# data[].attributes.body
Patient name: dominikas
Age: 12
Weight: 40kg

# data[].attributes.body
18:00. Observations were taken and were stable. Updated the fluid chart of what the patient had ate and drunk and added them up all up. Medication was prescribed as he was struggling to open his bowls for 6/7 days. His pain was decreasing by giving medication and slept calmly with no issues throughout the night.

# data[].attributes.body
By Urszula Kalicinska, Holly Lippitt, Priya Sond

# data[].attributes.body
Effect on patients life: lack of mobility and social interaction, not in school high can have psychological effects such as anxiety due to not being with peers and missing out

# data[].attributes.body
Risk factors: damage to blood vessels and nerves, pressure sores

# data[].attributes.body
Complications: significant bleeding in thigh resulting in blood lost and blood clotting in a large vein,they may eventually lodge in the lungs which could become very dangerous and cause a pulmonary embolism

# data[].attributes.headline
Treatment: pins in femur and cast for 6-8 weeks (bedrest), wash the tmoe nail and let dry

# data[].attributes.subject
Treatment: pins in femur and cast for 6-8 weeks (bedrest), wash the tmoe nail and let dry

# data[].attributes.body
Meds prescribed: Fluxciciilon, Paracetamol, Lactulose

# data[].attributes.body
Signs & Symptoms: pain, swelling, tenderness, bruising in thigh, inability to hair weight on injured leg, inability to move your hips or knee on affected side, visible proportions of the fractured bone, a fracture breaks in skin

# data[].attributes.body
Causes: probably a fall

# data[].attributes.body
Condition: Fractured Femur and Ingrown toe nail

# data[].attributes.body
14.00pm
-patient presented with pain, which I acted on and gave him paracetamol after getting the doctor to prescribe the right dosage.
-He complained of his urine stinging so I did a urine dipstick test which came back negative, and it was due to him not being able to move.
-His observations were stable and within normal parameters for his age with a BPEWS of 0
- I rang his school nurse to update her on his progress
- I updated his fluid balance chart
- I the used SBAR to handover to the nigh nurse

# data[].attributes.body
10.00am
Our patient had a fractured femur, so he had pins and a cast to put it make into place. First set of observations were good, but then started to complain about pain when being bed bathed. The patient then had an ingrown toenail. We then informed the doctor, who said to wash with warm water and leave it dry for the rest of the day. We then used the Wong-Baker Pain Face Assessment Tool to figure out how much pain he was in, this then allowed us to get the nurse in charge to prescribe him paracetamol. The orthopaedic doctor prescribe the wrong dose of paracetamol when checking the BNFC and asked for the doctor to change the prescribed dose. I also gave my patient fluxicillon for the pain he was having in his right femur. When observations were finished he had a PEWS score of 0 and had cereal for breakfast.