What actions should be implemented to decrease anxiety in Eva and her mother?
What actions should be implemented to decrease anxiety in Eva and her mother? We have two student responses. •Each response must include specific examples from simulation feedback, class content or clinical experience.
Each response about 2 paragraphs.
1) What actions should be implemented to decrease anxiety in Eva and her mother?
Experiencing an event that would cause hospitalization is bound to be a very stressful event that would lead to an increase in Eva and her
mother’s anxiety. The first thing that can be done to decrease anxiety would be to provide a calm environment and speak to the patient and
family in a calm manner as well. It is also important to educate and inform the patient about their situation and why they are in the
hospital. Eva and her mother should also be informed about the plan of care and what interventions will most likely be implemented. Letting
both Eva and her mother know that all of their health care providers are solely focused on helping Eva get better will also help decrease
anxiety. Because Eva is a preschooler it is possible that she may think that her illness is some sort of punishment for something bad she
did. Eva needs to be informed that her illness is in no relation to whatever action she may believe to have caused it.
2.) What role do you feel Eva’s mother has as a member of her health care team?
As a member of Eva’s health care team I feel that Eva’s mother has one of the most important roles in regards to Eva’s treatment and well-
being. Because Eva is only 5 years old, Eva’s mother is the primary decision maker for her daughter regarding her care. Additionally, aside
from Eva herself, her mother knows the most about her daughter, providing essential information to her health care providers. One final
important role of Eva’s mother would be a support system for her daughter. Separation anxiety is still a concern in preschoolers and having
the presence of her mother by her side would significantly reduce Eva’s fear and anxiety during such a stressful time.
3.) When initiating a fluid bolus for a dehydrated child, what type of fluid should be given and why?
When giving an IV fluid bolus normal saline or lactated Ringer’s solution is given over 20 mL/kg. This bolus can be given multiple times and
once the child’s hydration status has improved ORT can be started afterwards at 100 mL/kg over 2-4 hrs (James, Nelson, & Ashwill, 2013).
Normal saline and lactated Ringer’s can also be known as isotonic solutions. These solutions are given for dehydration because its
composition and balance of fluids and electrolytes are the same as the fluids in the body. With this similar composition, these boluses
would not cause any shifts in fluids from the intra- or extracellular spaces causing further damage in combination with dehydration.
4.) Reflection on Eva Madison’s case, were there any actions you would do differently? If so, what were these actions, and why would you do
One thing that I would do differently during the Eva Madison case would be to change her position before administering oral fluids. I would
make sure to have Eva sitting up in order to reduce her risk of aspiration. Keeping Eva in a high Fowler’s or semi-Fowler’s position would
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