https://padlet.com/caninesandcookies18/jliqi62qr0am en-us 2017-10-03 21:52:05 UTC 2026-01-21 19:44:01 UTC hello@padlet.com https://padlet.com/caninesandcookies18/jliqi62qr0am/wish/193677462 - What are Lhotshampa people?
- What is the one people one culture policy?
- What state would they be in after 7 days?
- Lack of resources, diet and essential living products 
- limited medical facilities 
- mortality rates high
- malaria pandemic?
- Does Naresh have any long term affects from his upbringing?
- refugees living in camps in Nepal in pitiful conditions 
- resettlement program in Albury enables job opportunities for refugees (agriculture etc.)
- social isolation an issue due to upbringing & limited English/ communication
- Naresh crashes and is rushed to hospital

]]> 2017-10-04 00:34:07 UTC https://padlet.com/caninesandcookies18/jliqi62qr0am/wish/193677462 https://padlet.com/caninesandcookies18/jliqi62qr0am/wish/193680887 - triaged category 3 (what is that?)--> importance
- cervical collar (possible neck/ back injury)
- triangular bandage L arm ( possible break/ fracture)
- a vacuum splint L leg & dressing right knee (X-rays)
- What was the medication given? (what is in the green whistle?)
- important to contact family & reassure Naresh ]]> 2017-10-04 01:03:12 UTC https://padlet.com/caninesandcookies18/jliqi62qr0am/wish/193680887 https://padlet.com/caninesandcookies18/jliqi62qr0am/wish/193681782 - it is important to receive consent and make Naresh aware of everything you're doing 
- make sure vital signs are in normal range (if not what could be going on)
- neuro obs 
- check for feeling in legs/ toes
- skin integrity assessment 
- check how he landed to see potential injuries 
- continue to reassure Naresh about his family
- check organs (palpation)--> ask for consent before touching ]]> 2017-10-04 01:08:53 UTC https://padlet.com/caninesandcookies18/jliqi62qr0am/wish/193681782 https://padlet.com/caninesandcookies18/jliqi62qr0am/wish/193682503 BP 100 (slightly low)
HR 140 (high)
resps 30 & sats 95%
(HR & reps could be high due to pain, anxiety, medication, shock, overcompensation, blood loss)
- check vital signs regularly for changes
- check for internal bleeding 
- patient is alert & mum is on her way ]]> 2017-10-04 01:14:17 UTC https://padlet.com/caninesandcookies18/jliqi62qr0am/wish/193682503 https://padlet.com/caninesandcookies18/jliqi62qr0am/wish/193683075 - abrasions & bruising on torso, arms & legs
- left arm immobilised, swelling & deformity of shoulder (break?)
- old bruising needs to be explored (abuse, previous injury that could cause internal bleeding or other issues)
- large laceration on right knee (needs to be cleaned,potentially stitched and re-dressed)
swelling on R) mid calf to ankle (break/fracture? --> X-rays)
- hurting everywhere & feels sick--> stress, shock, coming down from adrenaline rush ]]> 2017-10-04 01:18:37 UTC https://padlet.com/caninesandcookies18/jliqi62qr0am/wish/193683075 https://padlet.com/caninesandcookies18/jliqi62qr0am/wish/193683751 -Pain management strategies
- Switching/starting providing different pain relief medications - different to the emergency relief green whistle pain relief inhaler.
-Morphine + Metoclopramide injection, pt education with injection process, to reduce anxiety

Cannula vs injections
IV drip would be beneficial, for replacing fluids and theatre.

IM will react more rapidly, however effect will be shorter. Yet for a child with anxiety and perhaps hard to stay still and experiencing this pain, could IM injection be better?]]> 2017-10-04 01:22:35 UTC https://padlet.com/caninesandcookies18/jliqi62qr0am/wish/193683751 https://padlet.com/caninesandcookies18/jliqi62qr0am/wish/193685654 Pt and family education
Family-centred care

Discussing pain relief medications and care management with family.

Finding out pt history from family (such as any allergies)

Law/process regarding;
Consent to care as child, by family or representatives.

Handover information to other interdisciplinary carers; x-ray, psychologist, social worker?]]> 2017-10-04 01:36:00 UTC https://padlet.com/caninesandcookies18/jliqi62qr0am/wish/193685654 https://padlet.com/caninesandcookies18/jliqi62qr0am/wish/193686056 Injuries from refugee camp, will a psychologist or social worker have to be involved? (Probably not, confirmed bruising is not from abuse)

Hx - previous broken are R) forearm, and minor soccer injuries

- What is a greenstick fracture? R) forearm
 
-X ray performed

-Preparing and administering DD.]]> 2017-10-04 01:38:45 UTC https://padlet.com/caninesandcookies18/jliqi62qr0am/wish/193686056 https://padlet.com/caninesandcookies18/jliqi62qr0am/wish/193686562 X-ray result - 
L) shoulder subluxation?
L) tibia displaced? fracture
R) knee - what is a soft tissue injury

What is C-spine - How to address C-spine (surgical procedure).

How long is is the collar usually kept on?

Abdominal abrasions - should be investigated.
possibly do a CT scan. Palpate for pain?]]> 2017-10-04 01:43:43 UTC https://padlet.com/caninesandcookies18/jliqi62qr0am/wish/193686562 https://padlet.com/caninesandcookies18/jliqi62qr0am/wish/193686968 Consent to surgery for children (parent/guardian consent)

patient education and family education + reassurance

Large blood loss earlier on, considered into future treatment, has it been successfully addressed?

FBC - look and Hb count

What is a reduction of a fracture injury.

Body wt - to calculate correct dosage of analgesia. Ask family.

Having had monitored vitals, to ensure Naresh is ready for surgery.

Has Naresh been regularly PU and BO? - adequate kidney and digestive function! ^.^

How long may the surgery take. Expected recovery time?]]> 2017-10-04 01:47:47 UTC https://padlet.com/caninesandcookies18/jliqi62qr0am/wish/193686968