How to Answer Case Study Abby Questions (Complete Guide)

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Original Question

Case Study: Abby is a four-year-old girl who has decreased trunk, shoulder, and pelvic girdle mobility. She has voluntary and involuntary movements in both upper and lower extremities. Her muscles are hypertonic. Her movements are slow and labored. She wears glasses and her eyes are very sensitive to bright lights. She is unable to speak and has difficulty writing. Abby is unable to walk and therefore uses a powered wheelchair for mobility. Write a SBAR report on Abby. Be creative in completing the SBAR – ie if the description in the case study does not address the information that would be needed for the SBAR – feel free to add it. Please fill in the information the comments in the box below Grading Criteria Points Possible Points Earned Comments 1. Patient Information Provide age, admission diagnosis, any significant medical history 10 2. Identify the Situation (S) IV fluids Significant labs Test results Codes status 10 3. Defining Background (B) Why patient in hospital with synopsis of treatment to date Vital signs, O2 with pulse oximetry Pain level Medications patient taking for primary diagnosis & comorbidities 10 4. Assessment (A) Relate focused physical assessment to the problem Report any other physical assessment abnormalities Any changes in condition since beginning shift? Mental status Emotional state 10 5. Recommendation (R) What would be helpful or needs to be followed up? (Medication, tests, x-rays, consults: social worker, financial advisor, physical therapy, dietician, other MD specialist, home health, medical equipment) 10 6. Nursing Care Plan of Care Provide three nursing diagnosis with related to and aeb components. List in order of priority. Provide goals that are measurable (who, what, when) Give three nursing interventions for each diagnosis. 30 7. Discharge Planning Identify three aspects of teaching you would provide to the patient prior to going home. If you have concerns regarding treatments and follow up this can be included in your report (i.e. home health, durable medical equipment) 20 Total Points Earned Final Grade 100

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