Posted: February 13th, 2023
Bobby, a 13-year-old male, was hospitalized following a perforated appendix that required surgery. Bobby has an open wound requiring dressing changes twice daily. He is currently on contact precautions for a methicillin resistant staphylococcus aureus (MRSA) infection. The estimated date of discharge is five-to-ten-days post-op and will include long-term antibiotics and wound care.
The nurse notes on the assessment- Previously Bobby was talkative and related his enthusiasm for school and upcoming science competitions. However, today, he was withdrawn and stated, “I’m just tired”.
SOLUTION
It’s possible that Bobby is experiencing a normal response to the stress and discomfort of his medical situation. Surgery, hospitalization, and an open wound can be physically and emotionally draining. Additionally, being on contact precautions can be isolating and limiting, which can further contribute to his emotional state.
It would be important for the nurse to assess Bobby’s overall well-being and address any concerns he may have. The nurse should also encourage Bobby to express any feelings or worries he may be experiencing, and provide support and information as needed. In some cases, it may also be helpful to involve a social worker or psychologist to provide additional support and resources.
In addition to emotional support, it’s important to also ensure that Bobby is receiving adequate pain management, proper wound care, and appropriate antibiotics to manage his MRSA infection. Close monitoring of Bobby’s physical and emotional well-being, in addition to following the prescribed treatment plan, will be important for ensuring a successful recovery and discharge.
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