A Case Study : Jenny Coste

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This assignment focuses on a case study; Jenny Coste. She is a nine-year-old girl who is in remission from acute lymphoblastic leukaemia (School of Nursing and Midwifery 2014). She has been diagnosed with community acquired right middle lobe pneumonia (School of Nursing and Midwifery 2014). To integrate theory and practise, a sim scenario occurred where Jenny Coste developed an adverse drug reaction to her antibiotic, cefotaxime. The antibiotic was stopped immediately and a number of events occurred during the session to care for Jenny. A discussion of the care given to Jenny will be provided with recommendations for more care. Objective and subjective data from Jenny’s case will be analysed. Additionally, the antibiotic,
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Subjective data is confirmed by the person experiencing the symptoms such as feelings, sensations, values, beliefs and perceptions (Luxford 2015, p. 219). Jenny continues to state how she was feeling throughout her journey. Before she had tests done, she told her mum she was scared (School of Nursing and Midwifery 2014). Jenny remains very tired, weak and in pain (School of Nursing and Midwifery 2014). A regular position changes can provide comfort for someone with pneumonia (Swearingen 2016, p. 118). Common nursing interventions for fatigue and activity intolerance is to set mutually agreed goals for the patient so they can begin to tolerate activities, stress the importance of good nutrition to help with their energy levels, provide rest periods for the patient to regain energy stores and decreases the risk of the patient becoming emotionally exhausted (Swearingen 2016, p. 19). Developing a plan of care is important to provide continuity of care (Ingham-Broomfield 2015, p. 249).
Pneumonia is the inflammation of the respiratory bronchioles and alveoli (Hales 2014, p. 1251). This can be caused by pathogens entering into the lung through coughs, aspirations, talk, sneezing or the bloodstream and develop an infection (Hales 2014, p. 1252).
During the sim scenario, Jenny was due for her next dose of cefotaxime. She was ordered 100mg/25kg /day in 4 equal doses. Cefotaxime is a third-generation cephalosporin which is a group of antibiotics that are effective

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