Case Overview Courtney Explained for Students (Easy Guide)
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Original Question
Case Overview: Courtney Kline is a 16-year old female who is a direct admit from the gastroenterology office. She has a known history of Crohn’s disease and is having an active flare uncontrolled by home therapy. She is experiencing frequent bloody diarrhea, abdominal pain, fatigue, and dehydration. Emergency department (ED) admission is completed and new orders are pending. DocuCare Activity/Assignment Prep: Review the Clinical Decision Support Tool (green Lippincott Advisor links) provided throughout your patient’s chart: Crohn’s Disease Contact precautions Mesalamine Methylprednisolone Vancomycin Ricci, S., Kyle, T., & Carman, S. Growth and Development of the Adolescent. Maternity and Pediatric Nursing. Philadelphia, Pa.: Wolters Kluwer Health/Lippincott Williams & Wilkins. Ricci, S., Kyle, T., & Carman, S. Nursing Care of the Child with an Alteration in Bowel Elimination/Gastrointestinal Disorder. Maternity and Pediatric Nursing. Philadelphia, Pa.: Wolters Kluwer Health/Lippincott Williams & Wilkins. Activities/Assignments: Part Three: Clinical Judgment Activity Assignment 3.1: Review the normal growth and development of an adolescent. Create one care plan for Courtney to enhance her developmental growth with a chronic disease. Include: Priority nursing diagnosis/patient problem Patient centered and measurable expected outcome Priority interventions Include rationale and how you would evaluate the intervention Debriefing Questions How do you think you would feel if you were in Courtney’s situation? What do you imagine is her biggest concern? What was the biggest challenge in these activities? Have you had a patient with Crohn’s during clinical? Was the plan of care similar/different? Explain. Compare your nursing/teaching approach with Courtney versus an older adult patient? What is different? What is the same?
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