1 / 22

Pediatric Nursing Rounds

Pediatric Nursing Rounds. Presented By: Bobbi Bowman Old Dominion University – Nursing Program. Born – 09/08/94 Normal delivery / birth history Vaccinations – up to date No prior surgeries / hospitalizations Minor lacerations NKDA. Pertinent Past Medical History. Education Future career

vinaya
Download Presentation

Pediatric Nursing Rounds

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Pediatric Nursing Rounds Presented By: Bobbi Bowman Old Dominion University – Nursing Program

  2. Born – 09/08/94 • Normal delivery / birth history • Vaccinations – up to date • No prior surgeries / hospitalizations • Minor lacerations • NKDA Pertinent Past Medical History

  3. Education • Future career • Family • Cultural consideration Psychosocial History

  4. Primary • Intraparenchymal hemorrhages & diffuse axonal injury (Traumatic Brain Injury) • Secondary • s/p post PEG placement for oropharyngeal dysphagia • Global aphasia • History of seizures • Cognitive deficits Admitting Diagnoses

  5. Traumatic brain injury (TBI) is defined by the Brain Injury Association of America as a traumatic insult to the brain capable of producing physical, intellectual, emotional, social, and vocational Changes” (McCance, K. & Huether, S. ,2010,p.583) Pathophysiology

  6. Treatment Plan

  7. Expected • Current • Communication Expected Developmental Stage

  8. Neuro • Skin • Cardiovascular • Respiratory • GI • GU • Musculosketal Physical Assessment

  9. Impaired Physical Mobility -pt will maintain efforts in achieving optimal independence through therapy (PT/OT) during each session while admitted to rehab unit as evidence by increased gait stability • Self-care Deficit-pt will perform ADLs @ optimal level of functioning during the entire 12 hour shift as evidence by increased independence. • Altered Thought Process -pt will be oriented to person, place, and time with each interaction with staff during 12 hour shift as evidence by appropriate responses when asked. • Family Process Altered -pt will verbalize a reduction / relief of anxiety and stress during clinical experience as evidence by verbal confirmation when asked • Risk for Altered Nutrition -pt will consume adequate calories to maintain health status during each 24 hour period as evidence by I&O flow sheet in chart displaying acceptable calculations Diagnosis – Expected Outcome

  10. Actual verse potential Nursing Diagnosis

  11. Traditional • Complimentary • Alternative • Collaborative Holistic Nursing Care

  12. Teaching/ Discharge Planning

  13. Prep time

  14. Garcia, J., Chambers, E., Clark, M., Helverson, J., & Matta, Z. (2010). Quality of care issues for dysphagia: modifications involving oral fluids. Journal of Clinical Nursing, 19(11-12), 1618-1624. doi:10.1111/j.1365- 2702.2009.03009.x Research Review

  15. Intervention

  16. Garcia, J., Chambers, E., Clark, M., Helverson, J., & Matta, Z. (2010). Quality of care issues for dysphagia: modifications involving oral fluids. Journal of Clinical Nursing, 19(11-12), 1618-1624. doi:10.1111/j.1365-2702.2009.03009.x • McCance, K. & Huether, S. (2010). Pathophysiology: The biologic basis for disease in adults and children. (5th ed.). Philadelphia: Mosby. • Hockenberry, M. & Wilson, D., (2010). Nursing care of infants and children, (9th ed.) . St.Louis, MO. Elsevier. • All images were obtained through the Google Image search engine. References

More Related