What health concerns are present with this camp community? a. Immediate safety concerns: b. Camp manager issues: c. Safety committee: d. Camp community culture changes: e. State reportable injuries:

11:45 am… Tony, 14 years old/Camper #1 skin injury 1. What clinical data do you NOTICE that is RELEVANT and why is it clinically sig (Reduction of Risk Potential/Health Promotion and Maintenance) Primary Problem/Story: What Do You Notice? Clinic Tony, 14-year-old male, presents to the health center with his counselor with a bleeding full skin thickness or laceration to his right knee. occured due t Tony stated, “I fell on a rock yesterday while playing paint ball and it gashed my knee.” The counselor said Tony told his counselor that, “it was taken care of…” redness on the and he assumed Tony was seen at the health center when another counselor was covering for his day off. Tony said he has not been treated at the health center and washed the laceration out and applied a Band-Aid himself. He ran out of Band-Aids today when the laceration began to bleed again and came for treatment at this time. Previous day 11:50 am…Nancy, 15 years old/Camper #2: external Primary Problem/Story: What Do You Notice? Clinical Signific John, the basic first aid-trained responder, The patient is having radioed the nurse to report that a camper was on the “slip-and-slide” and fell, hurting her sciatic nerve compreso back outside the dining room. The from direct nerve com mechanism of injury was that after she fell, Forces (Gal another person on the slip-and-slide collided into her, causing an apparent back injury. She oo sacral spinal immediately got up, walked and complains of lower back pain and holding book segments of her lower right lower buttock area. te nerves. You Notice? Clinical Signs may injure the nerve at 11:55 am…John, 17 years old/Camper #3 Primary Problem/Story: What Do You Notice? Clinical Significance: Arrived at the health center with a laceration of the right foot incurred while swimming in Mr. John developed the lake. on the right Good and Patient hopped into the health center on one foot with no shoe on the injured foot, blood. He had tetanus dripping blood. back. “I don’t know what I cut it on because I was in the lake at the beach swimming area.” The event occurred within the last hour. He states his last tetanus was three years ago. Past Medical History: What Do You Notice? Clinical Significance: John is a 17-year-old volunteer kitchen The must be an anaphylactic worker who is in good health. His last bo injury, immediate atten recorded tetanus was five years ago. given by getting the team What Do You Notice? Clinical Signific Primary Problem/Story: a ramp of the food truck with a box of food when her leg went through a hole on the ramp. She reports twisting her left hip with a sudden onset of pain. 12:45 pm…Katie, 18 years old/Camper #4 is possible due to L the hip region. Katie limped into the health center and told the nurse, “My left hip hurts. I can move it, but it hurts a lot.” Past Medical History: Katie is a healthy 18-year old with no prior history of back or hip injuries. What Do You Notice? Clinical Signif The history signifies the and psychologically fitte with You Notino? Clinical Sioni 1:00 pm… Andy, 24 years old/Camper #5 What Do You Notice? Clinical S Primary Problem/Story: You are leaving the dining hall when you hear one of the kitchen workers call out, “Nurse, nurse, a guy passed out in the kitchen!” The nurse will and Laboured numbness Lo of Patient status: His respirations are rapid and labored. His hands are numb, and he is now awake but lethargic. unable to soll Subjective Data: The patient can barely speak or follow commands due to his compromised state. He was observed “fainting” by others. Past Medical History: Andy is 24 years old and a kitchen worker. No health history is available. What Do You Notice? Clinical Nothing sia व What Do You Notice? Clinica Put it All Together: Think Like a Community Health Nurse!

1. If all five patients presented at the same time, who would you assess first? Why?

2. What health concerns are present with this camp community?

a. Immediate safety concerns:

b. Camp manager issues:

c. Safety committee:

d. Camp community culture changes:

e. State reportable injuries:

d. Camp community culture changes:

e. State reportable injuries:

f. Communication:

3. What are the nursing interventions for the campers, staff, and the camp community at the primary, secondary and tertiary level of care? (Nursing roles to consider are the following: educate, advocate, manage, collaborate, leadership) Primary Prevention Level: Keep disease or injury from occurring. (Educate) Secondary Prevention Level: Detect and treat existing diseases or injuries. (Screen and treat) Tertiary Prevention Level: Reduce the disease or injury to the lowest level to minimize disability (Rehabilitation) High Incidence Problems in Camp Population: What problems are most frequently seen in a camp population?

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