Septic Osteomyelitis Book 2 (See page 239)
The client is a 6-year-old boy who was admitted to the hospital for right know osteoseptic arthritis,
placement of Hickman catheter, and diagnostic arthroscopy with possible drainage. The client’s condition
first presented as osteomyelitis at the age of 1. Since then, he has been riding his tricycle, running, and
playing catch. He attends school and participates in field trips. He remains mobile in the hospital with the
temporary use of a wheelchair. His activities also include physical, child-life, and occupational therapy on
a daily basis. He performs most of his own care.
The client is stable with an apical rate of 82 beats per minute, respiration of 20 breaths per minute, and
an oral temperature of 93.8 F. His only medication is intravenous cefazolin. His diet is supplemented with
multivitamins and iron. Every day, his nurse changes his sterile dressings over his Hickman insertion site.
His bowel functions are regular, and intake and output monitoring is not necessary. The client eats a
variety of foods; however, he has a large amount of candy that consumes at will.
1.
How is septic osteomyelitis different from other forms of arthritis, such as juvenile or
rheumatoid arthritis?
2.
What are the benefits of performing diagnostic arthroscopy?
3.
Why is it necessary to hospitalize the client considering intravenous antibiotics can be safely
administered at home?
4.
Does the client’s intake of candy have any influence on the outcome of his care?
5.
What attitude and cognitive critical thinking skills did you use to address this case?
