Module 8 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

Missy is 3 years old. She enjoys being with mom and grandma
in the kitchen. She pulls a chair close to the stove, climbs on the chair and
looks inside the pot of boiling water. The steam is hot on her face, she steps
back and as she falls off the chair, the boiling water is pulled down on her.
Missy is rushed to the emergency department. Grandma has put some butter on her
fingers, but her face was not treated.

Review the Rule of Nines found on page 1021.

In the ED, the nurse discovers that her hands, face, chest
and arms are burned. The Dr. believes it to be a partial thickness burn, but
notes her hands are blistered and very edematous.

Provide nursing care to this young patient that is
complaining of pain, crying, and uncooperative. Educate the mother and
grandmother on the extent of the burn and the on-going care that will be
needed.

Include medication you may wish to request from the
physician and the dosage.

Group B Response

After several days the doctor begins discussing grafting of
the hands and face. Can you educate the parents on the care the child will need.
What is the home care situation for this child? Please also discuss long term
issues, physical, emotional, how will she relate to peers?

Discussion B

Due to a fall from a second story townhouse, Jimmy sustained
a fractured left femur and a mild head injury. Jimmy is 10 years old. He was
reaching for a ball that had gotten lodged into the gutter over the small
balcony of his parent’s bedroom. He thought if he stood on the railing and
reached with the badminton racket he could get it.

Currently he is 2 days postoperative from repair of the left
femur. He is being transferred out of the pediatric ICU where the Neurologist
has stated he is stable but needs continued neuro checks q2 hours. He has a
full left leg cast. The Foley catheter is to be replaced today, or he can
attempt to roll onto a bedpan if needed.

Please list the systems that are affected by this boy’s
injuries.

List the nursing interventions now that he is on your
nursing unit.

Start a list of nursing diagnosis match the system you are
presenting.

Group A Response

Please add the interdisciplinary team that needs to attend
to this boy’s health care needs. Plan home care if appropriate. And continue
the list of nursing diagnosis.