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Difference between revisions of "Talk:Essential Information for Children with Special Healthcare Needs"

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Case 1:
 
Case 1:
10 month old ex-25wk preterm infant with h/o bronchopulmonary dysplasia, complex device needs
+
18 month old ex-25wk preterm infant with h/o bronchopulmonary dysplasia, complex device needs
 
*ventilator dependent with tracheostomy  
 
*ventilator dependent with tracheostomy  
 
*s/p Nissen and g-tube: gastric-tube feedings: pediasure  xxmL bolus q 4hour during day, continuous feeds 10 hours overnight
 
*s/p Nissen and g-tube: gastric-tube feedings: pediasure  xxmL bolus q 4hour during day, continuous feeds 10 hours overnight
 
presents to (non-primary) Emergency Department with fever & respiratory distress
 
presents to (non-primary) Emergency Department with fever & respiratory distress
 
*detail device characteristics
 
*detail device characteristics
 
  
 
-show care in medical home (capture details, preferences) --> how care plan is developed
 
-show care in medical home (capture details, preferences) --> how care plan is developed
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*show review of preference in Emergency Department  (or at Camp or in School)
 
*show review of preference in Emergency Department  (or at Camp or in School)
 
*contingency plan (i.e., if seizures, consider increasing phenobarbital dose…. may give load IV or enterally)
 
*contingency plan (i.e., if seizures, consider increasing phenobarbital dose…. may give load IV or enterally)
 +
 +
Case 3:
 +
Transition among providers.

Revision as of 21:49, 2 March 2015

Prior WG meetings on this topic have included:

  • Details re: Modeling
  • Nutritional Overview
  • Storyboard examples

Agenda for 2/2/25:

  • provide greater detail for storyboard cases

Case 1: 18 month old ex-25wk preterm infant with h/o bronchopulmonary dysplasia, complex device needs

  • ventilator dependent with tracheostomy
  • s/p Nissen and g-tube: gastric-tube feedings: pediasure xxmL bolus q 4hour during day, continuous feeds 10 hours overnight

presents to (non-primary) Emergency Department with fever & respiratory distress

  • detail device characteristics

-show care in medical home (capture details, preferences) --> how care plan is developed -show use in external/less familiar environments -mechanisms for updating information

(any opportunity for parental input… need to follow other examples of inclusion of patient/family input)

Will need to determine potential source (e.g., location within EHR) for this information.

Case 2: 9 yr old with pervasive developmental disorder, seizure disorder, food aversion, struggles with weight gain

  • capture food preference (textures) for patient in record -- at primary provider appointment
  • show review of preference in Emergency Department (or at Camp or in School)
  • contingency plan (i.e., if seizures, consider increasing phenobarbital dose…. may give load IV or enterally)

Case 3: Transition among providers.