Question

You are about to care for Tanika, a full-term neonate (weight=3500g) who underwent surgery 24 hours ago for fundoplication and placement of gastronomy tube. The nurse reports that Tanika has slept for short periods throughout the shift, sucks vigorously on the pacifier, and occasionally cries. The nurse notes that she has not medicated Tanika for pain because she does have periods when she sleeps for 15 to 30 minutes. Her BP is 98/74, pulse rate 170, and respiratory rate 50.

1. What would be your first nursing action?

2. What principles related to pediatric pain management would apply to this infant?

Answer 1

Gastrostomy is the condition in which an artificial external opening of the stomach is penetrated for nutritional support. Gastrostomy is performed with the help of surgical outlook like for percutaneous interventional radiology. The purpose of this is to provide proper and nutritional support for the patient. If a patient is failing to eat any substance, then with the help of catheter he could be able to swallow the food safely and easily.

A feeding tube is also put in this gastric region to avoid any type of feeding problem unspecified this also can be done by taking adequate nutrition by the mouth.

1) The first nursing action would be taking care of the patient when the neonate is sucking very strong and sometimes cries it is important for the nurse to check the patient whether she can have proper suction and proper respiratory and breathing rate. It is important to give proper care to the neonate.

2) The principle is related to pediatric care involves evaluation of the pain based on medication and condition of the patient. It is important to have a proper assessment of the pain which is the essential component of the pediatric.

In children, it is especially observed that searching to the Identity of the seriousness of pain is observed in the form of an assessment tool based on mental ability to ensure pain control.

The pediatric pain research have manage more precise pain assessment and improved prescribing and administering of analgesics.

Nurses can also play a vital role in educating other health care providers, as well as parents and children, with regard to appropriate pediatric pain management.

To relieve the patient from pain and anxiety it is important to ensure proper relief in the pain by giving the mental support to the patient.