NUR2633 Module 7 discussion latest 2018 july

Module 7
discussion

Discussions A/B

Complete the discussion in Group A or B as assigned by the
instructor and then respond to the alternate group. All students are required
to review all posts for general knowledge. Keep in mind that you will earn
points for your initial discussion posts, as well as your responses. If you do
not posts responses, you cannot earn full credit. Refer to the Discussion
Rubric on how points are earned.

Discussion A: Group A will complete initial post, Group B
will respond to the post.

Bobby was hospitalized 6 days ago for appendicitis. After an
appendectomy following a perforated appendix, he now has an open incision
requiring BID dressing changes and contact isolation due to a hospital acquired
MRSA infection. It is anticipated that he will be here for 5-10 more days for
long term antibiotic therapy and wound care. He is 13 years old. He has been
afebrile for 24 hours. The wound is open with minimal serous drainage.

He is withdrawn and relates “just tired” when you
inquire about how he is this morning. Last week he shared his interest in
school. Gets A’s in math, computer science and was supposed to be competing in
the school science fair this week.

What do you know about the adolescent and the appropriate
developmental level?

Keeping his diagnosis in mind, what about visitation?

Is socialization a need?

What other questions should you ask?

Group B Response

It is 10 pm and you make assessment rounds and find Bobby
crying. You ask him what his pain level is. What pain scale are you using?

He says he misses his family and wonders when they are going
to come to get him and take him home? He relates his dad told him to be brave
but he couldn’t stay with him since

Bobby was going to be in the hospital for such a long time
and his dad had to work. He has 2 other brothers older than him. You also
notice that his tray is untouched.

In addition to Erikson’s theory of development, children
have fear of loss. What is Bobby’s fear?

(do not forget the interdisciplinary team members)

Video: Pre-operative teaching

Discussion B: Group B will complete the initial post, Group
A will respond to the post.

Tina is 5 years old, lives with her mother and grandmother.
Mother works 2 jobs to help support her mother and her daughter. Tina is well
cared for but is now admitted for a cardiac catheterization due to the
Ventricular Septal Defect (VSD) that was noted at birth.

Tina has an extensive history of respiratory infections and
a nursing diagnosis of ‘activity intolerance’. Her mother relates that she does
not allow her to play organized or competitive games due to her health. Tina
smiles broadly when you come in the room to begin the pre-operative checklist.
She starts to ask you a question when her grandmother tells her she must stay
in the bed. “The nurse knows what she is doing and you will just be in the
way.” Tina continues to smile at you but moves back to the bed.

You have identified some unique family dynamics, please
relate.

What is the Erikson developmental level that Tina should
exhibit? And where do you think she is?

How can you assist in the developmental growth?

What education can you give to Tina and her grandmother pre
operatively?

What will she expect post operatively?

Group A Response

You begin to explain that the first thing you will need to
get done is an I.V. Tina’s grandmother doesn’t give you a chance to ask her to
help. She excuses herself and says she can’t watch. She will go to the
cafeteria and return later. Tina starts to cry and begins to suck her thumb.

What tools have you brought with you?

How can you comfort Tina?

What methods of communication might you use to help relieve
anxiety?

Can you give Tina choices?

How can you successfully get the IV in?

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