of supervision
Rationale: monitors childs
wellbeing and allows for
prompt intervention
Assessment: Pt.
noted to not want to
put pressure on rt.
leg r/t procedure on
his knee. Pt.
whimpers when put
in a position when
knee is not supported
Encourage sleep
and rest periods
Rationale: Helps
reduce fatigue and
enhances coping
ability
Rationale: changes in
autonomic responses may
indicate increased pain
before the child verbalizes
Rationale: nonverbal
expression, body
movements, and behavioral
state may signal pain or
changes in pain severity
Septic Arthritis
Outcome
met. No
injuries
occurred
Pt. Wt=
13.7 kg
Outcome partially
met. During the 11
am rounding FLACC
scale was a 2 but
went back down for
the remainder of shift
-Vancomycin 250 mg in 50 ML
syringe @ 25mL/hr
Maintain home
routines whenever
possible. Encourage
the parents to bring
toys from home.
Rationale: enhances
a sense of security
when child is
hospitalized
Rationale: Conveys
acceptance of child
and confidence in
ability to cope with
situation