INSTITUTE OF NURSING EDUCATION MUMBAI.
CHILD HEALTH NURSING
EVALUATION OF CASE PRESENTATION
STUDENT’S NAME: - ____________________________________________________
BATCH: - _____________ YEAR: - __________ DATE: - ______________
NAME OF THE PATIENT: - __________________________________________________
WARD / DEPARTMENT: - ___________________________________________________
DIAGNOSIS: - ______________________________________________________________
SUPERVISOR’S NAME: _____________________________________________________
Sr. Criteria Assigned Obtained
No. Marks Marks
1. Content, subjective & objective data 08
2. Problems and need identified & nursing 15
care plan
3. Effectiveness of presentation 05
4. Correlation with patient and book 10
5. Use of A.V. Aids 05
6. Physical Arrangement 02
7. Group Participation 03
8. Bibliography & References 02
TOTAL 50
Remarks: -
Signature of the student Signature of the Teacher
I. PATIENTS IDENTIFICATION DATA
NAME OF PATIENT :-
ADDRESS :-
AGE :-
SEX :-
RELIGION: -
EDUCATION :-
REGISTRATION NO. :-
WARD / DEPARTMENT :-
BED NO. :-
UNIT INCHARGE :-
DATE OF ADMISSION :-
PROVISIONALDAIGNOSIS: -
FINAL DAIGNOSIS :-
DATE OF SURGERY :-
ANAESTHESIA :-
SOURCES OF DATA COLLECTION: -
II. PRESENTING COMPLAINTS ON ADMISSION: -
III. CHILDS PERSONNEL DATA
OBSTETRICAL HISTORY OF MOTHER
PRE-NATAL AND NATAL HISTORY: -
GROWTH AND DEVELOPMENT: -
ANTHROPOMETRY: -
SR. ANTHROPOMETRY BOOK IN CHILD INTERPRITATION
NO PICTURE
1 WEIGHT
2 HEIGHT
3 HEAD CIRCUMFERENCE
4 CHEST CIRCUMFERENCE
5 MID-ARM
CIRCUMFERENCE
6 DENTITION
IMMUNISATION STATUS: -
DIETARY PATTERN INCLUDING WEANING: -
NUTRITIONAL STATUS: -
PLAY HABITS: -
TOILET TRAINING HABITS: -
SLEEP PATTERN: -
SCHOOLING: -
IV. SOCIOECONOMIC STATUS OF THE FAMILY: -
a. MONTHLY INCOME: -
EXPENDITURE ON HEALTH: -
FOOD: -
EDUCATION: -
b. HOME ENVIRONMENT: -
VENTILATION: -
WATER SUPPLY: -
LATERIN/BATHROOM FACILITY: -
GARBAGE FACILITY: -
c. CULTURAL BACKGROUND, RELIGIOUS BELIEFS AND
CUSTUMS
V. HISTORY OF ILLNESS: -
HISTROY OF PRESENT ILLNESS: -
(Onset, Symptoms, Duration, Precipitating/Aggregating factors)
HISTORY OF PAST ILLNESS: -
(Illnesses, Hospitalizations, surgeries, allergies)
FAMILY HISTORY: -
Type of family: -
Family Tree: -
Total numbers of family members: -
S NAME OF FAMILY RELATIO AGE S EDUCA- HEALTH OCCUPATI- INCOME
R. MEMBERS N TO E TION STATUS ON PER
N PATIENT X MONTH
O
Family history of illness
(Risk factors, Congenital problems, Psychological problems)
VI. MILESTONE DEVELOPMENT: -
Sr. Development milestones In child Normal Interpretation
No
.
1. Responsive smile
2. Responds to sound
3. Head control
4. Grasps object
5. Rolls over
6. Sits alone
7. Crawls or creeps
8. Thumb –finger co-
ordination
(Apprehension)
9. Stands with support
10. Stands alone
11. Walks with support
12. Walks alone
13. Climbs steps
14. Runs
SOCIAL EMOTIONAL AND LANGUAGE DEVELOPMENT
Sr. Social & emotional In child Normal Interpretation
No development
.
1. Responds to closeness
when held
2. Smiles in recognition
3. Recognizes mother
4. Coos and gurgles
5. Seated before a mirror,
regards image
6. Discriminate strangers
7. Wants more than one
to play
8. Says Mamma, Papa
9. Responds to name, no
or give it to me
10. Increasingly
demanding
11 Offers cheeks to be
kissed
12 Can speak single word
13 Use pronouns like, I,
Me, You
14. Asks for food, drinks,
and toilet.
15 Plays with doll
16 Gives full name
17 Can help put things
away
18 Understand difference
between boy and girl
19 Washes hands
20 Feeds himself / herself
21 Repeats with numbers
22 Understands under,
behind, inside, outside.
23 Dresses and undresses
VIII. DESCRIPTION OF DISEASE
a) Definition –
b) Anatomy and physiology-
c) Etiology and Risk Factors-
Sr. According to book In patient
no.
d) Path physiology
e) Clinical Features: -
Sr.no. Book picture In patient
IX. PHYSICAL EXAMINATIONS OF THE PATIENT: -
Observe Book picture In child Remark
General Normal built/thin built/ silky
appearance
Hair Normal/lack of lustier/thin and
sparse/easily pluck able/flag sign.
Face Diffuse depigmentation/nasolabial
dyssebacea/ moon face
Eyes Conjunctiva- normal/dry
Bitot’s spots/ brown
pigmentation/angular conductivities/
pale conjunctiva, cornia-
normal/dryness/opaque.
Lips Normal/angular stomatitis/cheilosis
Tongue Normal /pale and flabby/red and raw/
fissuered.
Teeth Mottled enamel /caries/attribution.
Gums Normal/spongy bleeding
Glands Thyroid /Para-thyroid enlargement
Skin Normal / dry and scaly/ follicular
hyperkeratosis/petechiae/pellagrous
dermatosis
Nails koilonychia
Edema In dependent parts
Rachitic Knock-knees, bow legs/epiphyseal
changes enlargement/beading of ribs/ pigeon
chest
Internal Hepatomegaly/psychomotor changes/
system mental confusion/ sensory loss/muscle
wasting/motor weakness
X. INVESTIGATIONS: -
Sr. Date Investigation Pts. Report Normal Analysis
No value
XI. MANAGEMENT MEDICAL/SURGICAL: -
Sr.no. Book picture In patient
XII. COMPLICATION:-
Sr.no Book picture In patient
XIII. NURSING MANAGEMENT:-
NEED FOR THE PATIENT:-
(Physical, physiological, psychological, social, spiritual)
NURSING DIAGNOSIS:-
XVI. DISCHARGE PLANNING:-
DIET:-
REST AND SLEEP:-
EXERCISES:-
TREATMENT AND FOLLOW UP:-
IMMUNIZATION:-
SPECIAL INSTRUCTION:-
XV. SUMMARY AND CONCLUSION:-
XVI. BIBLIOGRAPHY:-
INSTITUTE OF NURSING EDUCATION MUMBAI.
CHILD HEALTH
NURSING
CASE STUDY
ON
BRONCHIOLITIS
Submitted To, Submitted By,
Resp. Grace Mane Madam, Mr. Pradip V. Chougale,
HOD Child Health Nursing, MSc. Nursing, 1st year,
INE Mumbai. INE Mumbai.
Experience with the Redo Pull-Through
for Hirschsprung's Disease.
Gupta DK1, Khanna K1, Sharma S1.
Author information
Abstract
AIM:
This study aims to evaluate the need of Redo pull-through (Re PT) procedures
for Hirschsprung's disease (HD) and suggest preventive strategies.
MATERIALS AND METHODS:
Patients who underwent redo procedures for HD from 1980 to 2016 by a single surgeon were
retrospectively reviewed.
RESULTS:
Of 167 patients operated for HD, 32 underwent Re PT; 7 were previously operated by the same
surgeon, while 25 were referred from outside. Indication for Re PT included
residual disease including the rectal pouch following-Duhamel (12), false-negative biopsy (3),
retraction of bowel (5), anorectal stricture (2), bowel twist (1), cuff inversion (2), postmyectomy
continued symptoms after primary PT (1), fecal fistula (1), Re PT after surgery for adhesive
intestinal obstruction (3), bleeding (1), and combination of causes, including scarred perineum
(1). Age at follow-up ranged from 2.5 to 26 years. Proximal diversion was performed in 19 and 14
underwent open Scott Boley's/Soave PT and 5 ileoanal anastomosis. Of the remaining,
nondiverted 13 patients, 5 underwent transanal endorectal PT and 8 underwent PT of colostomy.
CONCLUSIONS:
Most patients of Re PT came after an initial Duhamel's procedure. Retraction of bowel, inversion
of cuff, twist, distal bowel stricture, and perianal fibrosis were found after Scott Boley procedure.
Proper planning with an initial diversion, nutritional buildup, barium study evaluation, frozen
section facility, experienced pathologist, and an expert surgeon are prerequisites for a successful
outcome after an initial as well as Re PT.
Clinical results of large secundum atrial septal
defect closure using percutaneous transcatheter
Cocoon atrial septal occluder.
Lairakdomrong K1, Srimahachota S, Lertsapcharoen P, Chaipromprasit J, Boonyaratavej
S, Kaewsukkho P.
Author information
1
Department of Medicine, Naresuan University Hospital, Phitsanulok, Thailand.
l_khanittha@yahoo.com
Abstract
BACKGROUND:
Atrial septal defect (ASD) is a common congenital heart disease in adults.
Amplatzer septal occluder is one of the most common devices used for transcatheter closure due
to its high success rate and ease to implant. Cocoon atrial septal occluder is a new nitinol-based
device, its shape resembles Amplatzer septal occluder but coated with platinum to prevent nickel
release. Little is known about clinical outcomes of large ASD closure using
Cocoon atrial septal occluder
OBJECTIVE:
To review our experience in closure of secundum ASD in adults by Cocoon septal occluder and
to compare the clinical outcomes and results of the patients who had ASD closure with a device
greater than or equal to 30 mm and less than 30 mm.
MATERIAL AND METHOD:
Between November 2005 and October 2008, 63 consecutive patients underwent
transesophageal echocardiography (TEE)--guided transcatheter closure of secundum ASD. The
patients were divided into two groups (Groups' 1 and 2) according to device diameter that is
greater than or equal to 30 mm (n = 31) and less than 30 mm (n = 32), respectively. Clinical
outcomes, complications, and transthoracic echocardiography (TTE) before hospital discharge,
one to three months, and one-year were analyzed.
RESULTS:
Device implantations were successful in 27 patients (87.1%) in group 1 and 31 patients (96.9%)
in group 2 (p = 0.196). The maximum size of secundum ASD in group 1 determined by TTE,
TEE, and balloon sizing diameter (BSD) were 22.6 +/- 5.0 mm (range 15-32), 28.1 +/- 4.8 mm
(range 19-39), and 31 +/- 3.5 mm (range 23-38) respectively. The maximum size of secundum
ASD in group 2 determined by TTE, TEE, and BSD were 19.7 +/- 4.4 mm (range 12-31), 20.4 +/-
3.4 mm (range 13-26), and 23.1 +/- 2.9 mm (range 15-30) respectively. The mean device size in
groups 1 and 2 were 33.5 +/- 3.1 mm and 24.6 +/- 3.3 mm, respectively. Four patients (12.9%) in
group 1 had unsuccessful implantations. All of them were in the first 15 cases of using large
device and two of them had device embolization requiring surgical removal. One patient (3.1%)
in group 2 had an unsuccessful implantation and had device embolization requiring surgical
removal. The patients in both groups gradually improved in clinical symptoms with decreased
RVsystolic pressure and decreased RV size with complete ASD closure at one year
CONCLUSION:
Transcatheter closure of large secundum ASD by Cocoon septal occluder is feasible with
hemodynamic benefit. However complication rates are higher with large ASD closure with device
size greater than or equal to 30 mm especially during the early "learning curve" period. With
experience, the complication rate declines and the success rate is no different from the group
with smaller device size.
INSTITUTE OF NURSING EDUCATION MUMBAI.
CHILD HEALTH NURSING
EVALUATION OF CASE STUDY
STUDENT’S NAME: - ____________________________________________________
BATCH: - _____________ YEAR: - __________ DATE: - ______________
NAME OF THE PATIENT: - __________________________________________________
WARD / DEPARTMENT: - ___________________________________________________
DIAGNOSIS: - ______________________________________________________________
SUPERVISOR’S NAME: _____________________________________________________
Sr. Criteria Assigned Obtained
No. Marks Marks
1. Introduction 03
2. History and assessment 05
3. Comparative findings with patients 10
4. Theoretical knowledge and 05
understanding of diagnosis
5. Nursing process 15
6. Follow-up care 05
7. Summery and conclusion 05
8. Bibliography 02
TOTAL 50
Remarks: -
Signature of the student Signature of the Teacher
INSTITUTE OF NURSING EDUCATION MUMBAI.
CHILD HEALTH
NURSING
GROWTH AND
DEVELOPMENT
ASSESSMENT
Submitted To, Submitted By,
Resp. Grace Mane Madam, Mr. Pradip V. Chougale,
HOD Child Health Nursing, MSc. Nursing, 1st year,
INE Mumbai. INE Mumbai.
