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    5K views4 pages

    Brittany 2

    Uploaded by

    Sharon Williams

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 4

    Pediatric Case 4: Brittany Long

    Guided Reflection Questions

    Opening Questions
    How did the simulated experience of Brittany Long’s case make you
    feel.

    I took my time, read the description befored I started I wanted to


    ensure that I could get everything correct on the first time considering
    peds is not my strong area. I just feel like peds are smaller and more
    fragile.

    Describe the actions you felt went well in this scenarioThe child
    received treatment in a timely manner, was educated in the process of
    what was going on along with parent. Patient care was transferred
    without

    Scenario Analysis Questions*


    EBP What is the relationship between fluid and oxygen therapy in the
    treatment of sickle cell anemia?

    Dehydration can be a provoking factor in sickle cell crisis. If the


    child can’t orally hydrate, the IV fluids are necessary. We will

    From vSim for Nursing | Maternity and Pediatric. © Wolters Kluwer Health.
    Pediatric Case 4: Brittany Long
    Guided Reflection Questions

    monitor 02, educate on the use of the incentive spirometry,


    proper hydration, an early recognition of a crisis, and how they
    are imperative in preventing respiratory complications and failure

    EBP What complications might Brittany Long face if her symptoms are
    not recognized and treated in a timely manner?

    She can develop uclers in her leg,restrictive lung disease,


    necrosis of the hip,retinopathy resp failure,death and delayed
    puberty.

    EBP What methods of pain management did you use and what other
    methods should be considered for Brittany Long, based on the
    latest evidence-based practice

    Oral opioid medication and NSAIDs are given for mild to moderate
    crisis, if those medicationsdont work then morphine may be
    administered for breakthrough pain. A PCA pump maybe used if
    these methods do not work. The child can be given items for
    comfort such as a blanket or stuffed snimal.

    PCC/I What discharge teaching should be provided to assist


    Brittany Long’s mother with her home care?

    Education on use of incentive spirometry, early recognition and s/s of a


    crisis. If Brittany is immobile she is at a greater risk for
    complications, monitoring oxygen is important.

    S/QI Reflect on ways to improve safety and quality of care based on


    your experience with Brittany Long’s case.

    From vSim for Nursing | Maternity and Pediatric. © Wolters Kluwer Health.
    Pediatric Case 4: Brittany Long
    Guided Reflection Questions

    Manage her pain, make sure she has assistance if going to the
    bathroom,keep bed in a low position, and give her a security item
    to make her comfortable.

    T&C/I Identify additional individuals who should be included on


    Brittany Long’s care team.

    Physical therapy,family friends,pharmacy, nurse and doctors.

    T&C/I What key elements would you include in the handoff report
    for this patient? Consider the situation-background-assessment-
    recommendation (SBAR) format.

    I would report the childs pain, toleration to medications and


    non pharmecticul meothods of pain relief, allergies, what has
    been order as far as labs.

    QI Discuss quality-of-care indicators for the management of children


    with sickle cell disease.

    They are at risk for serious morbidities & early mortality, there
    have been efforts to assess and improve the quality of their care.

    From vSim for Nursing | Maternity and Pediatric. © Wolters Kluwer Health.
    Pediatric Case 4: Brittany Long
    Guided Reflection Questions

    Concluding Questions
    Reflecting on Brittany Long’s case, were there any actions you would do
    differently? If so, what were these actions, and why would you do them
    differently?

    I don’t think there is anything that I would do differently, I think things


    were handled in a timely manner and efficiently.

    Describe how you would apply the knowledge and skills that you
    obtained in Brittany Long’s case to an actual patient care situation.

    I know that oxygenation,iv therapy, and pain management are


    important to the patient care.

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

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