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Parents bring their child, GiMin to the ER who has fallen out of the tree. The...

Parents bring their child, GiMin to the ER who has fallen out of the tree. The parents immigrated from Korea 4 years ago. The child is 5 years old and is crying and clinging to his mom. The child is also guarding his right arm. He will not let anyone but mom touch him. Mom is visibly upset and keeps saying “I should have been watching him better.” Father is upset and keeps telling the child to “stop crying because boys don’t cry.” There are many alternative therapies available for pain. Examples are music therapy, art therapy, massage, aromatherapy, pet therapy, etc. Through the use of these alternative therapies, patients can take control of their pain relief without the need to ask for pain medication from medical professionals. In addition, these therapies are used both inside and outside the hospital to help relieve both acute and chronic pain. Using the above case study to develop a care plan focusing on individualized care for GiMin. A care plan is to include all parts of the nursing process (assessment, diagnosis, planning, implementation, and evaluation). Your care plan must address cultural and pain concerns, including non-pharmacological pain therapy. This care plan is worth 30 points. Please use the template below. Assessment: Background Data: Subjective Data: Objective Data: Diagnoses: Nursing Diagnosis #1: Nursing Diagnosis #2: Planning: Patient Goal #1: Patient Goal #2: Implementation (Interventions) Nursing Intervention #1: Nursing Intervention #2: Nursing Intervention #3: Nursing Intervention #1: Nursing Intervention #2: Nursing Intervention #3: Evaluation: How will the nursing care plan be evaluated?

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Parents bring their child, GiMin to the ER who has fallen out of the tree. The parents immigrated from Korea 4 years ago. The child is 5 years old and is crying and clinging to his mom. The child is also guarding his right arm. He will not let anyone but mom touch him. Mom is visibly upset and keeps saying “I should have been watching him better.” Father is upset and keeps telling the child to “stop crying because boys don’t cry.”

1. Acute pain related to falling out of the tree as evidenced by crying

Assessment Diagnosis Planning Implementation Evaluation

Subjective data:

Master GiMin mother

complaints

that the baby is

experiencing pain

after fallen out of the

tree

Objective data:

*Clinging her mother

*Crying

*Verbal report of

mother

*Facial grimace

Acute Pain related

to fall out of the tree

as evidenced by

crying and facial

grimace

After a series of

nursing interventions

the child has shown

a decrease

in crying  

*Assess the status of pain

-onset

-duration

-type

-intensity

*Encourage the child in diversional activity such

as giving a toy for play

**Encourage verbal report during and after the nursing intervention

After a series of nursing, intervention goals are met as evidenced by a decrease in child crying

2. Acute pain related to lack of tolerance after falling from a tree

Assessment Nursing Diagnosis Planning Intervention Evaluation

Subjective data:

Master GiMin

mother

complaints

that the baby is

experiencing pain

after fallen out of the

tree and cannot

tolerate

and he is

continuously

crying

Objective data:

*Clinging her mother

*Crying

*Verbal report of

mother

*Guarding his right arm

*Facial grimace

Acute pain related to

lack of tolerance after

falling

from a tree

The child will be able

to move his right arm without pain in

48 hours after starting

the interventions

*The nurse will assess the patient's pain level every 2 hours

*Administered pain medications as ordered

*The nurse will assess the patient’s ability to mobilize his left big toe within 48 hours of starting

of interventions

The child is moving his right arm and not guarding and tolarated
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