Question

om/courses/2629918/discussion_topics/15425008 ZJ if you cite something in your post, please use APA format please see recording or refer to owi.purdue website) 3) You need to include a sources cited list at the end in APA format with at least two resources 4) Next week for peer response you need to respond to at least two of your peers posts in this discussion, and to whatever question I ask you. Devon Bynum, an 11-year-old, is admitted to the hospital in sickle cell crisis. This is the first time he has been admitted to a hospital. He states he hurts all over and rates his pain at a 7 out of 10. Devon has been in the emergency department all night and last received morphine 2 mg IV at 0400 for his pain. He is receiving oxygen at 2 liters per minute (LPM) via nasal cannula. He has an IV of D5% NS running at 83 mL/hour. His mom, who has been with him throughout the night, is anxious for her son to feel better. His last vital signs are TO 99.3°F: P 122 bpm; R 22/min; BP 100/64 mmHg; and oxygen saturation of 93% on oxygen at 2 LPM. He says he is tired and just wants to go to sleep. Devon's mom tells the nurse that she doesn't know how she will be able to pay the hospital bills. She shares that she is a single parent with two other children at home. Question 1 What are three nursing diagnoses that you would give for Devon (NANDA diagnoses)? Question 2 Would you include his mom's concern about finances in his plan of care? How? Question 3 What other healthcare discipline(s) would you expect to include in Devon's plan of care? Level 1&2 discussion rubric file.pdf Search entries or author Unread Reply Replies are only visible to those who have posted at least one reply

what are three nursing diagnoses that you would give

would you include his moms concern about finances in his plan of care

what other healthcare disciplines would you expect to include in devonshire plan of care.

Answer 1

Q1) a)  Acute pain: this is due to sickling of RBCs and aggregation in capillaries, preventing adequate flow of blood and oxygenation, as evidenced by patient reporting/ grading the pain and reduction in physical activity.

b) Altered cardiovascular tissue perfusion - due to the peripheral pooling of blood in the spleen as evidenced by tachycardia, increased respiratory rate and mildly decreased blood pressure.

c)  Fatigue - due to sickle cell anemia as evidenced by patient's lethargic physical movements and need to sleep.

Q2) Yes, we have to include her concerns on healthcare availability based on financial status - educate her about the insurance rights - medicare or medicaid whichever applicable based on her financial status.

Q3) Involve - 1. Opthalmology dept - to check retina

2. Surgical / medical gastroenterology dept - to assess splenic health

3. Neurological dept - to assess CNS function

4. Cardio - pulmonary dept.