Case Overview Kevin Explained for Students (Easy Guide)
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Case Overview: Kevin Bales is a 4-year-old Asian boy with a 4-day history of low-grade fevers (101-102) for 4 days, c/o sore throat eye discharge and irritability. He lives with his dad and his mother visits a few times a year. You notice Kevin has medications due at this time. You let Kevin know that you have some medications for him to take. Kevin’s father stops you saying, “You are not supposed to give aspirin to kids. It is dangerous.” “My name is Kevin Bales, I’m 4-year-old.” Points to his throat, “hurts”. He chooses 4 on the Wong-Baker faces scale. Kevin shakes his head when you offer him something to drink. VS: BP 82/60, HR 100, 22, SpO2 99%, T 102.3 F tympanic. Flushed face, eyes heavy, withdrawn, 2-3-word sentences. Opens his mouth and shows you a deep red tongue, palms and the bottom of both feet are red, but he pulls away before you can touch. Breath sounds are clear, no coughing, torso red Heart tones are clear, rhythm is slightly irregular. Abdomen is soft, positive bowel sounds. PIV R arm, dressing clean dry and intact, no redness or swelling Assignment 2.3: Debriefing Questions: What feelings surfaced while considering Kevin’s condition? What did you feel went well and what did you struggle with during this activity? Consider current healthcare trends, what difficulties could Kevin face? What resources are available to support Kevin toward the best outcome, physically and developmentally? Compare the patient with another pediatric altered immune response condition. How are they similar? Different?
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