Pediatric Case 05 Eva Madison Core GRQ PDF

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Pediatric Case 5: Eva Madison (Core) Guided Reflection Questions

Opening Questions How did the simulated experience of Eva Madison’s case make you feel? I felt very good with this scenario, I feel that I was able to put knowledge into practice and treat the patient in the right way with the best result Describe the actions you felt went well in this scenario. During this scenario I felt well, I was able to assess the patient quickly and efficiently , I directed my assessment primarily to the symptoms and functions related to her symptoms, vital signs, pain and GI assessment Scenario Analysis Questions1 EBP What priority problem did you identify for Eva Madison? Dehydration and pain EBP

What complications might Eva Madison face if her symptoms are not recognized and actions are not initiated in a timely manner?

Severe dehydration, at the time of the assessment she was not seriously dehydrated however, she began to show signs such as dry and cracked lips and her HR started to rise PCC

What actions should be implemented to decrease anxiety in Eva Madison and her mother?

The nurse explained to both, Eva and her mother that she had Gastroenteritis and that with the doctor's order to start hydrating her, she would feel better, always told Eva what she was going to do before doing it, also provide Eva with a stuffed animal, allow the mother to be with the child and participate in some way in the procedures that can be done PCC

Describe age-appropriate strategies to empower Eva Madison and her mother in all aspects of the health care process.

It is important to include both Eva and her mother into Eva’s care. They should be aware of everything that is going on, what procedure the nurse is going to do and the treatment to develop

1 The Scenario Analysis Questions are correlated to the Quality and Safety Education for Nurses (QSEN) competencies: Patient-Centered Care (PCC), Teamwork and Collaboration (T&C), Evidence-Based Practice (EBP), Quality Improvement (QI), Safety (S), and Informatics (I). Find more information at: http://qsen.org/

From vSim for Nursing | Pediatric. © Wolters Kluwer Health.

PCC/S What should you teach Eva Madison and her mother about home care of a patient with gastroenteritis? The patient must remain on a clear liquid diet for the next 24 hrs, avoid sweet carbonated and caffeinated drinks. If vomiting or diarrhea persists or worsens return to doctor / E.D , watch for signs of dehydration such as thirst, dry-cracked lips, dark colored urine, sleepiness, low energy T&C

What role do you feel Eva Madison’s mother has as a member of her health care team? (Explain your answer.)

Eva is more comfortable with her mother than with any nurse who cares for her, more likely to cooperate with any procedure when her mother is there. She is a very important member of Eva’s healthcare team because she will be the one who continues Eva’s care once they go home. Education is a very important part of the care plan to ensure that Eva’s mother can provide accurate and beneficial care T&C/I What key elements would you include in the handoff report for this patient? Consider the situation-background-assessment-recommendation (SBAR) format. BP 134/92 mmHg, RR 18, HR 109, SpO2 97%, T 100 F,Pain 1 out of 5, Patient AAOX3, cranial nerves intact, PERRLA, Resp : no adventitious sounds, chest expansión symmetrical, Cardio : S1 and S2 present, no extrasounds, Skin: with normal elasticity, normal color, she is not sweating , GI: with hyperactive sounds A stool simple was taken for culture and the health care provider prescribed 5ml of OHS every 5 min x2, and the 30 ml every 15 min as tolerated Recommendation: Assess vital signs frequently, asses for signs of dehydration, assess for ABGs results, educate the patient and her mother on continued care at home and signs of dehydration Concluding Questions Reflecting on Eva Madison’s case, were there any actions you would do differently? If so, what were these actions, and why would you do them differently? Educate the patient and mother more about Gastroenteritis and dehydration, signs and symptoms, and the importance of returning to the hospital if symptoms don't improve or worsen Describe how you would apply the knowledge and skills that you obtained in Eva Madison’s case to an actual patient care situation. This scenario gives me more confidence to interact with patients, made me realize that evaluation is very important and gives clues to a diagnosis. Every time the nurse walks into the room, give a new

From vSim for Nursing | Pediatric. © Wolters Kluwer Health.

medication, or implement a new intervention is important assess the patient and see if there was any change

From vSim for Nursing | Pediatric. © Wolters Kluwer Health....