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