Care Plan for TB Report

Sample Answer for Care Plan for TB Report Included After Question

Description

Using the following information, please create a comprehensive care plan for T.B.

T.B. was a 21-month-old male child who presented to a community ED through triage with his mother. The mother stated that she was concerned that her son “had the flu.” The mother stated that he had a fever that she noticed that morning and had not been eating well since the previous night. She indicated that her son vomited green fluid once that morning and was complaining of abdominal pain. The mother explained that she had responsibility for T.B. from Monday to Friday, and the grandparents watched him on the weekends. It was Saturday morning. The mother reported that she and T.B. had been “staying at the casino for the last four days, he was running around and playing the whole time until last night.” The mother appeared detached from T.B. and said that she “only came because my father told me to.”

Once in the treatment room, the mother denied any past medical history or surgical procedures. There were no known complications at birth, the delivery was a normal spontaneous vaginal delivery, and birth occurred at 39 weeks of gestation. The patient was up to date on his required childhood immunizations but had not received a flu vaccination within the last year. T.B. had no siblings. His mother denied alcohol or drug use during pregnancy or currently. She was a single mother, unemployed, uninsured, and a poor historian. T.B.’s mother denied any known allergies for him and stated that he did not take any medications regularly. She had not given him anything for the present illness because “it just came on this morning.”

Initial vital signs were as follows: Temperature: 39.2 [degrees]C (102.6 [degrees]F); rectal heart rate (HR): 190; apical respiratory rate (RR): 35; pulse oximetry: 98% at room air, which was within normal limits; blood pressure: 101/54 mmHg; weight: 15.4 kg/33 lb 15 oz (greater than 90th percentile); and capillary refill less than 2 s.

A Sample Answer For the Assignment: Care Plan for TB Report

Title: Care Plan for TB Report

The immediate general impression of the patient was that he appeared poorly cared for as evidenced by soiled clothes and lack of cleanliness. He was well developed and well nourished but, more importantly, appeared toxic as evidenced by his poor response to interaction and listlessness. Upon further examination, the patient’s skin was dry, dusky, and appeared ashen. His face was symmetrical, the anterior fontanel was soft and sunken, and the posterior fontanel was closed. The head was normocephalic without deformity, the neck was supple, the trachea was midline, and no cervical lymphadenopathy or thyromegaly was palpated. He was unable to follow objects with his gaze, and his pupils were dilated with sluggish response to light. He did not produce tears, even when agitated. T.B.’s ear canals were patent and his tympanic membranes were intact and clear with no pre- or postauricular lymphadenopathy. The nares were crusted and inflamed, the nasal airway was patent, and his oral mucosa was dry with cracked lips. The neck was supple with a full range of motion and no meningismus or nuchal rigidity. Lung sounds were clear and equal bilaterally, and no respiratory distress was noted. The patient’s pulse was rapid, regular, bounding, and symmetrical when centrally palpated in the femoral region. The heart tones were normal with no murmurs or gallops. There was no cyanosis, and his capillary refill time was less than 2 s. The abdomen was distended and rigid with hypoactive bowel sounds. There was no bruising or signs of obvious trauma, and the mother could not recall the last bowel movement. Upon palpation, there was involuntary guarding, with no masses or peristaltic movements noted. Upon inspection of his back, there was no spinal or costovertebral tenderness. His diaper was dry and did not appear to have been changed for some time. The external genitalia were normal, with no rash or hernia noted. The patient moved all four extremities against gravity but not resistance and had a flaccid muscle tone with weak bilateral grasps. The neurological assessment was limited to observation of a weak cry and minimal response to pain when peripheral intravenous (PIV) access was obtained. Initial Glasgow Coma Scale score for this patient was 9, with eyes opening spontaneously, no speech, and withdrawal from pain

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The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.

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If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.

I do not accept assignments that are two or more weeks late unless we have worked out an extension.

As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

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Communication

Communication is so very important. There are multiple ways to communicate with me:

Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.

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Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

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Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

Your response needs to be a minimum of 150 words (not including your list of references)
There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
Include in-text citations in your response
Do not include quotes—instead summarize and paraphrase the information
Follow APA-7th edition
Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

A minimum of 6 responses per week, on at least 3 days of the week.
Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
Each response needs to be at least 75 words in length (does not include your list of references)
Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
Follow APA 7th edition
Points will be deducted if the above is not followed
Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
Here are some helpful links
Student paper example
Citing Sources
The Writing Center is a great resource