Expert Writing Help is a nursing writing service that assists students write Paediatric nursing care plan and other diagnosis plans. This upload offers nursing students with a Paediatric nursing care plan example to teach them on the best template for writing nursing care plans.

1. 1
Learn how to write nursing care plans here!! Below is a Paediatric nursing care
plan example written by our professional nursing diagnosis plan writers online.
Health History
1) Introductory Information:
Weir Ahsaad is a 1y 2m old male weighing 7.149 kg and is approximately 72 cm tall. He
was readmitted to Blythedale Children Hospital on 01/22/2019 at 16:55. Weir Ahsaad is well
known at Blythedale Children Hospital with acute problem of Gastrostomy in place, acute status
post ventriculoatrial shunt placement, acute Thrombosis of internal jugular vein, chronic feeding
difficulty, chronic hearing deficit, chronic hypothyroidism, chronic immunization up to date,
chronic posthermorrhagic hydrocephalus, chronic retinopathy, chronic seizure, and chronic vocal
cord paresis. On 1/12/2019 would be Weir Ahsaad 4th
hospitalization. Despite having been at the
facility for a 4th
time, Weir Ahsaad was transferred to WMC on 1/12/2019 suspecting VP-Shunt
malfunction. This was to increase intermittent and lethargicity bulging fontanel. Returning to
Blythedale Children Hospital would enable Weir Ahsaad to continue medical care, get therapist
and wait for placement at SNF.
2) Chief Complaint:
VA Shunt reversion for malfunction and worsening hydrocephalus
3) History of Present Illness:
This is a 1y 2m old male weighing 7.149 kg and is approximately 72 cm tall. He was
readmitted to Blythedale Children Hospital on 01/22/2019 at 16:55. Weir Ahsaad has
experienced episodes of acute Thrombosis of the internal jugular vein, chronic feeding difficulty,
chronic hearing deficit, and chronic hypothyroidism. However, the patient seems more alert and
active since he returned yesterday. The patient is tolerating GT, feeding well with no acute issues
reported.
4) Past Health History:
General Health: Good
Primary Diagnosis (if applicable): N/A
Operations/Past surgical history: N/A
Past Hospitalizations: WMC on 1/12/2019 suspecting VP-Shunt malfunction
Psychiatric History: N/A

2. 2
Obstetrical History/Contraceptive History:
Injuries and Accidents:
5) Current Health Status:
Current Medications: Medications: PRN Reason: Seizures
Phenobarbital (phenobarbital) 15mg GT BID SCH,
Omeprazole (Prilosec) 6mg GT BIDAF SCH
Multivitamin Pediatric (poly-VI-Sol) 1ml GT DAILY SCH
Menthol/Zinc Oxide (Calmoseptine Ointment) 0gm TP BID SCH
Levothyroxine Sodium (Keppra) 210 mg GT BID SCH
and Ferrous Sulphate (Fer- In- Sol) 15 mg GT DAILY@1000 SCH
Enoxaparin Sodium (Lovenox) 1 syr SQ 0500,1700 SCH.
PRN Reason: Respiratory Distress
Diazepam (Diastat) 2.5 mg RC PRN PRN
Cod Liver Oil/Zink oxide (Desitin Diaper Rash 40% paste) 0gm TP QC SCH
Budesonide (Pulmicort) 0.5 mg IH BID SCH.
PRN Reason: EVER
Albuterol Sulfate (Albuterol sulfate 0.5%) 2.5 mg IH Q3RX PRN
Acetaminophen (Tylenol Liquid) 110 mg GT Q4RX PRN.
Allergies: N/A
Habits (ie smoking, alcohol): No known Habit
Screening Tests: N/A
Immunizations: Hep B, DTAP, Influenza, HIB, IPV, PNU13
Environmental Hazards: Fall aspiration, Precaution seizures, oethostasis
Use of safety measures: N/A
Advanced Directives: N/A
6) Social History:
Social (grade in school, education, profession, family): No information at the present time on
family members.

3. 3
Travel: None on file
Transportation: Car sent
Religious beliefs: Christian
7) Functional History:
Sleep Patterns: sleeps well
Exercise/Leisure activities: N/A
Diet: All diets active
7) Family History:
Maternal: No maternal information on the file
Paternal: No paternal information
Siblings: No sibling information
Review of Systems:
-Growth & Development: The patient is growing normally with a well-developed. Moving
all 4 extremities
- Skin: The patient skin is intact and dry with normal color and normal turgor.
- HEENT: The patient had a clear Sclera, intact EOM, clear conjunctiva, clear TMS, Perl,
Normal Nose, clear pharynx, supple neck, clear mouth, and no masses.
- Respiratory: The patient heart rate was regular with lungs that had equal and good
aeration in room temperature.
- Cardiovascular: The patient has a regular heart rate with the clear lung
-Gastrointestinal: The patient has normal bowel sound with no hepatosplenomegaly, no
masses GT
- Genitourinary: : the patient is uncircumcised.
- Genitalia: Normal male
- Endocrine: N/A
- Hematologic: N/A
- Musculoskeletal: full ROM, Straight spine, no curves, and no weakness
- Neurological: normal patient tone, intact sensation, reflexes 2+, no facial deficit
Physical Assessment:

4. 4
- Weight 7.149 kg , Temp 96.8, BP120/70, Height 72 cm, Pulse82, Resp16
- Growth & Development: the patient is nourished and well developed.
- Skin: Patient skin is intact
- HEENT: the patient mucous membrane is moist and pink with Atraumatic
- Respiratory: Good/equal aeration, Clear to auscultation
- Cardiovascular: S1, S2 with regular rate and rhythm. No murmurs.
- Gastrointestinal: Abdomen tender; BS is active in all 4 quadrants. Presence of Bowel
- Genitourinary: uncircumcised patient testes are equal in size, no lesions, rashes or
discharge
- Genitalia: Highly palpable right testicles, however, left testicle is palpable in left
scrotum
- Endocrine: N/A
- Hematologic: no issues observed
- Musculoskeletal: Full ROM saw in all 4 extremities as the patient moved about the exam
room.
- Neurological: normal tone, intact sensation, reflexes 2+, no facial deficit
About the author
Our nursing paper writing service offers students in the United Kingdom, United States of
America, United Arab Emirates, Australia and Canada with high quality nursing papers such as
nursing care plans, DNP capstone projects, essays, nursing research papers and evidence based
practices.