Patrick, a 9 year old patient with cerebral palsy, is admitted to your unit. His parents state that he has been vomiting
Posted: Thu Jan 13, 2022 5:16 am
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 is place that is patent. He appears unkempt and dirty. While
performing your skin assessment, you note that there are bruises in
various stages of healing on his forearms and legs. You also notice
a few healing burns about 1 cm in diameter on his arms and
torso.
What concerns do you have?
What actions should you perform?
What resources should you enlist to assist with this
patient?
As a nurse, what is your responsibility in reporting any
concerns you may have from this assessment?
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 is place that is patent. He appears unkempt and dirty. While
performing your skin assessment, you note that there are bruises in
various stages of healing on his forearms and legs. You also notice
a few healing burns about 1 cm in diameter on his arms and
torso.
What concerns do you have?
What actions should you perform?
What resources should you enlist to assist with this
patient?
As a nurse, what is your responsibility in reporting any
concerns you may have from this assessment?