Pediatric Case 1: Jackson Weber Guided Reflection Questions Opening Questions How did the simulated experience of Jackson Weber’s case make you feel? The simulated experience of Jackson Weber’s case wasn’t as hard as I thought it would be due to the fact that we have already learned about seizures with the pediatric population in class. The scenario did catch me off guared because I wasn’t expecting him to seize, since he had done so prior. I went into the scenario thinking I was just going to provide observational care. Describe the actions you felt went well in this scenario. I was able to deliver oxygen in a timely manner at the onset of his seizure. I was also able to perform a thorough neurological assessment after his seizures to make …show more content…
Have the sides of the bed padded to prevent injury in the lowest position. 2. Having the call light within reach 3. Keep Jackson in a side-lying position to prevent aspiration and to keep the airway open. 4. Have suctioning equipment available to clear secretions 5. Have oxygen available in the event of cyanosis Precautions may vary at different hospitals depending on the population and the and what that hospistal believes is appropriate. For example, some hospitals might think padding the sides of the bed is a form of restraints rather than a way to prevent injury. Some might think that oxygen is only appropriate if the child is cyanotic while other might give oxygen prophylactic during a seizure. PCC/S Describe strategies to empower Jackson Weber and his mother in the management of his seizures. Pillitteri (2014), provides way of empowering patients and family members by assuring them that seizures are not harmful, especially when safety precautions are taken. It should be acknowledged that the child should maintain a normal life and shouldn’t be treated differently. Jackson should be able to go to school and play sports like other children his age. Jackson’s mother should be educated that disciplining her child will not cause a seizure to
Another important intervention was to maintain the head of the bed at 30-45 degrees and position L.M.’s left lung into a dependent position to improve ventilation and perfusion. L.M.’s O2 was decreased to 63 and her CO2 was increased to 50. According to the IHI, it is recommended to elevate the bed to 30- 45 degrees to improve ventilation. Patients that lay in the supine position have lower spontaneous tidal volumes on pressure support ventilation compared to those laying at more of an angle (Institute for Healthcare Improvement, 2012). In regards to positioning, when the least damaged portion of the lung is placed in a dependent position it receives preferential blood flow. This redistribution of blood flow helps match ventilation and perfusion, therefore, improving gas exchange (Lough, Stacy & Urden, 2010). Implementing these interventions combined with respiratory therapy, significantly improved the blood gas values for oxygen and carbon dioxide levels.
What caused her to have a seizure? Will she have another one? Is this going to affect her schooling and the life that she will live? What can we do to prevent her from having more? These were all questions that arose in the minds of my family members and I. Months went on with doctors trying to figure out how
When I was just seven-years old, I was diagnosed with epilepsy. I’d been having small and frequent seizures my entire life without ever knowing of it until one day when I was shelling walnuts in front of the fireplace. Everything I ever knew was being stripped away from me. I no longer had control over any of the muscles in my body, my ability to speak, my actions, nor my sight. All I could do was relax and wait for my brain to catch up and regain control over my body. My life has been changed by epilepsy, but I will never let it control my life.
Epilepsy is one of the longest disorders that have been around. Dr. John Hughlings Jackson (1835-1911) was the first person to provide an acceptable classification of seizures to the medical community. Seizures can be classified as a generalized seizure or as a partial seizure. Generalized seizures involve both hemispheres of the brain. It can
It took three hospital visits for the doctors to finally diagnose the correct problem, epilepsy. Through misunderstandings, Lia was not given the appropriate medication dosages and combinations to help with her epilepsy. At the age of three, Lia’s doctors, Neil and Peggy Ernst, sent her to foster care in hopes of better medical care by the parents; however, the seizures never stopped. By four years of age, Lia had been admitted into the hospital a total of 17 times and had over 100 outpatient visits. Lia’s worst seizure lasted about two hours and put her into a coma.
First, avoid injuries keep the patient from falling and prevent any further head injuries until the seizure stops. Second, record what the patient is experiencing. Information will be very important for the patent neurologist. If breathing seems sufficient note the patient's response, apply oxygen and place the patient on his left side to allow any excretion to drain, never place anything in the mouth of the seizing patient.
Mrs. Dey reported she had been extremely sick with the anti-seizure medications and her primary care advised her to stop the current medication and go into the hospital. She was hospitalized overnight in observation and Dr. Hardy requested she come into his office the following Monday, September 11, 2017. Due to the unexpected appointment, I had a scheduling conflict and my colleague Laurie Wawrzynaik RN, BSN, MA, attended.
Seizure disorders, according to the Mayo Clinic (2015), affect approximately 1 in 26 people in the United States. Persistent, or chronic, seizures result from a condition called epilepsy, a neurological disorder of the central nervous system. It can affect anyone regardless of age, but is more common during early childhood and after age 60. Given the number of people that seizure disorders, such as epilepsy, affect, it becomes helpful to gain a foundational understanding of the disease, including some of the causes, symptoms, and treatments available.
The documentary’s description of neuroplasticity of seizure patients represents the unknowing and negligent work ethic of modern day scientists and researchers alike. This is confirmed by the lack of treatment of these afflicted individuals who suffer a never ending siege daily with themselves, almost always certain that their pain will end but it is always to no avail.
assess Mr. B’s respiratory states while Nurse J. and Dr. T finished the sedation and reduction
Firstly, Epilepsy diagnosis is higher in young children then in adults and every 1 in 200 children has epilepsy. This means that most young children cannot have a proper education since they experience unexpected seizures and may have to have a carer or adult with them at all times. Also, behavior issues are constantly being linked with epileptic children due to low self-esteem from overprotection and embarrassment about their ‘disability’. Many parents of epileptic children feel out of control, and give their child too much leeway in other parts of life – this also causes more behavioral issues. If we simply had a cure for epilepsy, all of these children could be saved.
People uneducated about Epilepsy may have confused thoughts on what it really is. People have these "notions," which are partly or entirely not true. So, throughout this research paper, these notions will be proven untrue, mostly by factual information given by
1. Choose one patient (new mother, newborn, or pregnant/laboring woman) and identify the priority problem. What did you contribute toward resolving or easing the problem?
When the seizure stops, my little girl is left worn out and loopy. Instead of giving in to her exhaustion, Alexis usually gets up and goes back to doing whatever it was she was doing before the seizure began. It is through her resilience, or her ability to get back up and keep fighting, I learned what being strong is all about. Now when I get a cold or some other illness, I do not whine or complain much. Instead, I think about her struggles and how she continues to smile through all her pain and discomfort, and I carry on. My daughter’s tenacity encourages me to be a better person.
Epilepsy is a condition in which a person has two or more seizures affecting a variety of mental and physical functions. Epilepsy is one of the oldest conditions of the human race. Epilepsy Awareness is important because Epilepsy is a widely misunderstood disorder. The reason that Epilepsy has been misunderstood has been mainly due to research not being conducted until the middle of the nineteenth century. There are six main types of seizures and many treatments that can assist an epileptic patient. Many facts and myths exist about a person who has Epilepsy, which, is why it is an important disorder to understand. A person living with Epilepsy can typically have a normal life after seeking medical advice from doctors.