Heather Williams is an 11-year-old child who presents to the…
Heather Williams is an 11-year-old child who presents to the healthcare clinic with generalized nonspecific headaches. Heather’s mom, Sarah, states, “Heather has already missed so much school this year. She says her head hurts and refuses to get out of bed to go to school.” The nurse further discusses school with Heather and learns that students are bullying her in her art class. Full work-up reveals no physiological cause for Heather’s headaches.
1. What pain assessment scale would be most appropriate to use for this child? What other questions should the nurse ask to assess this patient’s pain?
2. What might be the cause of Heather’s headaches? What treatments should be implemented?
3. How common is bullying in school-aged children? What anticipatory guidance should the nurse give Sarah regarding bullying?
Lynn Williams is a 17-year-old Caucasian adolescent who presents to the healthcare clinic for an annual well-care check. Lynn is severely underweight for her age and height, and appears nervous to step on the scale. The nurse is concerned about Lynn’s weight and asks her about nutrition. Lynn states, “Look at my face! I always have horrible acne, and my boyfriend thinks I’m hideous. The only way I can keep him is if I’m skinny like the women in magazines.” The nurse is worried that Lynn may have an eating disorder.
1. Why are eating disorders common in the adolescent population? What risk factors does this patient have? What are some long-term problems this patient may experience if her eating disorder is not addressed?
2. What guidance should the nurse give Lynn about acne in adolescents? What can Lynn do at home to manage her acne?
3. What should the nurse tell Lynn about dating? Is Lynn in a healthy or unhealthy relationship?
Adiemia Swazye, from Africa, is studying in the United States. She just found out that she is pregnant and has a lot of questions but no family in the States to help answer her questions. The new mother has no medical background but has a deep desire to understand everything about pregnancy. Her culture has rituals for both the placenta (afterbirth) and the umbilical cord. She is curious if she can have them after she delivers. While discussing about the umbilical cord and placenta, she asks her doctor about the function of both these structures.
- What would the nurse tell the new mother about the part the umbilical cord and placenta play in fetal development?
- What would a self-care plan look like, which a mother might follow to ease the discomforts in pregnancy? Create a self-care plan for each trimester.
Savannah Singletary, 23 years old, took a pregnancy test one week ago and the results were positive. She feels exhausted and nauseous, but is joyful with the thought of becoming a mother. Savannah hears so many things from family and friends about pregnancy but really wants to hear from “the experts,” her doctors. Savannah arrives at the first prenatal visit with a list of questions. Savannah asks the nurse to explain what she might experience over the next nine months. She just wants to be informed.
- What are some examples of a condition, the cause, prevalence, and what can be done to manage the condition throughout the course of the pregnancy that the nurse can provide?
- Can these conditions affect the health of the mother and/or the fetus? Explain.