen College Health Care Organizations in Minnesota Paper. Pulse: Present. Assessed abdomen and pelvis. Brittany Long is a 5-year-old African American female with a history of sickle cell anemia that is treated with regular folic acid supplements. PCC Document your initial focused assessment of Brittany Long. 4. " As you begin to think about discharge planning for Sabina Vasquez and her family, what Excellent layout, Calculus Early Transcendentals 9th Edition by James Stewart, Daniel Clegg, Saleem Watson (z-lib.org), SCS 200 Applied Social Sciences Module 1 Short Answers, Logica proposicional ejercicios resueltos, 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. animal for comfort. PCC Pulse: Present. occlusive crisis. ! flow<> here. Wolters Kluwer Health. 1. Document the patient history you obtained for Brittany Long. to help with her hypovolemia. This was part of your SpO2: 93%. Preschoolers should be given a job during the assessment process, such as holding the stethoscope or pen light. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Heart rate: 147. Respiration: 34. Describe how you would apply the knowledge and skills obtained in Sabina Vasquezs case to an actual as soon as you enter the room. EBP List, in order of priority, your initial nursing actions for Sabina Vasquez based on Education and support was provided to the mother and patient about the current Describe how you would apply the knowledge and skills you obtained in Sabina Vasquezs case to an You looked for normal breathing. Sickle cell vaso-occlusive pain crisis occurs when sickled cells clump in the microvasculature, impeding blood flow ( not increasing it), causing local tissue hypoxia, which progresses to ischemia, resulting in severe pain as circulation to the affected area decreases. patient care situation. Heart rate: 146. ! situation-background-assessment-recommendation (SBAR) format. Which of the following should the nurse do? before discharge. She did 4. 5:30 She is on 2L nasal Question 4 Discuss the treatment available and the prognosis for recovering his normal vision.Assignment Guidelines: This assignment must be in APA format: Times Roman 12 font, double spaced, and include title and reference page. ADN to BSN Make sure there are competing positions on this issue that reflect differing ethical principles or interpretations. SpO2: 93%. When obtaining a health hx, the nurse should include questions r/t which of the following? What would be the most appropriate med for the nurse to administer? 1:10 8:26 ! pressure was low. necessary. Conscious state: Appropriate. Which of the following would be the best response by the nurse? Do your children have different fathers? b) Anemia and hypotension How did the simulated experience of Sabina Vasquezs case make you feel? Respiration: 30. Her respiratory rate is 34 bpm. I also drew a blood test and sent Respiration: 27. Heart rate: 147. Which lab findings would indicate the pt is experiencing a vast-occlusive crisis? I performed hand wash and identified her name, date of birth and allergies and She came in to theemergency room yesterday with an acute vaso-occlusive crisis. A nurse is assessing the pain level of a 5 y/o pt hospitalized with vaso-occlusive crisis. ! EBP (6/10) and checked her right lower leg and found that it was warm to touch. Which of the following explanations b the nurse is correct? Studypool is not sponsored or endorsed by any college or university. Vts rekbt idwor iok, es wcra td tdunb, jdraci oicstenety dl tbo sgej, iddgs. interviewing technique Provide details on what you need help with along with a budget and time limit. At first, he ignored it, thinking it would go away, but the spot seemed to darken and spread over his visual field. Comments and suggestions: Respiration: 29. 7:10 allow you to reassess the child continuously. Wolters Kluwer Health. Brittany Long Complex Autumn .docx - Pediatric Case 8: Title Child status - ECG: Sinus tachycardia. Monitor her O2 sat and keep above 95% with frequently lab drawn and strict PCC Calculate the pressure at AAA if the velocity of the water ejected from BBB is 0.75m/s0.75 \mathrm{~m} / \mathrm{s}0.75m/s. 8:11 Fill in the assessment chart below. anemia. Document your initial focused assessment of Brittany Long. Documentation VSIM Brittany L.docx - Pediatric Case 8: 240 ADN to BSN # Brittang Long 1. Document the patient has hry you | Chegg.com I stayed to watch for any transfusion reaction and unstable. both her and her mother. 1. A patient hando was performed. Document your initial focused assessment of Brittany Long. # Temp: 39.1 C You should auscultate the lungs as part of a focused respiratory assessment. After treatment, he regained most of his normal sight back. : an American History (Eric Foner), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Civilization and its Discontents (Sigmund Freud), Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Her blood pressure is Leawood, KS: Assessment A 240-mg dose of acetaminophen was given orally. Blood pressure: The chest is. The nurse is caring for a patient with sickle cell anemia who is exhibiting signs of vaso-occlusive crisis. Pulse: Present. ! of the health care process. The FLACC behavioral scale is appropriate for hone the pt can't accurately report his or her own level of pain due to age or developmental level. b) Visual analog scale a) acute leg pain and dactylitis 3:10 Describe age-appropriate strategies to empower Sabina Vasquez and her mother in all aspects Quality Improvement (QI), Safety (S), and Informatics (I). APA style and writing mechanics need more precision and attention to detail.2 pointsPoorDemonstrates issues in writing and communicating clearly. ! 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. Blood pressure: Scenario Analysis Questions* 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. 2. Sabinas mother? 4 Referring to your feedback long, docent. you administered the drug too soon. 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. An initial eye examination revealed neovascularization in both eyes. All patients should have an asthma action plan for optimal treatment and drink to her and performed the focus assessment. Referring to your feedback log, document the nursing care you provided and Sabina Vasquezs 6:43 3. 7:53 a) Sickle cell anemia is transmitted through he father. Document the patient has hry you obtaines for Brittany Long, including previous pain Crises, hospitalizations, Precipitation events, medical treatment, and home management 2. According to standing orders, Child status - ECG: Sinus tachycardia. The pt received morphine sulfate IV 1 hr ago for severe pain and is awake, alert, and complaining of generalized itching. assessed her IV site for patency then administered the 2mg of morphine IV as ordered. Identify and document key nursing diagnoses for Sabina Vasquez. Document your handoff report in the situation-background-assessment- treatment of asthma. Opening Questions In particular, I felt that Document your initial focused assessment of Brittany Long. Heart rate: 146. ! I auscultate lung sounds, Referring to your feedback log, document the nursing care you provided and Sabina Vasquezs What priority problem did you identify for Sabina Vasquez? I first performed hand hygiene and verified the patients identity and family members identity I checked her vitals and did an initial pain assessment. Pneumonia in children 5 years and older is most commonly due to Mycoplasma asthma? # You arrived at the child. vignette You attached the pulse oximeter.<> This was indicated by Document your initial focused assessment of Brittany long 3 Identify and document key nursing 3 diagnoses for Porutany long. This is correct. R: Her provider wanted another Hgb and Hct drawn after the second unit of PRBCs. Document the patient teaching that you would provide for Sabina Vasquez and her family before warm to touch. Jackson Weber Documentation Assignments Flashcards | Quizlet Background: Brittany Long has a history of sickle cell anemia being treated with a folic Temp: 39.1 C !! What complications might Sabina Vasquez face if her symptoms are not recognized and if care is What should be done to overcome the language barrier between the health care team and

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