Case Study – Common Pediatric Illnesses - NSG 6435

Case Study – Common Pediatric Illnesses – NSG 6435

iHuman Case Study – Common Pediatric Illnesses – This discussion assignment on iHuman Case Study – Common Pediatric Illnesses (MedU Case Study – Developmental Evaluation and Screening) provides a forum for discussing relevant topics for this week based on the course competencies covered.For this assignment ON iHuman Case Study – Common Pediatric Illnesses, make sure you post your initial response to the Discussion Area .

To support your work, use your course textbook readings and the South University Online Library.As in all assignments, cite your sources in your work and provide references for the citations in APA format. Case Study – Common Pediatric Illnesses – NSG 6435

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Start reviewing and responding to the postings of your classmates as early in the week as possible.Respond to at least two of your classmates’ initial postings.Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion.Cite sources in your responses to other classmates.Complete your participation for this assignment .

For this assignment on MedU Case Study – Developmental Evaluation and Screening (iHuman Case Study – Common Pediatric Illnesses), you will complete an iHuman case study based on the course objectives and weekly content.iHuman cases emphasize core learning objectives for an evidence-based primary care curriculum.Throughout your nurse practitioner program, you will use the iHuman case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.

The iHuman assignments are highly interactive and a dynamic way to enhance your learning.Material from the iHuman cases may be present in the quizzes, the midterm exam, and the final exam. Case Study – Common Pediatric Illnesses – NSG 6435.

Here you can view information on how to access and navigate iHuman.

This week, complete the iHuman case titled “Samantha Graves, Gastroenteritis”.

Apply information from the iHuman Case Study to answer the following questions:

Which essential questions will you ask a pediatric patient or his or her caregiver when the presenting complaint is bloody diarrhea? Will these questions vary depending upon the child’s age? Why or why not? What clinical or historical findings will indicate the need for diagnostic studies and why? Which diagnostic studies will you initially order and why? iHuman Case Study – Common Pediatric Illnesses – NSG 6435,

What would be three differential diagnoses in this case?

How do the common causes of vomiting differ in infants, children, and adolescents? What clinical or historical findings will indicate the need for diagnostic studies and why? Which diagnostic studies will you initially order and why?

NSG 6435 Week 6 Assignment 3

Assignment 3: SOAP Note

Each week, you are required to enter your patient encounters into eMedley.Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience.You will also need to include a minimum of one complete SOAP note using the Pediatric SOAP Note template.The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox.When submitting your note, be sure to include the reference number from eMedley. Case Study – Common Pediatric Illnesses – NSG 6435

Submission Details:

Complete at least one SOAP note in the template provided.

Name your SOAP note document SU_NSG6435_W6_A3_LastName_FirstInitial.doc.

Include the reference number from eMedley in your document.

Discussion: iHuman Case Study – Common Pediatric Illnesses SAMPLE PAPER

Acute diarrhea infections are a usual health concern in the world including people within the United States visiting third world countries. Multiple methodologies on therapies including antibiotic as well as non-antibiotic have been applied to offer treatment to the usual ailments. The knowledge on prevention, diagnostic and treatment and the implication of acute diarrhea has come into view and has assisted in the process of clinical management (Cash & Glass, 2014). iHuman Case Study – Common Pediatric Illnesses – NSG 6435.

The most crucial question to ask the caregiver is whether the stool appears black and tar-like. The presence of blood in diarrhea means that there is gastrointestinal bleeding. The stool appearing like tar is a result of bleeding the upper part of the digestive tract. It is important to realize that the agents causing diarrhea in children and infants differ depending their age (Burns, C., et al, 2013). The causes of bloody diarrhea for children of the age of one year or less are mostly intestinal infection such as infant colitis. For the children above the age of one year, the common causes of intestinal infection include ulcerative colitis and Crohn’s colitis. Examples of questions are Case Study – Common Pediatric Illnesses – NSG 6435

–Any change in appetite?

– Did you note weight gain or loss?

-Do you observe any intolerance to certain foods?

-Any nausea and/or vomiting episode observed?

-Did the patient presents change in bowel habits?

-Did the patient presents any blood in the bowel movement?

iHuman Case Study – Common Pediatric Illnesses – NSG 6435

– Describe color and quantity

-Any abdominal pain?

-Describe location and if it radiates

-Describe pain intensity in a scale 1-10

-Describe frequency, quality

Cases of blood in diarrhea should be treated immediately though most of the cases observed are not serious. However, patients who notice blood in their stool should seek medical attention. In this case, tests carried out depend on the age of the patients. The factors that the doctor should consider are the individual situation and symptoms exhibited. The most commonly applied tests to assess the reason behind the blood stools include a rectal exam, anoscopy, colonoscopy otherwise known as sigmoidoscopy. The initial diagnostic that the doctor may take is the rectal exam. In this exam, the doctor will use the finger to assess the internal parts of the anus and observe the external parts as well.

iHuman Case Study – Common Pediatric Illnesses – What would be three differential diagnoses in this case?

In the I Human case study of Samantha Graves, the differential diagnosis were:

-Viral gastroenteritis

-Parasitic Gastroenteritis

-Appendicitis

Vomiting is a symptom that has frequently been reported in children. A critical assessment has to be carried out to determine the causes which may call for immediate medical attention. Several elements have to be considered including the onset, duration, and frequency of the vomit. At any age of human development, bilious vomiting has to be addressed urgently seriously and obtaining the past medical status of any persistent bouts of vomiting is crucial (InKoch & In Hasler, 2017). Children and young people with gastroenteritis have been realized to get better with the introduction of ondansetron. In the same line, ondansetron has also been discovered to reduce the population children as well as the young people in necessity of intravenous fluid therapy and step down the patients’ hospital visits by a significant margin. The National Institute for Health and Care Excellence developed a clinical guideline for vomiting and diarrhea as a result of gastroenteritis. The identification of the illness, examination, and management for the children under the age of five years concluded that prescription of antiemetic could not be recommended as at now. Nevertheless, more studies on the application of ondansetron were required, mostly looking at the probable risk of increasing diarrhea (National Institute for Health and Care Excellence, 2014).

In summary, we can rightly conclude that patients with diarrhea and vomiting should seek medical attention urgently. It should be noted that diarrhea is one of the most reported illnesses in the world. In fact, it is the primary cause of mortality for children under the age of four years. On the other hand, cases of vomiting should also be taken seriously so that it may be diagnosed early.

iHuman Case Study – Common Pediatric Illnesses References

Burns, C., Dunn, Brady, Starr, N. B., Blosser. (2013). Pediatric primary care. (5th ed.). Retrieved from https://digitalbookshelf.southuniversity.edu/#/boo…

Cash, J. C. & Glass, Ch. A. (2014). Family practice guidelines, (3rd ed.). Retrieved from https://digitalbookshelf.southuniversity.edu/#/books/9780826168757/

In Koch, K. L., & In Hasler, W. L. (2017). Nausea and vomiting: diagnosis and treatment.

National Institute for Health and Care Excellence. (2014). Management of vomiting in children and young people with gastroenteritis: ondansetron. Case Study – Common Pediatric Illnesses – NSG 6435