Nursing Interventions when Caring for Pediatric Clients with Health Disorders Discharge plan Goals of the Discharge Plan and Nursing interventions First Goal: Preventing seizures from occurring and treating occurring seizures promptly

The first goal is to treat any seizure that occurs promptly and to prevent recurrence of seizures. After being diagnosed with a seizure, it is common for the seizures to reoccur. Therefore, the nurse should teach the patient how to deal with seizure episodes when they occur and how to prevent the seizures from reoccurring. When not prevented or managed in the correct way, seizures can lead to injuries or even death (Buelow, Miller & Fishman, 2018). Therefore, the top priority is to ensure the family members can prevent the seizure from occurring or manage any episode correctly when it occurs (Buelow, Miller & Fishman, 2018). This will reduce injury and other complications of the seizures. Effective management of seizures requires that any person around during the episodes should act promptly.

Nursing Intervention

The first nursing intervention is to teach the family members the importance of adhering to medications. The family members or parents should always ensure that the client adheres to seizure medication, preventing seizures from reoccurring.

The second intervention is to teach the patient the warning signs or aura of seizures and how to manage them (Gutierrez et al., 2018).

The third intervention is to ensure the safety of the client. Since the client is at high risk of developing seizures, the environment should be kept clean and safe (Buelow, Miller & Fishman, 2018). The client should always be away from sharp objects, fire, or any object that may lead to harm.

The fourth intervention is to teach the family members what to do when a seizure occurs. This includes positioning the client in the best position, putting the client on oxygen, and identifying danger signs to observe for the client to be rushed to the hospital (Gutierrez et al., 2018). The family members will be able to deal with the seizure episodes when they occur when trained.

Second goal: Manage ear infection and prevent complications of the infection

The client is diagnosed with a right ear infection, and therefore, the second goal is to manage the ear infection and prevent complications of the ear infection. Ear infection can lead to complications such as loss of hearing. The infection can also spread to other parts of the body, such as the nervous system. Therefore, the ear infection should be managed properly to prevent complications.

Nursing Interventions

One of the interventions to manage the ear infection is to teach the client’s family members the importance of adhering to the antibiotics prescribed (Szmuilowicz & Young, 2018). The client should adhere to the cefuroxime and complete the dose as prescribed to manage the ear infection.

The second intervention is to teach the importance of hygiene and sanitation. The child should be kept in a clean environment and should keep the body clean, especially the ear. Proper cleaning of the ear should be explained to family members (Szmuilowicz & Young, 2018).

The third intervention is to teach the family members to ensure the child does not insert foreign objects into the ear or use headphones. Any material inserted into the ear can be the source of more infection, leading to complications.

Third Goal: Reducing the risk of falling

On assessment, the client has a history of seizures and upper extremity deformity. Based on these assessments, the client is at risk of falling. Being a child also increases the risk of falling. Therefore, the third goal is to reduce the risk of falling. Reduction of the risk of falling will reduce complications such as head injury or fractures (Gutierrez et al., 2018). It will also reduce the risk of infections.

Nursing Interventions

The first nursing intervention to teach the family members is to improve the lighting of their rooms. Proper lighting will reduce falls since the patient will see the areas that can lead to falls, such as slippery floors, and act accordingly (Gutierrez et al., 2018).

The other intervention is to teach the patient how to use rails or support equipment. Rails should be placed in areas such as patient’s beds and bathrooms. Alarms should be placed in various areas of the house so that in case of an episode, the client can use the alarms to notify members around (Gutierrez et al., 2018).

Lastly, the final intervention involves the client not being allowed to perform any heavy activity. Making name tags for the client also helps the public manage the client well in case of a seizure in public places.

Dosage for the Medications Prescribed

The client is prescribed acetaminophen, ibuprofen, and cefuroxime. Since the client is 5 years old, the dosage of the medication will be calculated using the