Ella Rosen Flashcards
Ella has been vomiting and is refusing diet and fluids.
> This could be the body’s response to expel infection.
> Could also be a symptom of dehydration.
Ella has a borderline fever.
> Pyrexia is body’s response to infection.
> To help stop the production and kill many infective agents.
Mum is unable to settle Ella.
> Ella will be feeling unwell and her only way to communicate is crying.
Ella has borderline tachycardia and hypertension.
> Body increases temp and white cells in response to infection
> which increases HR and BP to pump blood around body faster.
From the history and assessment, outline four physiological concerns you have for Ella, and relate them to the pathophysiology.
> Ella has borderline tachycardia and hypertension.
> Mum is unable to setlle Ella
> Ella has borderline fever.
> Ella has been vomiting and is refusing diet and fluids.
Name one concern relating to Ella’s mental wellbeing.
Ella’s mental health less of a concern, but mum may cope less well with the stress.
What action will you take for PEWS SCORE if 1? (1 mark)
Treat as prescribed, 60-minute obs, escalate to 2 if not responding.
Explain the process you would follow in preparation for prioritising care and writing a plan of care.
> Review Ella’s history.
> Review assessment and clinical observations and decide which are out with acceptable limits.
> Decide the ADLs with which Ella needs support.
> Consider the priority of importance of Ella’s needs.
> Write the care plan, ensuring each element is SMART.
> Ensure evaluation date is set.