A 15-year-old boy enters your clinic requesting treatment for scalds received on his hand while emptying...
A 15-year-old boy enters your clinic requesting treatment for scalds received on his hand while emptying the dishwasher at his place of employment. Although his family receives medical treatment at the clinic, you are uncertain about seeing him without his parents' knowledge. Can he consent to treatment? What are the legal ramifications?
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A 15-year-old boy enters your clinic requesting treatment for
scalds received on his hand while emptying...
A 7-year-old boy is a patient in your intensive care unit. He was on a camping...
A 7-year-old boy is a patient in your intensive care unit. He was on a camping trip with his family when he accidentally fell on the campfire, causing severe second- and third-degree burns over 60% of his body. The clinical care team tells his parents that it will be critical to maintain their son’s airway and keep his fluid levels high. The father is confused and asks you why his son’s fluid level is important after a burn. How would...
A 7-year-old boy is a patient in your intensive care unit. He was on a camping...
A 7-year-old boy is a patient in your intensive care unit. He was on a camping trip with his family when he accidentally fell on the campfire, causing severe second- and third-degree burns over 60% of his body. The clinical care team tells his parents that it will be critical to maintain their son’s airway and keep his fluid levels high. In your initial post answer the following questions in detail use PHYSIOLOGY to describe the pathology. Be clear in...
Tommy is a 27-month-old boy that you have followed since birth in your primary care clinic....
Tommy is a 27-month-old boy that you have followed since birth in your primary care clinic. Prenatal course was unremarkable, and he was born at full term to a 42-year-old mother. Medical History: Notable for colic in the first few months of life, several episodes of otitis media, and several respiratory viral illnesses Is on no medications and has no known medication allergies Un-immunized Ate a goat’s milk formula that his mother made for the first year of life No...
Case Study: Sean is a 6-year-old Caucasian male that presents to your pediatric clinic for a...
Case Study: Sean is a 6-year-old Caucasian male that presents to your pediatric clinic for a well-child visit. His measurements are as follows: Height = 40 inches; weight = 35 lbs. Sean’s vision was assessed and found to be 20/20; his hearing was assessed as passing down to 20 decibels. Sean is in the 1st grade and earning A and B grades. No behavior problems have been reported in school. He lives in a single family home with his mother,...
R.M. is a 28-year-old male whose mother is your patient in your primary care clinic. R.M.’s...
R.M. is a 28-year-old male whose mother is your patient in your primary care clinic. R.M.’s mother arranged an appointment for him today due to “concerning behavior” that has been occurring over the past 3 months. R.M. tells you that his mother is concerned because he has “found happiness.” On further questioning, he reveals that he has suddenly began attending a small local music club “once or twice a day, every day.” He also has been staying up all night...
Paul is a 12-year-old male diabetic. He maintains his personal digital assistant (PDA), hand-held device, that...
Paul is a 12-year-old male diabetic. He maintains his personal digital assistant (PDA), hand-held device, that interfaces with his glucometer and provides information based on inputted data from him and his parents. This information is transmitted to his MD/hospital, school nurse, case manager (CM), and to the parents’ home computer. All in an attempt to better control his diabetes. You are his CM. The PDA sends an update to you since Paul's blood glucose levels have been steadily rising for...
Michael is a 12 year old boy that you are seeing for the first time at...
Michael is a 12 year old boy that you are seeing for the first time at a well-child visit. The mother reports his birth weight as 2.3 kg. (5.06#). He had diarrhea during the first year of life and gained slowly to 8.0 kg. (17.6 #) at one year. After that, she reports "He ate really well." Michael has no chronic medical conditions and has never had to be on medication for anything. His mother, age 35, is a single...
Mr. Wang is a 75 year old first generation Chinese American and lives with his 70...
Mr. Wang is a 75 year old first generation Chinese American and lives with his 70 year old Chinese wife. Mr. Wang, speaks very limited English, while his wife speaks only Chinese. Mr. Wang visited a clinic, where he was told by his physician that he had lung cancer. The physician wanted Mr. Wang to be hospitalized for further treatment and chemotherapy. Mr. Wang gave no response. 1. What barriers might exist for Mr. Wang in deciding to accept hospitalization...
Pediatric Oncology Case Study Z.O. is a 3-year-old boy with no significant medical history. He is...
Pediatric Oncology Case Study Z.O. is a 3-year-old boy with no significant medical history. He is brought into the emergency department (ED) by the emergency medical technicians after experiencing a seizure lasting 3 minutes. His parents report no previous history that might contribute to the seizure. Upon questioning, they state that they have noticed that he has been irritable, has had a poor appetite, and has been clumsier than usual over the past 2 to 3 weeks. Z.O. and his...
Case Study #6 You are a nurse at a university health clinic. Twenty-year-old T.Q. comes in...
Case Study #6 You are a nurse at a university health clinic. Twenty-year-old T.Q. comes in and informs you he is a new student and he has an immunodeficiency problem. He gives you a letter from his attending physician, hands you a vial of gamma globulin, and asks you to give him his "shot." The letter from T.Q.'s physician states T.Q. was diagnosed with primary immunodeficiency disease (PIDD) at age 2. He has an adequate number of B cells, but...
Michael is a 12 year old boy that you are seeing for the first time at a well-child visit. The mother reports his birth weight as 2.3 kg. (5.06#). He had diarrhea during the first year of life and gained slowly to 8.0 kg. (17.6 #) at one year. After that, she reports "He ate really well." Michael has no chronic medical conditions and has never had to be on medication for anything. His mother, age 35, is a single...
Case Study #6 You are a nurse at a university health clinic. Twenty-year-old T.Q. comes in and informs you he is a new student and he has an immunodeficiency problem. He gives you a letter from his attending physician, hands you a vial of gamma globulin, and asks you to give him his "shot." The letter from T.Q.'s physician states T.Q. was diagnosed with primary immunodeficiency disease (PIDD) at age 2. He has an adequate number of B cells, but...
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