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(Ms.Lauryn)
An 8-year-old child arrives at the clinic with their caregiver after falling off a playground structure. The child is complaining of severe pain in their right arm and is unable to move it.
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Initial Assessment: – Describe the steps you would take to gather information about the child’s medical history, the circumstances of the injury, and the severity of the symptoms.
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Ask the parent/caregiver what there age and date of birth is and ask if they are new or old patient
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Ask the patient what there pain is from one to ten
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Ask the parent if they are allergic to anything or any medication
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Prioritization: – Based on the symptoms presented, determine the urgency of the child’s condition using triage protocols. Explain why you categorized the patient as emergent, urgent, or non-urgent.
Looking at the child’s condition it is slightly urgent because they could possibly have broken their arm but might have some nerve damage if they are unable to move it completely.
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Vital Signs Assessment: – List the vital signs you would assess and the methods you would use to measure them for this child. Include how you would assess pain and any other relevant observations.
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I would give them pain medication that they are not allergic to
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I would see if it is swollen and if it is, give them an ice pack
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I would see if they could move their fingers or if there arm is numb
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I would then start with vitals like the Bp, O2, respiration at the same time
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Then temperature, then ask the parent what was there last height and weight or measure them yourself
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Then move them to the waiting room to get examined
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Immediate Interventions: – Identify any immediate interventions that may be necessary for this child and explain the rationale behind them.
The arm might be completely broken, like shattered and there might be some nerve damage because they said that they fell off a playground and they could have fallen directly on it and that they can’t move can indicate those 2 things.
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Communication and Documentation: – Outline how you would communicate the patient’s status to the healthcare team and what information would be included in the documentation.
The patient is suffering from a possible broken arm and is unable to move it and it is currently swollen and visibly bruised, gave them an ice pack and “liquid ibuprofen” Medication. Also give them their vitals and the pain level.
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