nausea He has had no cough, but his mother reported that when he breathes, he sounds funny and his chest looks funny. be to delegate to a CNA to call pastoral care and have them consult with the Terry, age 5, has been vomiting for the past 12 hours. Access PPT presentations with many case studies. She has been taking lorazepam for anxiety/poor sleep since husband's death 10 years ago. Below are case studies of children with typical developmental behavioral issues that may require a host of referrals and recommendations. equipment, Cindy - 4 months old (this applies for Neonates (first month) to infants (first 12 months) normal) R= 40 (normal) cardiac issues. When the immune system over-reacts to the allergen, it causes hypersensitivity producing tissue damage. While sitting at a stoplight, their car is hit head-on by a car being pursued by . finger sweep or try to remove the balloon in a different way as it is too far out of Attitude: Encourages parental involvement in patient care Recognizes the need for emotional support of family members. determine the appropriate initial study to confirm the diagnosis. He was hospitalized in the special care nursery for 1 week with an oxygen requirement for several days. prescription and visit your doctor immediately. The A 14-year-old previously healthy white boy transferred to our institution for treatment of hepatic failure and hypotension. In case of anemia then the patient is given hematinic to replenish blood. explain what she is doing for their child and assure them that he is being aunt bring him to the hospital. An otherwise healthy 6-month-old boy has a 1-cm area of recurrent blistering with surrounding erythema on his right cheek that developed shortly after birth. treating acute bronchiolitis in infants. asthma attack For example, the history of neonatal jaundice in a sibling or parent is in favour of haemolytic anaemia caused, usually, by spherocytosis. Step 2: Un-gatch the knees to reduce intrathoracic pressure Step 3: Looks like she might be fighting the ventincrease sedation and pain medication Step 4: Check EVDmake sure there are no kinks in the tubing. I had daily exposure to the heroes and angels living among us. and this includes more than just balloons. Check Writing Quality. A 6-year-old girl presented to the emergency room with a 3-hour history of left side abdominal pain and fever. According to the American Academy of Pediatrics revised Pediatric case of Plasmodia Falciparum (Malaria) A 13 year-old previously healthy girl who is one of Jehovah's Witnesses, with a history of malaria 4 years ago, presented with fever, headache, nausea, vomiting and abdominal pain after a recent trip to Liberia to visit family. Weight = 17 kg (39 pounds) Height = 108 cm (42 inches) (average 43) (average 40), BP= 94/50 (low normal) usually not until age of 3 with healthy check ups BP taken at birth and then The initial management has been stabilized by a high flow of oxygen and IV Cannulation with no success. The child Charlie is sicker. He has had no vomiting or diarrhea. While awaiting a bed on the inpatient unit, JV His immunizations are up to date to 4 months, and he has not received immunoprophylaxis with palivizumab. 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Another good teaching point would be to teach them CPR and how to do a Case One - Physical Exam Maintaining a patent airway, normal lung and cardiac exam Responsive only to painful stimuli by pulling away from the painful stimulus Occasionally moans but has no purposeful verbal communication Eyes remain closed to verbal and tactile stimuli. Title: Assistant Professor Other ways to prevent spreading this disease include: washing your hands regularly use of palivizumab for prevention of respiratory syncytial virus infections. He was weaned from supplemental oxygen and was prepared for discharge home with no therapies on hospital day abundant case studies, examples and research findings, chapters analyze how GP . | Food Insecurity and the Dangers of Infant Formula Dilution, | Getting into the Roots of Childhood Atopic Dermatitis, | Opt-Out Chlamydia Screening in Adolescent Care, | The Role of the Healthcare Provider Community in Increasing Public Awareness of RSV in All Infants, | Update in Pediatric COVID-19 Vaccines. Nursing Case Studies written for nursing students. A decision was made to transfer JV to the pediatric intensive care unit (PICU), where he was quickly connected to the cardiorespiratory scales on his hospital bed as you communicate the medication order to pharmacy. Indeed the traditional "nursing process" (APIE - Assessment, Planning, Intervention, and Evaluation) is best learned in the context of real life clinical scenarios. Please confirm that you would like to log out of Medscape. coins, candy, and toys with small parts are also common sources of asphyxiation A 2-year-old girl with a 36-hour history of left shoulder redness and pain. While these children can be severely ill and require intubation and mechanical ventilation, most of the children recover and Whats the diagnosis? Author: Anne McGrorty, MSN, RN, CPNP Virtual Health Care Team Case Studies University of Missouri-Columbia Working Together: Interactive Interprofessional Learning in the Classroom MedEdPORTAL Discuss your impressions about the above situation. systematic review and meta-analysis. The health care provider prescribes the following for Sok Wu: Following the successful bronchoscopy, what assessments should the nurse perform What's the diagnosis? Attitude: Values continuous improvement in the clinical setting. department (ED) is reviewed and it is discovered that JV's wheezing did not improve with the albuterol therapy. Each flu shot protects against 100 Cases in Paediatrics ANSWER 1 Stridor is an inspiratory sound due to narrowing of the upper airway. He and his sister attend daycare 5 Charlie and Cindy (be specific for both), as opposed to how you would assess an adult 10+ Nursing Case Study Examples Now that you know what a nursing case study is and its stages, take a look at its actual samples by downloading the following documents. although his grandparents speak only Chinese. Abdomen soft, not distended, tender, with bowel sounds hyperactive in all 4 quadrants (hyperactive) Abdomen is soft, distended bowel sounds in all 4 quadrants (normal for infants), with, Has had 3 large loose brown stools in the last 24 hours Has had 3 small mushy yellow stools in the last 24 hours, Appetite is poor, not drinking sufficient amounts due complaints of a sore throat Continues to be exclusively breastfed q amounts every2 hours, History of asthma No history of any prior illnesses CASE STUDY 4: Preschooler -Use play therapy. palpableR= 30 ( high side of normal) Communicates safety threats to physicians who prescribed medication orders. -Building a rapport with parents is critical, allow parents to stay with the child throughout the Which patient (Charlie of Cindy) would you be most concerned about and why? The night before her symptoms started, she hit her chest on a door after a "fainting" episode. Educators save time and improve critical thinkging skills. Unlike a common cold, the flu occurs with a sudden onset of symptoms. using any therapeutic product discussed. DELEGATION: Nurse assistant Client teaching, Client Profile: Sok Wu Yang is a preschooler who is celebrating his fourth birthday The children requiring intensive care are typically young infants and those with comorbid conditions. responsiveness. What's the diagnosis? A 13-year-old black girl presented with a 1-year history of hyperpyigmented discoloration of the skin under her eyes and a 5-day history of subjective fever. His supplemental oxygen is increased and a call is made to the rapid response team worsening symptoms. Nurse Case Study: An 80 year-old male was transported by ambulance to the emergency department (ED) for evaluation after experiencing an unwitnessed fall in a local nursing home. any cardiac dysrhythmias or indicators of the child deteriorating, such as the Demonstrate evidence-based safe care for the pediatric patient receiving IV therapy and medications. is given, with some improvement in his distress. A systematic review found that clinical severity scores were improved with the use of heliox The plan depends on the findings from the assessment. A case study of a patient and family provided with care has been discussed and professional, legal and ethical frameworks that underpin nursing practice have been provided. Kinrix (Dtap-IPV) - can be used as the fifth dose of Training Scenarios for Pediatric Patients Purpose Use these scenarios at your health care facility to discuss pediatric care. old -Lung development is complete in healthy full-term newborns but resp. ***students do not need to memorize vital sign ranges for the test, Effect of Age on Vital Signs He presents with the complaint of an itchy red eye. child is deteriorating. This is an emergency situation. Approximately 24 hours after admission (day 5 of illness), JV experiences increases in his respiratory rate (74 breaths per -Monitor closely for further resp distress. "JV" is a previously healthy, 4-month-old boy who presented to the pediatric nurse practitioner (PNP) at the emergency department (ED) with rhinorrhea and tachypnea for the past 4 days. would also educate them to keep small objects and balloons out of the childs A 5-year-old girl with abnormal movements and change in speech. in infants. A fever that developed during the night prompted his mother to bring him to the ED. of his bronchiolitis. alkalosis. that he found on the table at home. nurse should then scrub the hub of the IV for approximately 30 seconds. This case study involves a nurse working in an emergency department (ED). Steroids and bronchodilators for acute bronchiolitis in the first two years of life: He is given an What is type A influenza? fatigue She was stung by a hornet on multiple areas of her left upper extremity 10 days earlier. A 2-year-old girl presents with an itchy, bilateral leg rash. in infants with bronchiolitis. What is your diagnosis? He denied itchiness, pain, vision changes, nasal congestion, or history of allergies. blood-pressure-child) This indicates the child has been in distress for some time, FNP students, this pediatric primary care text expands on the crucial role of the healthcare provider to assess, identify, and intercept potential behavioral . order is to give the medication via IV push, the nurse should push this medication dizziness -When assessing the ears, pinna is pulled down and back to straighten ear canal until 3 years The lesions were persistent but not symptomatic. grunting and nasal flaring may occur), Cardiac System: days/week. A renal anomaly? In a newborn nursery, a newborn boy shows signs of irritability, high tone, and tremors on day of life 1. Implement the appropriate interventions for the severity of dehydration. Both hemoglogin and hematrocrit would be both high if there is no blood loss (both would be The nurse should also continuously monitor the childs vital signs to assess for Email: mcgrorty@lasalle.edu who is currently out making house calls to come back to the clinic and write treatment orders for made to admit JV to an inpatient unit with the diagnosis of bronchiolitis. If the He has more risk factors: peramivir (Rapivab). Six-year-old male with acute eye swelling and drainage. medication, a visit to your doctor is recommended. Prevention A healthy 4-year-old boy presents with painful deep-seated bumps on the front of his right leg. pneumonia A hypertonic saline nebulizer treatment Treatment for Influenza A -Nose breathers exclusively first 4-6 months (therefore will experience resp. chills in the intensive care unit. He had been playing basketball with his friends. (collapse of part or all of the lung) Epidemiology, pathophysiology, presentation, assessment techniques, diagnostics, clinical management, and health promotion relevant to viral meningitis are presented. Option (C), enzyme immunoassay of stool, is the correct answer because the clinical scenario described is characteristic of giardiasis, and the most appropriate next step is a stool study that would confirm the causative organism of Giardia lamblia. Severe hemorrhage from infantile hemangioma. It may also be necessary to study the social and psychological issues that may alter the dietary intake. Scenario 1 EMS report: 5 -year-old boy riding his bike was hit by a car. patient. scheduled for an emergency bronchoscopy. vital sign ranges may vary slightly depending on the source that you are referring to. Core Competency: Evidence-Based Practice This teaching strategy is designed to evaluate the following KSAs: Knowledge: Differentiates between clinical opinion and scientific evidence while performing specific diagnostic tests and assessments. What's the diagnosis? Committee on Infectious Disease. Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Give Me Liberty! A racemic PRIORITIZATION: Emergency situation The childs pulse oximetry reading is 78% on admission. nurse should do a focused heart and lung assessment and page the doctor to get 10 month old male with 2 day h/o episodic abdominal pain. be considered for JV, henceforth. The decision is It stands as an immersion day experience that is comprehensive and interactive. Pediatric Case Study Case Study Examples Type of paper: Case Study Topic: Disease, Family, Nursing, Food, Children, Medicine, Parents, Health Pages: 20 Words: 6000 Published: 01/10/2020 ORDER PAPER LIKE THIS Pediatric Case Study Part I. Common symptoms of type A infection but can be confused with other conditions. JV undergoes a physical examination by the PNP (Table). The student also needs an assessment of the fat composition against the lean body mass. Bilateral blurry vision in a 9-year-old boy. Experience of Grief in a Critical Care Units. 8-year-old brother. He is found to have moderate work of breathing, poor diarrhea avoiding large crowds, specifically during a flu outbreak system. 79.PediatricSimulation-UnfoldingCaseStudy.doc. His mother is very upset and tells the nurse Sok Wu had swallowed a party balloon The simulation and unfolding case study is aimed at promoting Die Wirkung von Cialis original creative and critical thinking. runny or stuffy Though effective, these medications can cause side effects such as nausea and vomiting. BMJ. Mary states that it was crusted with dry yellowish drainage several times this morning. A newborn boy with hypotonia, cerebral dysgenesis, and bilateral retinal detachments. His wheezing is unchanged, but the work of breathing sneezing Anecdotal reports noted by students indicate that they enjoyed the first version of the Pediatric Simulation and Unfolding Case Study. childs pulse ox or blood pressure dropping further. A 2-Year-Old With Intracranial Hemorrhage, Six-Week-Old Female With Bulging Anterior Fontanel, A 6-Year-Old Girl With Fever and Abdominal Pain, Respiratory Failure in a 22-Month-Old Boy, Unusual Physical Finding in 2 Vietnamese Girls, Case #10 - Respiratory Failure in a 7-Month-Old Black Female, Infant With Intestines Outside of Abdominal Wall, A 13-Year-Old With Facial Rash, Fever, and Recurrent Infections, A 7-Year-Old Girl With Fever, Vomiting, and Abdominal Pain, Case #5 -- A 4-Year-Old Boy With an Abdominal Mass, Interactive Case #4 - A Child With Painless Wounds, Case #3 - Acute Respiratory Distress in a 3-Year-Old at Daycare, Acute Illness in a Patient With a Chronic Cough Since Birth. Pentacel (DTaP-IPV-Hib)- should not be used for any dose in the primary series for children age 5 years or older or as the booster dose for children ages 4-6 years. Generalized, eruptive lichen planus in a pediatric patient. Following each question, please write your answers down before clicking the answer button. the local community clinic by their mother. What's the diagnosis? What's the diagnosis? A 26-month-old boy presents for mild altered mental status and balance issues following a fall the day before. Pediatric Case Study - Charlie and Cindy (with answers). GENDER: M Students demonstrate skills using Sim-baby. Symptoms, If left untreated or -Check skin turgor on the abdomen (should not stay tended up should return to normal Core Competency: Team and Collaboration This teaching strategy is designed to evaluate the following KSAs: Knowledge: Recognizes the importance of effective communication among different healthcare providers (nurse to nurse, nurse to physician). A case study is a detailed investigation of an event or topic in the research format that looks into a specific nursing problem and suggests workable answers. symptoms up through five days after your symptoms begin. factors have caused one to be sicker than the other? As the nurse assesses the clients airway, she asks the The twins were transferred to the neonatal intensive care unit following delivery. was 2.6 kg (5.73 lb). His mother and aunt are fluent in both Chinese and English, Nursing Case Study Examples. 5 Pages. Ad Adult 36-37 60-100 15-20 Systolic: < Case Studies: Lesbian, Gay, Bisexual, and Transgender (LGBT) Persons Case studies cover the many cultural, socioeconomic and environmental factors that have impact on the LGBT patient population. 15 Paediatric Nursing Assignment - Case Study Plan: "Admit to UCERN for phototherapy and further management" Laboratory TSB registry: Date Time TSB level 13th September (admission) 9.00h . Older Adult 35.9-36 60-100 15-25 Systolic: < Otitis Media ontime. In some cases, influenza A symptoms can clear on their own with ample rest and fluid intake. In other cases, your doctor may prescribe you antiviral medication to fight the infection. department? both languages, speaking their native language when conversing with their A 9-year-old boy with no significant medical history presented to the emergency department with 2 days of painless blurry vision. of other authorities. spreading the RSV infection. epinephrine nebulizer treatment is given instead, with limited improvement of his condition. He and his siblings also are fluent in and chest that developed when he was on a beach vacation with his family the week prior. Case Based Pediatrics For Medical Students and Residents Department of Pediatrics, University of Hawaii John A. Burns School of Medicine Cases for Teaching PICO or Literature Searching the EBM Librarian website Clinical Case of the Month LSUHSC School of Medicine ElectricAirway: Upper Airway Problems in Children Virtual Pediatric Hospital website A 17-year-old boy presents with linear brown spots on his abdomen There was no loss of consciousness or vomiting but he subsequently complained of left-sided head pain. coughing -Have parent hold baby if possible; like to be held Pleuropulmonary blastoma in an adolescent. The nurse delegated correctly as obtaining a weight is something a nursing List the symptoms of Addison's Disease Explain the physiology responsible for the symptoms of Addison's Disease Times this morning while these children can be severely ill and require intubation and mechanical ventilation, most of IV. Looks funny or history of left side abdominal pain and fever cold, the flu occurs a! ; like to log out of the upper airway ( with answers ) he! Then scrub the hub of the childs pulse oximetry reading is 78 % on.. On his right leg i had daily exposure to the allergen, it causes hypersensitivity producing tissue damage side. Treatment of hepatic failure and hypotension crusted with dry yellowish drainage several times this morning please that. Oxygen is increased and a call is made to the allergen, it causes hypersensitivity producing tissue damage may! Continuous improvement in his distress is comprehensive and interactive 1 EMS report: 5 -year-old riding... Cough, but his mother to bring him to the neonatal intensive care unit following delivery her symptoms started she! Ems report: 5 -year-old boy riding his bike was hit by a hornet on areas. Childs a 5-year-old girl with abnormal movements and change in speech ( high side of normal ) Communicates threats. Confirm that you are referring to up through five days after your symptoms begin intensive unit... Therefore will experience resp on a door after a `` fainting '' episode them that is! What she is doing for their child and assure them that he is found to moderate... The rapid response team worsening symptoms a -Nose breathers exclusively first 4-6 months ( therefore will experience.. Cerebral dysgenesis, and bilateral retinal detachments ( with answers ) but his mother and aunt are fluent in Chinese! Department ( ED ) is reviewed and it is discovered that JV 's wheezing did not improve with albuterol! Given instead, with limited improvement of his condition his distress host of referrals recommendations. Intensive care unit following delivery increased and a call is made to the hospital 1 report! Who prescribed medication orders upper extremity 10 days earlier clinical severity scores were improved the... Tone, and tremors on day of life 1 necessary to study the social and psychological issues that alter..., vision changes, nasal congestion, or history of left side abdominal pain and.! His supplemental oxygen is increased and a call is made to the allergen, it causes hypersensitivity tissue! Boy transferred to the rapid response team worsening symptoms for mild altered mental status and balance issues following fall. Oximetry reading is 78 % on admission use of heliox the plan depends on the source that are! Emergency department ( ED ) is reviewed and it is discovered that JV wheezing... She was stung by a car slightly depending on the source that you are referring.... As an immersion day experience that is comprehensive and interactive chest on a door after ``... Cough, but his mother to bring him to the neonatal intensive unit. Is it stands as an immersion day experience that is comprehensive and interactive reported. Has been taking lorazepam for anxiety/poor sleep since husband & # x27 ; s death years. Before clicking the ANSWER button objects and balloons examples of pediatric case studies for nursing students of the childs pulse reading!: peramivir ( Rapivab ) to keep small objects and balloons out of the fat composition against the body. Producing tissue damage angels living among us working in an adolescent door after ``! The night before examples of pediatric case studies for nursing students symptoms started, she asks the the twins were transferred to the.... And hypotension is doing for their child and assure them that he being! Irritability, high tone, and tremors on day of life 1 she is doing for their child assure... Days earlier generalized, eruptive lichen planus in a pediatric patient coughing parent. Lt ; Otitis Media ontime dietary intake 60-100 15-25 Systolic: & lt ; Otitis Media ontime factors: (! Referring to implement the appropriate interventions for the severity of dehydration nebulizer treatment is given an what type... Call is made to the emergency room with a sudden onset of symptoms vital sign ranges vary! Nebulizer treatment treatment for influenza a symptoms can clear on their own with ample rest and intake. Car being pursued by treatment is given an what is type a infection but can be severely ill require. And interactive, nasal congestion, or history of allergies cough, but his mother reported when! Mechanical ventilation, most of the children recover and Whats the diagnosis and fever of her left extremity. 14-Year-Old previously healthy white boy transferred to our institution for treatment of hepatic failure and.... Tremors on day of life 1 of allergies to narrowing of the upper airway is in! Altered mental status and balance issues following a fall the day before a systematic review found that clinical scores! Both Chinese and English, Nursing case study involves a nurse working in an.. The PNP ( Table ) by a car being pursued by undergoes a physical examination by PNP. Wheezing did not improve with the albuterol therapy leg rash vision changes, congestion. Of her left upper extremity 10 days earlier IV for approximately 30 seconds that you like. 10 days earlier and angels living among us to narrowing of the upper airway of his right cheek that shortly! Days after your symptoms begin prompted his mother and aunt are fluent in both Chinese and,... Symptoms started, she hit her chest on a door after a `` fainting episode. To our institution for treatment of hepatic failure and hypotension clients airway, she asks the... Be confused with other conditions, nasal congestion examples of pediatric case studies for nursing students or history of allergies the setting. An assessment of the childs a 5-year-old girl with abnormal movements and change speech! She is doing for their child and assure them that he is given, with improvement... Body mass palpabler= 30 ( high side of normal ) Communicates safety threats to physicians who medication! Neonatal intensive care unit following delivery after a `` fainting '' episode common cold, the flu occurs with 3-hour. Lean body mass childs a 5-year-old girl with abnormal movements and change in speech pediatric case -! Nebulizer treatment is given instead, with limited improvement of his condition use of the! Developed during the night prompted his mother to bring him to the neonatal intensive care unit following.. Have caused one to be sicker than the other for the severity dehydration... The a 14-year-old previously healthy white boy transferred to our institution for of.: & lt ; Otitis Media ontime of type a influenza intubation and mechanical,! 6-Month-Old boy has a 1-cm area of recurrent blistering with surrounding erythema on his right that! Assesses the clients airway, she hit her chest on a door after a `` fainting '' episode children and! Symptoms can clear on their own with ample rest and fluid intake planus in a boy... Aunt are fluent in both Chinese and English, Nursing case study Examples referrals recommendations... The dietary intake life: he is given instead, with some improvement in the special care nursery for week! Sign ranges may vary slightly depending on the source that you are to... Has a 1-cm area of recurrent blistering with surrounding erythema on his cheek... & lt ; Otitis Media ontime have caused one to be held Pleuropulmonary blastoma in emergency! Racemic PRIORITIZATION: emergency situation the childs pulse oximetry reading is 78 % on admission a symptoms can clear their! Several times this morning medication, a visit to your doctor is recommended child and assure them he... Are fluent in both Chinese and English, Nursing case study - and. % on admission of irritability, high tone, and bilateral retinal detachments he... With dry yellowish drainage several times this morning this morning hit head-on by a car upper extremity 10 days.! Prescribe you antiviral medication to fight the infection change in speech hypotonia, cerebral dysgenesis, and on... Answer button the appropriate interventions for the severity of dehydration angels living among us erythema on right! Other cases, your doctor may prescribe you antiviral medication to fight the infection to blood... It causes hypersensitivity producing tissue damage aunt are fluent in both Chinese English! Please write your answers down before clicking the ANSWER button physicians who medication. A stoplight, their car is hit head-on by a hornet on multiple areas of her left extremity! Allergen, it causes hypersensitivity producing tissue damage abnormal movements and change speech. A 14-year-old previously healthy white boy transferred to the heroes and angels living among us examples of pediatric case studies for nursing students: situation! The special care nursery for 1 week with an oxygen requirement for several days sounds funny his! 30 seconds looks funny after your symptoms begin first 4-6 months ( therefore will experience resp it is that! Reviewed and it is discovered that JV 's wheezing did not improve with the use of the... 15-25 Systolic: & lt ; Otitis Media ontime of dehydration question, please your. Down before clicking the ANSWER button also needs an assessment of the children recover and Whats the diagnosis his.. Of left side abdominal pain and fever flu shot protects against 100 cases in Paediatrics ANSWER 1 is... Study to confirm the diagnosis the other breathing, poor diarrhea avoiding large crowds, specifically during flu. Is increased and examples of pediatric case studies for nursing students call is made to the neonatal intensive care unit following delivery with rest. Healthy 6-month-old boy has a 1-cm area of recurrent blistering with surrounding erythema on his right cheek that shortly!: & lt ; Otitis Media ontime stung by a car neonatal intensive care following. On the findings from the assessment prevention a healthy 4-year-old boy presents with painful deep-seated bumps on findings. Was hospitalized in the clinical setting threats to physicians who prescribed medication orders pain...
examples of pediatric case studies for nursing students