Jackson_Weber,WELL EXPLAINED WITH VERIFIED ANSWERS 2021 LATEST.

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Jackson Weber is a 5-year-old Caucasian male. He was diagnosed with generalized tonic-clonic seizures 2 years ago. Upon diagnosis, Jackson's neurologist started him on oral phenobarbital. Jackson has ... been seizure-free until last night, when his mother brought him to the emergency department following a 3- minute tonic-clonic seizure. She is a single mother and the sole source of financial support. Jackson has not seen his neurologist in 15 months due to his mother's work schedule. Jackson was seen by his health care provider this morning and currently has an intravenous infusion in his left arm running D5 NS + 20 mEq KCl/L at 58 mL/hr. He has been eating well, has urine output, and vital signs are stable. His pupils are equal and reactive to light. He is able to move all extremities equally. He is awake and alert and is watching cartoons. His mother is at the bedside. Documentation assignment 1. Document your initial focused assessment of Jackson Weber. Initially the assessments I wanted to focus on were drowsiness, eating patterns, temperature, respiration, patient health history, and urine. I was on alert for loss of consciousness, aspiration, vasovagal syncope or fainting. 2. Identify and document key nursing diagnoses for Jackson Weber. Jackson has a history of seizures. He is suffering from recurrent seizures or epilepsy. 3. nse. Referring to your feedback log, document the nursing care you provided and Jackson Weber's respo The nursing care I provided was; ● Attached noninvasive blood pressure measurement cuff ● Looked for normal breathing , 14 breaths per min ● Assessed the IV , not complications ● Asked about past medications to parent, was being given phenobarbitals ● Patient began to have a seizure so I put him in a recovery position which as on his side. I also secures him to prevent injuries ● Communicated with the provider ● Check for responsiveness and brachial pulse ● Places a nasal oxygen cannula ● Gave 100% oxygen from a nonbreaking mask ● Checked pupils , they were 4mm and reactive ● Listened to the lungs, they were clear and equal bilaterally ● Assessed respiration, examined chest, 18 breaths per min ● Listened to the heart ● Examined mucous membranes ● Provided patient education before handoff 4. Document the teaching that you would provide for Jackson Weber and his mother before discharge. I would educate the parents about seizures and focus on their signs and symptoms such as loss of consciousness, jerking movements, loss of bladder control, and altered breathing patterns. I would educate on the different ways to manage seizures such as antiepileptic medications, safety precautions, and ways the family can cope at home to make it safer for the patient. Lastly the best possible care to emotionally support the patient and cope with lifestyle if any issues may arise from complications. 5. Document your handoff report in the situation-background-assessment-recommendation (SBAR) format to communicate what further care Jackson Weber needs. S: patient had a seizure B: patient diagnosed with tonic-clonic seizure 2 years ago, started on oral phenobarbital by neurologist, has not seen neurologist in 15 months, mother has busy work schedule, was seizure free until last night's episode, seizure lasted 3 min A: assessed respiratory systems, listened to heart and lungs, followed provider orders as necessary, checked pupils and responsiveness R: patient received oxygen, patient advised to go to neurologist checkup, patient education of medication and safety hazards around home, patient educated on what to do in future seizure cases Guided reflection questions Opening Questions How did the simulated experience of Jackson Weber's case make you feel? Describe the actions you felt went well in this scenario. This stimulation had me scared when Jackson had a seizure because I had to take quick action through the computer but luckily the buttons were flashing so I knew where to click quickly, therefore I felt that the actions I took while and after the patient had the seizure went well. I placed the patient in the correct position and after the seizure I checked for responsiveness and focused on vitals. Scenario Analysis Questions* EBP/S What priority problem did you identify for Jackson Weber? The priority problem is always another seizure. EBP What complications might Jackson Weber face if safety precautions are not taken during the seizure activity and if treatment is not implemented after the seizure? Complications that the patient might have faced were bruising, hospital acquired infection, rash, aspiration, choking, loss of consciousness, loss of oxygen, head injury in severe cases death PCC What should the nurse teach Jackson Weber's mother regarding the ongoing care of his condition? The mother's teaching should focus on safety for Jackson. Jackson does not have to live a sedentary lifestyle but he does have to be more careful. He needs more safety hear and objects that are hazardous should be cleared from the home in case an unexpected seizure occurs he can avoid unnecessary injury PCC/S What seizure precautions should be taken by the nurse in anticipation of and at the onset of Jackson Weber's seizure? How might such precautions vary from hospital to hospital? Putting up seizure pads, maintaining airway latency , avoiding aspiration risk, clearing all loose objects. Different hospitals may have different safety gear for seizures so follow hospital guidelines PCC/S Describe strategies to empower Jackson Weber and his mother in the management of his seizures. Jackson can put helmets while riding a bike. They can take prescriptions at the correct time. Maybe have or come up with a schedule that the mother and Jackson think they might follow. Set dates in advance to see a neurologist so mother can call off from work. Mother and Jackson can list things in the house they think are hazardous. T&C List potential team members in Jackson Weber's care. (Explain your answer.) Potential team meme era in Jackson’s care would be Jackson’s mother, neurologist, nurse, health care provider, Jackson’s teachers, dietitian T&C/I What key elements would you include in the handoff report for this patient? Consider the situation-background-assessment-recommendation (SBAR) format. I would include that Jackson had a seizure today at the hospital, the intensity of the seizure and how it was managed . Jackson was put on an oxygen mask and his vitals were monitored. There was a neurological assessment performed after the seizure. The relative was educated of plans for handling future seizures Concluding Questions Reflecting on Jackson Weber's case, were there any actions you would do differently? If so, what were these actions, and why would you do them differently? I would have assessed Jackson’s pain as an added assessment to what I already did, Jackson may have had pain before and after the seizure that was unknown. Also used my nursing knowledge to decipher if I should administer medication or not. I’m this case Jackson could not take his medication orally so the order could not be fulfilled. As a nurse your main duty is to protect the patients safety. Describe how you would apply the knowledge and skills you obtained in Jackson Weber's case to an actual patient care situation. I learned that during seizures the patient's safety is important so as a nurse if a patient is having a seizure I must use the hospital's seizure materials, such as if the hospital had seizure pads, and to clear any loose objects to maintain patient safety. I have to focus on keeping a clear airway and preventing injury. After all this what is important is the patient's education on how to care for a family member who experiences seizure. [Show More]

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