*NURSING > iHuman > Emma Ryan iHuman Case week 2 (All)

Emma Ryan iHuman Case week 2

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iHuman Case of Emma Ryan, 2 year old with chief complaint of runny nose, cough, and fever. Discussion Question 1 Based on your performance and the expert feedback in your HISTORY collection, describ... e two missed questions and your understanding of why they were important to collect for this case history. Use specific references from your text to explain. During history collection, when going through patient’s symptoms with her mother, I failed to further investigate an ear problem, because patient is a 2 year old, she was not able to communicate and presented with discomfort during visit. I asked about ear pain or discomfort such as the child tugging at her ear and mother replied that there were no signs of that, but I failed to ask if there were any signs of discharge or bleeding of the ears. The collection of these signs are clinically important because that could lead to a better understanding initially, prior to physical exam, as bleeding discharge from the ears can indicate and external ear canal wound, skull fracture, or traumatic perforation of the tympanic membrane (Goolsby, Jo, M., Grubbs, Laurie., 2014, p. 127). Discharge of the purulent type can also be a sign of infection or a foreign body in the ear (Goolsby, Jo, M., Grubbs, Laurie., 2014, p. 127). Another question that was missed during history collection was if patient had a flu shot. I stopped at asking if when her last immunizations were given and if they were up to date, but failed evaluate mother’s answers further and ask about the flu vaccine. This is very important to assess and document because children are a target popul.....................................................................continued [Show More]

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