Case study gastro pediatric

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Case study gastro pediatric

  1. 1. BETHLEHEM UNIVERSITY FACULTY OF NURSING & HEALTH SCIENCES PEDIATRIC NURSING Case Study about ( Gastroenteritis ) DONE BY : IBTEHAL AMER SUBMETTED TO :MS.NORA SAQER NURS 333/FALL SEMESTER
  2. 2. BETHLEHEM UNIVERSITY FACULTY OF NURSING & HEALTH SCIENCES Pediatrics of Nursing NURS 333 / fall Semester Data Sheet Pt. Initials y.h.m.b Age 6months Sex female Student Name Date Admitted Diagnosis Ibtehal amer 15112011 Gastroenteritis ,moderate vomiting Information: information taken From patient’s family (mother) ,and from patient's file, and from doctor. Chief complaint: Pt admitted with vomiting and fever at one day duration Pregnancy history: mother 24 yrs old ,this is the first child. No previous apportion she delivery NSVD. The mother said during this pregnancy the movement of fetus was normal the mother do the tests continuously during pregnancy .during delivery no problems occur to the mother. History of present illness: female pt 6 months . The patient was in his usual state at health till one day when he developed vomiting following each oral intake ,on 13/11/2011 more than 7 times .fever become 39 times since the day before admission. c and decreased activity. The patient brought to ER for further Rx. Past History: no history of abdominal distension or changes in bowel habits, no history of change in wt. ,no history of recurrent chest infection,wt at birth 3.420kg APGAR SCORE 9/10 GA 40 wks Birth wt :3.420kg Blood groop : +A Immunizations: (Since birth till now) Type: Age BCG vaccine Hepatitis B vaccine IPV DPT OPV 1 day 1 day , 1 month 1 month , 2 months 4 months 4 months , 6 months
  3. 3. Developmental Assessment Identify norms and relate to patient. DDST (<6 yrs) or school performance (>6 yrs). - Developmental assessment by interview: Age: 10 months . Hand together Grasp rattle ok Laughs ok Chest up arm support Good wt Sit- head steady Head up 90 The pt hold pencil ,knows to say mama dada love to parallel play points to body parts and smaile to the people her mother sent her to nursery school because mother was work . Gross motor: The patient can not roll over ,he can not sit without support ,he can not crawl or pull himself to stand or rise chest up by arm support. Fine motor: The patient can follows to midline ,he also can put hands together and grasp a rattle but he can not reach for object or throw a ball. Language: The patient responds to bell and turns to voice ,he can say mama and dada or . Social: The patient smiles responsively ,initially shy with strangers ,he can not work for toy out of reach. But she love the people so much. Cognitive development The pt under stand when mother play with her for example smaile ,clumped her hand to gather. Psychosocial (Erikson, Piaget, Freud) According to Erikson Theory

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