Alanna Lara Ihuman Case Study Management Plan

Alanna Lara Ihuman Case Study Management Plan

MANAGEMENT PLAN:

1. ECZEMA: A specific test for eczema does not exist, instead it is usually a clinical diagnosis from the look of the skin and location of lesions. A family history of atopic conditions is sometimes found. Treatment is control of symptoms as there is no cure. Initial treatments include: 

• Maneuvers to keep the skin moist such as:

• shorter lukewarm baths or showers •
• use of hypoallergic or mild unscented soaps and laundry products •
• topical moistUrizer creams daily •
• keep the child well hydrated to ensure adequate skin moisture •
• wearing cotton (allows more air circulation) can be helpful as wool and polyester my be too harsh, warm or irritating.

• Minimize allergens such as: pollen, mold, tobacco smoke, pet dander.

• To prevent infections, keep the nails clipped short to minimize excoriations and creating portals for skin infection. Light white gloves can be worn when sleeping to minimize skin trauma

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• Apply OTC 1% cortisone cream twice daily for 5 days if there are flare ups.

• Antihistamines can be used to help decrease skin itching to help children sleep.

2. WELL CHILD/HEALTH MAINTENANCE:

• The patient will receive MMR, Varicella, Hep A vaccines today.

3. ANTICIPATORY GUIDANCE:

•Discuss injury prevention as the patient has become more mobile.

• Secure all poisons and electrical outlets.

• Continue rear facing car seat.

•Transition to low fat milk and expand dietary selection. Wean from sippy regular cups.

• Continue to read regularly to the patient.

I-HUMAN CASE STUDY: EVALUATION AND MANAGEMENT OF GROWTH AND DEVELOPMENT ISSUES – Alanna Lara Ihuman Case Study Management Plan

Imagine this is your first day or perhaps your 500th day as a Family Nurse Practitioner. You enter the examination room where a young child—infant, toddler, preschooler—and one or more family members, who may be a parent, grandparent, or other caregiver, are waiting for you. Imagine the child and family are new patients, and this is your first time meeting them.