Annabelle Betts Case Study - Nursing Assignment Help

Assignment Task:

Task:

Option 1 - Annabelle Betts
Annabelle Betts is your 18 month old patient who has been admitted to the paediatric ward following an accident two days ago. Attending a cousins birthday party, Annabelle was with her parents and siblings (brother Felix, aged 5 & sister Sage, aged 9) when she left the party area alone. Her parents noticed within a few minutes. She was found after having fallen into the pool at the family home where her father pulled her from the water. She remained conscious throughout the event but was still coughing pool water intermittently when paramedics arrived.

After being treated in the emergency department, Annabelle was transferred to the paediatric medical ward for further monitoring. You are receiving handover from the night shift nursing staff who report that Annabelle’s Sp02 had been trending down overnight while she was asleep (down to 92% room air) but that this quickly rose to normal levels once she was woken. The team has commenced Annabelle on IV Benzylpenicillin QID overnight in addition to her regular paracetamol which has been declined by her parents. Annabelle’s mother has remained at her bedside throughout her hospitalisation. Medical History

 Asthma – Annabelle’s parents have elected to treat with natural therapies.
Their GP has recommended salbutamol as treatment but this has been declined by her parents.

 Immunisation – Annabelle’s parents are also consciousness objectors to the state government vaccination regime and Annabelle has not received any vaccinations since her birth

As you enter Annabelle’s room, she is sitting in her hospital cot eating her breakfast tray with her mum at her bedside. You note that her Sp02 monitoring device is also in the cot but no longer attached to the patient and that her effort of breathing is increased.  This leads you to attend a full set of vital sign observations with the following…

 HR166/min
 RR 48/min
 T37.8
 Intercostal recession
 Wide spread wheeze bilaterally throughout respiratory effort

 Sp02 89%
Option 2 - Craig Addleton
You are working in the emergency department on a night shift and commence handover with the evening nurse. Your first patient, Craig Addleton is a 52 year old man who was bought into the department after a fall from his downhill mountain bike while competing at an event today at Stromlo. Mr Addleton states that he was travelling at ~25km/hr when he unsuccessfully navigated a left turn on the rocky trail.

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