NICS PBL worksheet

NICS PBL worksheet
PBL Session: Acute Illness
What was one insight you learned from this PBL session? How
does this insight contribute to quality patient care?
Answer) The child, Chloe is 11 months old and has been plagued by the respiratory disease
of Bronchiolitis. It can be observed that she has been showing symptoms like irritability
during feeding, lack of energy, congested nose, heavy breathing, cough and mild rise in her
temperature. Thus, the nurses have provided her with supplemental oxygen, given her a
stat dose of nebulised Ventolin, has taken samples of her blood and nasal aspiration and
has also ordered a chest X-ray. This will help provide a better understanding of the
patient’s issue and how much the bronchiolitis has progressed, to help in prescribing them
medications and treating them.

Patients are often complicated. Describe 3 of the major factors
identified in this case which will determine the success of this
patient's outcome? This could include medical diagnoses or
nursing diagnoses.
Answer) 3 major factors:
 Respiratory support – The child has been suffering from a congested nose and has
difficulty breathing. Thus external oxygen support has been provided to help
maintain the oxygen requirements of the child (Medlineplus.gov, 2019).
 Nasogastric feeds - The child is observed to portray irritability during feeding but
not severely unwell, thus nasogastric feeding means have been employed.
 Fluid therapy – IV fluids have been administered to help in the promotion of fluid
balance and prevention of complications resulting from abnormal or undesired fluid
levels in the infant (Roumelioti et al., 2018).
Given the interventions designed by your group, do you feel
every decision was underpinned by logical clinical sense?
Answer) The mother should have been educated and made aware of how badly her
smoking affects her children, even if this issue was caused by a virus. The mother should
have been recommended different rehabilitation centres to help her with her smoking
addiction (Farzana et al., 2017). Also the mother should be taught how to identify the
different signs of any sort of distress from her child.