Health Assessment

Once the child is stabilized and all the immediate needs are meet, the end result is usually not very good for the child. The child is most often times left with debilitating conditions that require round the clock care. Long-term morbidity in pediatric abusive head trauma patients is high. Neurological symptoms are usually the most common and can result in psychomotor retardation. Vision impairments related to the retinal hemorrhages can lead to many complicated vision problems (Ceballos, 2009). In the more subtle abusive head trauma cases, patients may present to their primary care physician with head circumference growth measurements that cross percentiles. In these cases chronic subdural hematoma and obstructive hydrocephalus must be considered. The infant may suffer cortical blindness, generalized hypertonia, have swallowing issues and require a feeding tube (Gordy & Kuns, 2013). Speech, occupational, and physical therapies will be needed to work with the child. The caregivers should be educated and instructed on the proper care of the child. The child may require partial or

Save this form on your computer as a Microsoft Word document. You can expand or shrink each area as you need to include the relevant data for your client.

Children have multiple or prolonged exposure to trauma, experience various symptoms and reactions, and long for progressive techniques to heal their pain.

Three different measurements were taken before and after the study. They included, pain intensity, disability, and quality of life. Pain was taken using a visual analog scale (VAS) which ranges from 0 to 10; 0 equaling no pain at all and 10 equaling the worst pain ever felt. Disability was taken using the Neck Disability Index (NDI). The NDI consisted of 10 items and were scored using percentages, the higher the percentage the higher the disability. And lastly, quality of life was taken using the Medical Outcome Study Short-Form 36 Health Survey (SF-36). Scores in SF-36 ranged from 0 to 100 and the higher the patients number got, the better quality of life.

The couple is very happy with their great partnership. The mother enjoys as being caregiver. She takes care of the home, make sure everything is neat and organized. She plans everything, and ensure that her husband has no worries in regard to home life. She expressed that she always try to be spontaneous and keep their relationship fresh so it does not get stagnant. Sexuality

A comprehensive family assessment provides a foundation to promote family health (Edelman & Mandle, 2011). 1987 Marjorie Gordon purposed 11 functional health patterns to use for guidance in order to facilitate nurses to have a frame work for the family assessment in. Gordon’s 11 functional health patterns help organizes basic family assessment information. This standardized format will guide nurses to complete the family assessment using system approaches, which will identify a patient’s

Question 2. Outline the pathophysiology of altered ventilation and diffusion in relation to Mr Hunter’s pneumonia.

In 1962, C. Henry Kempe published an article discussing symptoms of shaken baby syndrome it was more towards the symptoms from abuse and not from accidents. Some of the physical indicators he discussed were poor skin hygiene, malnutrition and fractures. Depending on the age of the child and if the abuse has been ongoing there could be older fractures. John Caffey, a pediatric radiologist, following up on Kempe’s work in 1972 and 1974, suggested that babies could be seriously injured without outward signs of trauma to the body. “He described a constellation of clinical findings that were used to coin the term ‘whiplash shaken baby syndrome.’ Caffey’s observations…noted common injuries including retinal hemorrhages, subdural and/or subarachnoid hemorrhages, and minimal or absent signs of external cranial trauma.” More recently, the syndrome has been described as abusive head trauma resulting from shaking the baby, with or without impact (Isser & Schwartz, 2006). Shaken baby syndrome is a serious brain injury to a child. When a child is shaken repeatedly it causes tears in the brain tissue, blood vessels, and nerves. The child’s brain collides against the skull and it can cause bleeding and swelling in the brain. Up to the age of five years old a child can be a victim of shaken baby syndrome. It is most common in children who are between three and eight months old but the highest rates are in infants who are between six to eight weeks

The initial computed tomography (CT) scan of her head revealed multifocal, punctuate brain hemorrhages, consistent with a diffuse axonal injury (DAI). (Figure 1) CT scans of the cervical spine, chest, abdomen, and pelvis revealed bilateral spinous process fractures of C7, T1, and T2, a mid sternal body fracture, bilateral pulmonary contusions, and a distal right clavicle fracture. She also sustained a cardiac contusion associated post-injury arrhythmias, which were treated conservatively. An external ventricular drainage device was placed by neurosurgery to help monitor and manage her intracranial pressure and maintain her cerebral perfusion pressure within acceptable limits.

List two potential problems that a nurse may discover in an assessment of each age group.

A family consists of a group of interacting individuals related by blood, marriage, cohabitation, or adoption who interdependently perform relevant functions by fulfilling expected roles. (Edelman, Kudzma, & Mandle, 2014, p. 150)

Connecting consumers to reliable health care information or health care providers can be challenging for any institution. At the current time, there are two popular methods that allow consumers to access health care. One method to obtain reliable health-related information is through an electronic web-based resource. The other option, if a consumer prefers to see a health care provider in person, is through a walk-in clinic. Utilizing these resources allows the consumer to see a health care provider for acute and minor illnesses or obtain detailed information and potential treatment options via the internet. When looking to increase usability and awareness, institutions should understand the values and preferences of

Non-accidental trauma (NAT) is a leading cause of childhood traumatic injury and death in the United States. It is estimated that 1,400 children died from maltreatment in the United States in 2002, and abusive head trauma (AHT) accounted for 80% of these deaths (Paul & Adamo, 2014). AHT, also known as shaken baby syndrome or inflicted traumatic brain injury can be caused by direct blows to the head, dropping or throwing a child, or shaking a child. Though the incident may only last for a few seconds, the effects can last a lifetime. According to the Centers for Disease Control and Prevention of the United States, abusive head trauma (AHT) is most common in children under age 5, with children under one year of age at most risk. Nearly all victims of AHT suffer serious, long term health consequences such as vision

The morbidity and mortality associated with SBS are much worse than what are seen in accidental trauma. Up to as many as a third of affected infants die as a consequence of being shaken. SBS-associated morbidity is seen in approximately sixty percent of survivors. The degree of disability may be categorized as moderate to severe and include epilepsy, cerebral palsy and blindness. These children may also experience behavioral and cognitive disturbances. Some neurological sequelae may not be apparent until the child’s sixth birthday, but they eventual become evident and may necessitate lifelong medical care.

Throughout this complete health assessment, I will approach my patient, a 49 years old, female, married patient, and perform a head to toe examination. Starting with the gathering of information, I will start with biographic data, reason for seeking care, present illness, past health history, family history, functional assessment, perception of health, head to toe examination, and baseline measurements. The subjective data will be collected first, where the patient will provide necessary information about every organ system for further examination while the objective data will be amassed in every system based on my findings. This assignment serves as an opportunity to establish a nurse-client interpersonal relationship that