Initial Assessment : Eight-year-old Tom Sheene was admitted to the paediatric unit with wheezing, difficulty in breathing, and coughing. He was...

Question Answered step-by-step Initial AssessmentVital signs T36 P 120 R 30 B/P 124/85 SPO2 85% Medical and Nursing Management : Eight-year-old Tom Sheene was admitted to the paediatric unit with wheezing, difficulty in breathing, and coughing. He was restless, anxious. He was accompanied by his mother who stated, “this always happens when he gets a cold”. Tom has had numerous lung related illnesses requiring hospitalization during the last two years. This is his third visit for this month to the emergency room with asthma attack. His mother has remained with him all night, but as the nurse enters the room today, she says “I’ll be back in a second, I have to get a cigarette”. : Aerosol Ventolin treatments have been decreased from every hour to every four hours. Oral prednisolone 1tsp tds is starting this am. O 2. Saturation is 94% on room air. Rhonchi is heard scattered throughout the lung field. Discharge Planning :Tom improves and is ready for discharge tomorrow. The nurse has scheduled a time with his mother to discuss how she can help Tom prevent future attacks and better care for him as he learns to cope with the disease. In working with Tom’s mother during hospitalization, the nurse learns his mother is a visual learner and appears to be somewhat slow in grasping material. Tom will be on Ventolin and Beclomethasone inhalers, and daily monitoring of his peak expiratory flow rates (PEFR). Using the scenario above develop a nursing care plans for Tom based on the approved headings, Initial Assessment, Nursing and Medical Management & Discharge Planning, creating the priority nursing diagnosis for each section. Health Science Science Nursing NURSING NURSE2213 Share QuestionEmailCopy link Comments (0)