mod6-nur211

1. What are the relevant findings in the case presentation? The relevant findings are:  Poor appetite  Increasing fatigue  Pain on the legs  Child sleeps during class  Scattered bruises in all four extremities  Frequent nose bleeds  Enlarge lymph nodes in the neck, axilla, and groin area  Hemoglobin of 11.4  Hematocrit of 36  WBC count of 1.4  Platelet count of 75 (Ricci, 2021) 2. What are your expectations from the collaboration with the dietitian, case manager, oncologist, and pharmacist in your case study?  Collaboration with dietitian : Expectations of the dietitian are; o determine body weight and length/height norm for age or find out what the child’s pretreatment measurements were to determine goal to work toward. o Determine child’s food preferences and provide favorite foods as able to increase the likelihood that the child will consume adequate amounts of foods. o Administer antiemetics as ordered to increase the likelihood that the child will retain the food he or she ingests. o Weigh child daily or weekly (according to physician order or institutional standard) and measure length/height weekly to monitor for growth. o Offer highest-calorie meals at the time of day when the child’s appetite is the greatest to increase likelihood of increased caloric intake. o Provide increased-calorie shakes or puddings within diet restriction: high-calorie foods increase weight gain. o Administer vitamin and mineral supplements as prescribed to attain/maintain vitamin and mineral balance in the body. o Administer total parenteral nutrition and intravenous lipids as ordered to provide adequate nutrition for healing (Ricci, 2021).  Collaboration with case manager : The case manager will coordinate the various aspects of the child's care. They will work closely with the healthcare team, the child's family, and other service providers to ensure that all necessary services and resources are accessed and integrated effectively. This may include arranging appointments, coordinating follow-ups, assisting with financial resources, and providing emotional support to the family, coordination with appropriate home care services if needed. (Hinkle, 2021).