Assignment: Practicum: Journal Entry
Assignment: Practicum: Journal Entry
Reflect on a patient who presented with cardiovascular or genetic disorders during your Practicum experience as Nurse Practitioner in your clinic . Describe your experience in assessing and managing the patient and his or her family. Include details of your “aha” moment in identifying the patient’s disorder. Then, explain how the experience connected your classroom studies to the real-world clinical setting.
•Burns, C. E., Dunn, A. M., Brady, M. A., Starr, N. B., & Blosser, C. G. (2013). Pediatric primary care (5th ed.). Philadelphia, PA: Elsevier.
◦Chapter 31, “Respiratory Disorders” (pp. 708–738)
•Chapter 40, “Genetic Disorders” (pp. 1032–1054)
•Bradley, J. S., Byington, C. L., Shah, S. S., Alverson, B., Carter, E. R., Harrison, C., Swanson, J. T. (2011). The management of community-acquired pneumonia in infants and children older than 3 months of age: Clinical practice guidelines by the Pediatric Infectious Diseases Society and the Infectious Diseases Society of America. Clinical Infectious Diseases, 53(7), e25–e76. Retrieved from the Walden Library databases.
•National Heart, Lung, and Blood Institute. (2007). Expert panel report 3 (EPR3): Guidelines for the diagnosis and management of asthma. Retrieved from http://www.nhlbi.nih.gov/guidelines/asthma/asthgdln.htm
•Clinical practice guideline: the diagnosis, management, and prevention of bronchiolitis by Ralston, S.L., Lieberthal ,A.S., Meissner, H.C., Alverson, B.K., Baley, J.E., Gadomski ,A.M., Johnson, D.W., Light, M.J., Maraqa, N.F., Mendonca ,E.A., Phelan, K.J., Zorc ,J.J., Stanko-Lopp, D., Brown, M.A., Nathanson ,I., Rosenblum, E., Sayles, S. 3rd, & Hernandez-Cancio, S. in Pediatrics, 134(5), 1474-1502.
WK 5 Journal Entry
Assessment and Management of Paediatric Dermatologic disorder
NURS – 6541N – 1
Dermatology disorders are an infection and abnormal appearance of the skin. Mostly repented by skin lesions, the skin disorder serves as an indicator of an underlying internal disease for examples internal cancer, GI disorders or endocrinopathies. Dermatological disorders are best examined before treatment or diagnosis but the most suitable is clinical acumen and appropriate laboratory tests. Origin of dermatological disorders are of different types including; bacterial infections, hereditary conditions, vascular lesions, tumors, and growths.
Examination of a Paediatric Dermatological Disorder
Early on Monday morning, a mid-age African American mother walks into the clinic carrying a 10 old month infant. The parent complains of the Childs’ difussed pruritic rash , and relapsing skin dryness, inflammation and erythema for the last 2 week. Mother states that infant has been current with immnuization . Mother denies any fever, diarrhea, or decreased appetite , no exposure to a new medication or change of detergent at the onset of the rash. The only medical history is chronic dry skin and urticaria that has been wel controlled. Other than occasional itching, otherwise, well developed , well nourished infant. From examining the infant, it was evident that the child’s skin was affected by lesions that occur as a result of irritation and scratch marks. The disorder seems to have affected the face and flexural parts of the body mostly. Upon abrasion the affected parts the child tends to remain calm, indicating that the affected parts are sensitive to touch.
Upon further examination, the skin is dry and staph aureus. Other symptoms are papules and vesicles, erythema, skin infections and secondary erosions and lichenification (Stevens & Godstein, 2014).
From the symptoms and medical examination,
V/S was within normal range , then it was concluded that the patient as suffering from Eczema and contact dermatitis (atopic and discoid) that is most common among infants that are in their early childhood especially for one year. It is associated with the immune response of the infant and if the condition is not contained it results in secondary bacterial infections especially around the flexural joints. It serves as a barrier of the epidermal barrier function (Burns, 2013).