My fourteen year old male suffered an apparent accidental gunshot wound to the head on February 2, 2016 and has been on the rehabilitation unit at Levine’s Children’s Hospital since March of 2016. He has a previous diagnosis of attention hyperactive deficit disorder and was otherwise previously considered to be a healthy teenage boy. He is currently in the ninety-sixth percentile for weight and the eighty-first percentile for height. He has generalized weakness with contractures in all limbs due to his injury. He currently has a shiley tracheostomy 4.0 uncuffed. He is receiving medications and nutrition via a 20F percutaneous endoscopic gastrostomy tube. His feeding type is Jevity 1.5, and is receiving this at 350ml/hour. Since being in the hospital he has suffered from multiple diagnosis of pneumonia related to ventilator use, it seems as if this issue has resolved since being taken off of the ventilator. My patient has been ready for discharge, but has been unable...
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... ages and developmental levels. I was very humbled to see the majority of families were very involved in the patient’s care. The only thing that I wish I would have had the opportunity to be a part of would be the different types of therapies the patients were receiving. I think it would have been a great opportunity to see how different members if the interdisciplinary team care for these patients. This is a rehabilitation unit so physical therapy, occupational therapy, and speech therapy play a large part in their plan of care. We were there on Sunday evenings, so we were unable to be involved in any of the therapies. I think I have grown as a nursing student as a result of this clinical rotation. I do not believe pediatric nursing is where I want to take my nursing career, but that is the lovely thing about nursing; the possibilities and opportunities are endless.
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