Monitor her pain levels. She is a 5-year-old female with a history of sickle cell anemia. This allows students to hone their critical thinking and prioritization skills treating the virtual patient in vSim for Nursing, chart the patient’s record in Lippincott DocuCare, and—if your program also uses Laerdal Medical manikins—refine their skills in the sim lab while caring for the same patient. patient has been complaining of right lower leg pain over the last 2 days. Brittany VSIM Brittany Long is a 5-year-old African American female with a history of sickle cell anemia (HbSS) treated with regular folic acid supplement who came in yesterday with an acute vaso-occlusive pain crisis. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Only adults can become addicted to meds d) Over time, drug tolerance occurs, requiring higher doses of morphine to relieve Brittany… tired. the red blood cells become rigid and shaped like crescent moons or sickles. also on 2L nasal cannula. brought into the emergency department during the night by her mother, who stated that the An interactive, personalized simulation experience Develop clinical decision-making skills, competence, and confidence in nursing students through vSim for Nursing , co-developed by Laerdal Medical and Wolters Kluwer. brittany vsim. 3. She was brought into the emergency department during the night by her mother, who stated that the patient has been complaining of right lower leg pain over the last 2 days. She has Monitoring oxygenation, use of incentive spirometry, hydration, and Making a If oral fluids are She Pediatric Case 4: Brittany Long Document in Docucare 1. diagnosed at 6 months old, and has been prescribed regular folic acid supplement. “Brittany Long is a 5-year-old African American female with a history of sickle cell disease, diagnosed at 6 months old, and has been prescribed regular folic acid supplement. View vsim brittany long.pdf from NURS 211 at Washington State University. on the FACES Scale. brittany long vsim.docx - CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT Sickle cell anemia is a blood disease that affects red blood, 1 out of 1 people found this document helpful, DESCRIBE DISEASE PROCESS AFFECTING PATIENT. The encouraging fluids, she kept drinking as I gave her fluids. The sickle-shaped red blood cells: Clog blood vessels, causing episodes of pain and cutting off oxygen to tissues and organs. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. enough. referral to the pain team may also be helpful in SCD crises management. critical, particularly in young children, whose fluid stores are rapidly depleted. As a result, the body has too few red blood cells, a condition known as anemia. The faulty. There is tenting sign of the skin. A:Her spleen is currently enlarged, and she reported a 3/5 on the FACES Scale. IV PCA may also become necessary if pain cannot be controlled. She now rates her pain as a 3. therapies are essential for children and offer them comfort and security. Brittany rated her pain Os, Copyright © 2021 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Pediatric Case 07 Brittany Long Core DA rev. Her skin is quite cold. blood and then administered it. The scenarios are as follows: I Acute chest Teachers can role-model their thought processes by engaging in dialogue with students on care management strategies and rationales for action . She is asleep but is responsive when awakened. Brittany VSIM Brittany Long is a 5-year-old African American female with a history of sickle cell anemia (HbSS) treated with regular folic acid supplement who came in yesterday with an acute vaso-occlusive pain crisis. Designed to simulate real nursing scenarios, vSim allows students to interact with patients in a safe, realistic environment, available anytime, anywhere. CBC due Q 4 hours. and her temperature was 37.4°C (99°F). in her right lower legs. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Children with mild-to-moderate sickle cell crisis usually receive oral opioid medication and encouraged PO fluids and she drank some. And Hct. The spleen is enlarged, Further enhance your student learning experience with simulation scenarios and simulators from Laerdal Medical and additional curriculum resources from Lippincott Williams & Wilkins for a comprehensive course solution. Hydration is essential to b) Brittany is addicted, but it won't last long. Referring to your feedback log, document the nursing care you provided and Brittany Long’s, Document the patient teaching that you would provide for Brittany Long and her family   Privacy Throughout the world, the disease. Her right lower leg pain is stable, but Brittany has had a sudden increase in left upper quadrant abdominal pain and tenderness. is also found among people of Arabian, Greek, Italian, Sardinian, Turkish, Maltese, and southern Asian ancestry. Her skin is quite cold. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. When examined this morning, her blood pressure was 101/ Brittany Long is a 5-year-old African American female with a history of sickle cell disease, diagnosed at 6 months old, and has been prescribed regular folic acid supplement. proceeded to ask where her pain was and she responded, “my tummy.” She rated her pain a 3/ c) Brittany is not addicted to the morphine. Brittany Long vSim Concept Map Meghan Simons NUR 411L Date 1 Patient Diagnosis and Pathophysiology Dx & Patho Diagnosis Dx Sickle cell disease/anemia Pathophysiology Patho Brittany Long is a 5 year old female with a history of sickle cell anemia, who presented to the ED with right Document your initial focused assessment of Brittany Long. Brittany VSIM Brittany Long is a 5-year-old African American female with a history of sickle cell anemia (HbSS) treated with regular folic acid supplement who came in yesterday with an acute vaso-occlusive pain crisis. ● Impaired Gas Exchange The addiction will go away as soon as we stop giving her the morphine. Learn vocabulary, terms, and more with flashcards, games, and other study tools. The child looked slightly (SBAR) format to communicate what further care Brittany Long needs. View Homework Help - VSIM_Brittany_Long_1.docx from NURSING 100 at University of Massachusetts, Amherst. Start studying Vsim Brittany Long Complex (Pre/Post). Pediatric Case 4 Documentation Assignments 1. Her brittany vsim. brittany vsim. Examined the leg and it was warm. brittany vsim Brittany VSIM Brittany Long is a 5-year-old African American female with a history of sickle cell anemia (HbSS) treated with regular folic acid supplement who came in yesterday with an acute vaso-occlusive pain crisis. respiratory depression. -Encourage fluid intake go with weight of child. breakthrough pain. By recording interactions throughout the patient care scenario, the personalized feedback log is generated, customized to the user experience, Each time students repeat the scenario, they will receive a personal feedback log outlining their clinical reasoning choices. … normal saline and PRBC infusion to help with the hypovolemia. Dehydration is often a In people with sickle cell anemia, hemoglobin – a substance in red blood cells – becomes defective and causes the red blood cells to change shape. hospitalizations, precipitating events, medical treatment, and home management. CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT . -Administer medication dose correctly. -Monitor vital signs and note changes in cardiac rhythm. 2. Brittany Long Vsim Location: Emergency department 7 AM Brittany Long is a 5-year-old African American female with a history of sickle cell disease diagnosed at 6 months old and has been prescribed regular folic acid supplement. Brittany VSIM Brittany Long is a 5-year-old African American female with a history of sickle cell anemia (HbSS) treated with regular folic acid supplement who came in yesterday with an acute vaso-occlusive pain crisis. Designed to simulate real nursing scenarios, vSim® for Nursing, co-developed by Laerdal Medical and Wolters Kluwer, allows students to interact with patients in a safe, realistic online environment. NSAIDs. Pediatric Case 7: Brittany Long (Core) Pediatric Case 8: Brittany Long (Complex) Pediatric Case 9: Charlie Snow (Core) Pediatric Case 10: Charlie Snow (Complex) Textbook Conversion Guides. Nonpharmacologic developmentally appropriate pain scale and assessment of pain behaviors are essential in Obtain a clean catch and educate parent on why. Normal red blood cells are round. I gave her the stuffed animal as a comfort tool to have while I preformed my assessments. pain crises before, mostly managed at home with acetaminophen and ibuprofen. I assessed her IV, asked for name and date of birth, and I completed a set of vitals, which were, HR: 159, Blood pressure: 99/77 mmHg, RR: 34, SpO2: ● Acute Pain and is Learn vocabulary, terms, and more with flashcards ... A pediatric patient experience a pro long time to clonic seizure lasting approximately five minutes seizure activity seized following ... Pre/Post Simulation for Brittany Long. abdomen is generally tender. had a sudden increase in pain in her abdomen. Reflecting on Brittany Long’s case, were there any actions you would do differently?