Crossroom instructors de JOT NOW, Handout 1: Case Study: Patrick Patrick, a 9-year-old patient with cerebral palsy, is a

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Crossroom Instructors De Jot Now Handout 1 Case Study Patrick Patrick A 9 Year Old Patient With Cerebral Palsy Is A 1 (59.57 KiB) Viewed 100 times

Crossroom instructors de JOT NOW, Handout 1: Case Study: Patrick Patrick, a 9-year-old patient with cerebral palsy, is admitted to your unit. His parents state that he has been vomiting with feeds and having increased periods of inconsolability. Both parents work and they have 3 other children aged 15, 12, and 1 year old. The parents state that life is very busy around the house and they do not have a lot of time to provide the extra attention that Patrick requires. The parents have been paying an unemployed friend of the family to watch Patrick during the day while they are at work and help with the other children. While performing your admission head-to-toe assessment, you note the patient is mentally delayed and is around a toddler level of development. The patient is nonverbal. Patrick has contractions in all 4 extremities and a GT in place that is patent. He appears unkempt and dirty. While performing your skin assessment, you note that there are bruises in various states of healing on his forearms and legs. You also notice a few healing burns about 1 cm in diameter on his arms and torso. 1. What concerns do you have? 2. What actions should you perform? 3. What resources should you enlist to assist with this patient? 4. As a nurse, what is your responsibility in reporting any concerns you may have from this assessment?