Breaking the Silence: Addressing Stigma in Men’s Mental Health” Abstract:
Patient Introduction Location: Emergency Department Time: 10:30 Report from emergency department (ED) nurse: Situation: Eva Madison is a 4-year-old female who arrived in the ED at 08:30. Background: Eva came to the ED this morning with a 4-day history of vomiting and diarrhea, inability to keep fluids down, and no urination since 20:00 yesterday. She has also “lost weight” per her caregiver. She was seen in the emergency room two nights ago and started on oral rehydration therapy. Her parent said it worked for the first night and part of the next day, but this morning Eva refused to have anything to drink, and she couldn’t void. She has had a low-grade fever over the last few days. Assessment: Eva is awake and responds to questions with one-word answers. She appears weak and tired. Her lips and mucous membranes are dry, eyes are sunken, capillary refill 4 seconds, skin is pale, extremities are cool, pulses are weak, skin turgor has a recoil greater than 2 seconds, and she has no tears. She hasn’t complained of any nausea or pain since arriving. Labs have come back, and the provider has written new orders. An IV saline bolus of 300 mL has been started. Her last vitals just before the bolus were HR 155, RR 35, temp 37.5, 02 sat 97%, BP 85/47. Recommendation: Review new provider’s orders, complete a set of vital signs, give medications, and start maintenance fluids. TEACHING PLAN FOR THIS PATIENT 3 TEACHING OBJECTIVES, 3 Content (Evidence-based with references), 3 Teaching & Learning Method(s)( How are you going to teach), 3 Evaluation of Learning (How is success of the teaching measured)
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