Setting
You are a nurse caring for children in a rural clinic. This clinic serves most of the area’s population and provides comprehensive pediatric healthcare. This includes things such as: primary and urgent care needs, vaccinations, and care for all ages of children.
Introduction
Kristen has Sawyer’s 4-year-old well child visit schedule next week in the clinic, but today she brings him in for an acute arm injury. Sawyer is tearful and wants to be held by mom. He has a bloody washcloth in place acting as a bandage to his left forearm.
Chief Complaint
“Sawyer was playing outside and fell. He gashed his arm open and it was bleeding pretty bad. I tried to stop the bleeding and brought him straight here!”
Medical History
4-year-old male
Pre-term birth at 35.6 weeks
NKDA
No meds
No pertinent medical history
Weight: 43 lbs.
Height: 42 inches
Due for routine check-up
5 cm laceration noted to LFA
Visible dirt in wound
Bleeding controlled well at this time with bandage in place
Wound requires wound care and repair
Questions
- Based on the chief complaint and provided information what is the priority nursing interventions for Sawyer?
- Choose a pediatric pain scale from your reading and explain how you would utilize this scale to assess Sawyer’s pain. What type of pain management would be likely used in this situation?
- Describe what distraction techniques could be utilized during the procedure? How could a child life specialist be of assistance if available?
- Based on Sawyer’s age and developmental level, how would you approach learning with him? Give 2-3 examples of education you would give him.
- Based on Sawyer’s age, what vaccines should you anticipate giving?
- Add a question: After you have analyzed the content from the discussion board, please add a question to the end of your initial post regarding the reading material for the week.
Please be sure to validate your opinions and ideas with citations and references in APA format.
How to Solve Setting You are a nurse caring for children in a rural clinic. This clinic serves most of the area’s population and provides comprehensive pediatric healthcare. This includes things such as: primary Nursing Assignment Help
1. Based on the chief complaint and provided information, the priority nursing interventions for Sawyer would include:
– Asses the severity of the wound and bleeding to determine the need for immediate medical attention.
– Remove the bloody washcloth and assess the wound for any foreign objects or debris.
– Cleanse the wound gently with sterile saline solution or water to prevent infection.
– Apply a sterile dressing or bandage to control bleeding and protect the wound.
– Administer appropriate pain medication if necessary.
– Ensure that Sawyer’s tetanus immunization is up-to-date.
– Provide emotional support and reassurance to both Sawyer and his mother.
2. One pediatric pain scale that could be utilized to assess Sawyer’s pain is the FLACC scale. This scale assesses five behaviors: Face, Legs, Activity, Cry, and Consolability. Each behavior is given a score from 0 to 2, and the total score indicates the level of pain. By observing Sawyer’s facial expressions, leg movements, activity level, crying, and how easily he can be comforted, we can assess his pain level.
In this situation, pain management would likely involve administering analgesics such as acetaminophen or ibuprofen. The dosage and frequency would depend on Sawyer’s weight and age, following the healthcare provider’s orders.
3. Distraction techniques that could be utilized during the procedure include:
– Providing age-appropriate toys or activities that Sawyer can engage in to divert his attention.
– Singing, telling stories, or playing soothing music to help distract Sawyer from the procedure.
– Allowing Sawyer’s mother to comfort and support him during the procedure.
– A child life specialist could be of assistance by using therapeutic play techniques, such as medical play with dolls or puppets, to explain the procedure to Sawyer in a familiar and non-threatening way. They could also provide emotional support and help him cope with the anxiety and fear associated with the procedure.
4. When approaching learning with Sawyer, it is important to consider his age and developmental level. Examples of education that can be given to him include:
– Using simple and concrete language to explain the importance of wound care and healing process. For example, explaining that cleanings and bandages help prevent infection and allow the skin to grow back together.
– Encouraging Sawyer to ask questions and express any concerns or fears he may have about the procedure.
– Demonstrating and practicing deep breathing techniques or relaxation exercises to help him cope with any discomfort during the wound care procedure.
5. Based on Sawyer’s age, the vaccines that should be anticipated giving include the following:
– DTaP (Diphtheria, Tetanus, and Pertussis)
– MMR (Measles, Mumps, and Rubella)
– Varicella (Chickenpox)
– IPV (Inactivated Polio Vaccine)
– Hepatitis A (if not previously received)
6. After analyzing the content from the discussion board, I would add the following question to the end of my initial post regarding the reading material for the week:
– “What are some common complications associated with wound infections in pediatric patients, and how can healthcare providers prevent and manage them effectively?”
