(Solved) Discussion Post – Peds Clinical Experience 3 | Homework Solution

Discussion Post – Peds Clinical Experience 3

Describe your clinical experience for this week at a pediatric office.

• Did you face any challenges or success? If so, what were they?
• Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnoses with rationales.
• Mention the health promotion intervention for this patient.
• What did you learn from this week’s clinical experience that can be beneficial for you as an advanced practice nurse?
• Support your plan of care with the current peer-reviewed research guideline.

Submission Instructions:

• Post should be at least 500 words, formatted and cited in the current APA style with support from at least 2 academic sources. Peds Clinical Experience

SAMPLE ANSWER

Clinical Experience at a Pediatric Office:

During this week at a pediatric office, I encountered various challenges and successes in providing care to pediatric patients. One particular case that stood out was a 6-year-old patient who presented with fever, cough, and difficulty breathing. Peds Clinical Experience

Assessment of the Patient:

Signs and symptoms (S&S):

1. Fever: The patient had an elevated body temperature of 101°F (38.3°C).
2. Cough: The patient had a persistent cough, which was dry and non-productive.
3. Difficulty breathing: The patient experienced shortness of breath and increased respiratory effort.

Assessment: Upon conducting a thorough physical examination and reviewing the patient’s medical history, I gathered additional information. The patient had no significant past medical history, and there were no known allergies. The physical examination revealed increased respiratory rate, mild wheezing on auscultation, and decreased breath sounds on the right side of the chest.

Possible Differential Diagnoses:

1. Asthma: Given the patient’s history of cough, difficulty breathing, and wheezing, asthma is a primary consideration. Peds Clinical Experience Asthma is a chronic inflammatory disorder characterized by recurrent episodes of wheezing, coughing, and shortness of breath triggered by various factors, including respiratory infections and allergens.
2. Pneumonia: With the presence of fever, cough, and decreased breath sounds on the right side of the chest, pneumonia is another possible diagnosis. Pneumonia is an infection of the lungs that can cause respiratory symptoms and may be associated with fever, cough, and decreased breath sounds on physical examination.
3. Bronchiolitis: Considering the patient’s age and symptoms, bronchiolitis could be considered. Bronchiolitis is a common respiratory illness in infants and young children, Peds Clinical Experience typically caused by a viral infection. It is characterized by cough, wheezing, and respiratory distress.

Plan of Care:

Based on the assessment and possible differential diagnoses, the following plan of care can be formulated:

1. Treatment for suspected asthma: Initiate bronchodilator therapy with a short-acting beta-agonist such as albuterol to relieve bronchospasm and improve respiratory symptoms. Administer inhaled corticosteroids to reduce airway inflammation. Peds Clinical Experience Provide education to the patient and family regarding triggers, proper use of inhalers, and asthma action plans.
2. Diagnostic testing for pneumonia: Order a chest X-ray to evaluate for possible pneumonia. Consider obtaining a complete blood count and a respiratory viral panel to rule out other infectious etiologies.
3. Supportive care for bronchiolitis: Provide supportive care measures such as humidified oxygen therapy, adequate hydration, and nasal suctioning. Educate the parents about the natural course of the illness and when to seek medical attention if the condition worsens. Get Exploration Document Essay Help!!

Health Promotion Intervention:

To promote health and prevent future exacerbations, it is crucial to provide the patient and family with appropriate health education. In the case of asthma, health promotion interventions may include:

1. Asthma action plan: Develop an individualized asthma action plan in collaboration with the patient and family. This plan should outline daily management strategies, identification and avoidance of triggers, and steps to take during acute exacerbations.
2. Inhaler technique: Teach the patient and family the correct inhaler technique to ensure optimal drug delivery and adherence to prescribed medication regimens. Peds Clinical Experience
3. Environmental modifications: Provide guidance on environmental modifications, such as reducing exposure to known allergens.