How will carry out assessments and management of bill

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Reference no: EM133545001

Case study scenario

You are a Registered Nurse in the paediatric short-stay unit. Upon arrival this morning, you were given a brief handover of Bill, a 21-month-old boy, who was allocated to you. Bill was admitted yesterday through the emergency department following a four-day history of fever, coughing, copious and thick nasal secretion, lethargy, and poor feeding. Bill has a diagnosis of bronchiolitis following a respiratory syncytial virus (RSV) infection.

After the handover, you decide to conduct your first observations on Bill and the following were recorded: Breath rate 57 breaths per minute, Temperature 39.5oC, Oxygen saturations 90%, heart rate 148 beats per minute, Blood pressure 105/70mmHg and Capillary refill 2-3 seconds. Bill appears restless, inconsolable, apathetic, and disinterested in his environment. You also noticed increased work of breathing, intercostal retractions and nasal flaring. Shelly, his mother, says Bill is still having feeding difficulties.

Detailed instructions

1. Introduction

2. Pathophysiology

3. Nursing assessments and management In this section, discuss how you will carry out your assessments and management of Bill.

Isolate and discuss the potential and actual nursing issues identified in the scenario.

What range of nursing assessments will you undertake?
Choose and use appropriate tools/frameworks to approach and prioritise your assessments and management (e.g. Paediatric Assessment
Tool, ABCDE, and/or Primary Assessment Framework)
Consider any potential changes following your interventions e.g. deterioration or improvement and how this will impact the care provided.
You should identify, consider and briefly discuss the nursing management relevant to your patient and tailored to your assessment findings.
Discuss the nursing assessment and management strategies while incorporating the child and family centred care and provide examples where applicable.
This section should demonstrate your critical thinking skills while applying evidence-informed practice.
Incorporate any holistic health considerations and rationales to demonstrate critical thinking.

4. Health promotion

5. Conclusion

Reference no: EM133545001

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