Pharmacologic and Non-pharmacologic therapies

Cindy Lizzo is a 10-year-old who was playing at the playground at school and fell from the monkey bars. What pharmacologic and non-pharmacologic therapies would you expect to be used to manage Cindy’s pain? What are the implications of unmanaged pain? She held her left leg and began to scream uncontrollably. EMS and her mother were called. She was taken to the local hospital.

Cindy lives with her mother and two siblings, 6-year-old Roger and 12-year-old Betty. Her father died in a car accident a few years ago. Her mother works as a receptionist in a law office. Her family is now at the hospital. Cindy undergoes an open reduction and internal fixation of tibial fracture. She has been in the post-anesthesia unit for approximately 45 minutes. As she arouses from sleep, she begins to moan and call for her mother, “I want my mom! Where is she?”.

Her vital signs are “HR: 115 beats/minute; T: 37.4 C oral; BP: 122/74 mm Hg; RR: 25 breaths/minutes with oxygen saturation of 94% on room air.

1.  What signs indicate that Cindy may be in pain?

2.  What are the effects of hospitalization for Cindy and her family? Consider implementing atraumatic/trauma-informed care.

4.  As Cindy’s primary nurse what assessments and interventions do you expect to perform? How will you collaborate with the interdisciplinary team?

Part-2: Reflection 

The purpose of this assignment is to allow you to reflect on your overall growth in the course( Child Health Nursing).

• Reflect on the following two concepts/topics covered in the course so far (related to child health nursing).

Note: The 2 concepts you can reflect on are: 

• Advocacy and consent to treatment.
• Family-centred care.
• Describe how your understanding of the two concepts/topics such as advocacy/consent to treatment and family-centred care has evolved since the start of the course. Provide specific examples. Outline how the child health/pediatric nurse can incorporate these identified two concepts to deliver quality nursing care to patients and/or their families.

Criteria:

• Use scholarly literature to support your ideas.
• The flow of ideas.
• Try to elaborate as much as possible