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CASE STUDY

HENOCH-SCHONLEIN PURPURRA

SUBMITTED TO:

MRS. CAROLINA MISUNO, RN, MAN

CLINICAL INSTRUCTRESS

SUBMITTED BY:

ESTACIO, ENRICO CARLO

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PERSONAL DATA:

Name: Jazmin Rullan

Age: 5 y/o

Sex: Female

Civil Status: Child

Address: Km 4 Asin road, Baguio city

Religion: Roman CatholicOccupation: Retired

Nationality: Filipino

Chief complaint: Abdominal Pain

Admitting diagnosis: Dietetic Gastroenteritis

Final diagnosis: Henoch-Schonlein Purpurra

I. FAMILY BACKGROUND

According to her parents there were no noted disease processes in their family line that can be

related to the patients present condition, they also express confusion as to why their daughter isexperiencing such disease.

II. DEVELOPMENTAL DATA

A. Havighurtss theory

Based on Havighurtss theory learning is the basic to life and that people continue to learn

through life. My patient Jazmin Rullan is under Early childhood wherein the task:

Walk.Patient is ambulatory.

Take solid food. Patient can consume solid foods

Talk- patient can converse with persons around her

Control the elimination of body wastes. - Patient can properly verbalize needs for elimination

Understand sex differences and sexual modesty. patient can determine the sex of her care

provider

Getting ready to read.still on the process

Forming concepts and learning language to describe social and physical reality.Pain scale is one

example and the patient still cant relate numbers to her feelings

B. Eric Erickson

According to Eric Erickson, Mr. Biano is in the developmental stage of school age wherein she

needs to bring a productive situation to completion is an aim which gradually supersedes the whims

and wishes of play.she displays positive resolution because she was able to verbalize and express

feelings of joy during leisure times

The fundamentals of technology are developedshe can operate a tablet and have leisure time with

it.

III.HEALTH HISTORY

A. Past and Present Illness

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Past personal History

Patient has no noted history of hospitalization, no allergies, although common illnesses such

as diarrhea and common colds are properly managed

Present History

A week before the consultation, the patient was exposed to a fellow classmate suffering with

mumps,

A day before the confinement, the patients mother noted reddish patches and the client

complains of severe abdominal pain. assessment includes noted mild signs of dehydration.

PATHOPHYSIOLOGY (HENOCH-SCHONLEIN PUPURRA)

Based on the patient

C. Inclusive Period of HospitalizationThe patient was admitted on February 9, 2014 at 2:25pm.

D. Health Agency

The patient was hospitalized at BGH-MC

IV. Medical Treatment and Management Including Procedure and Its Implication to Nursing

HEMATOLOGY. The result is normal, nursing intervention includes maintaining fluid volume and

adequate nutritional support

RECENT EXPOSURE TO VIRUS OR ANY INFECTION

IMMUNE RESPONSE IS TRIGGER BUT FOR AN UNKNOWN REASON THE

IMMUNE SYSTEM WORKS DIFFERENTLY

THE IMMUNE SYSTEM PERCIEVED THAT ITS OWN BODY SYSTEM IS THEFOREIGN INVASIVE MICROORGANISM THUS ATTACK IT (SPECIFICALLY IGA )

INFLAMMATION OF VEINS IN THE EXTREMITIES AND ORGANS SPECIALLY GITRACTS SWELL AND LEAKS BLOOD

ABDOMINAL PAIN

PRESENCE OF PURPURRA CHARACTERIZZED BY NECROTIC, REDDISH,

PAINFUL SWELLING PATCHES

HENOCH-SCHONLEIN PURPURRA

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URINALYSIS.The results are normal, although we should still maintain adequate food and fluid intake

VII. EVALUATION AND IMPLICATION OF THIS STUDY TO:

a. Nursing Practice

I was able to apply the knowledge that I have learned especially in building a trusting

relationship because children being confined in hospital may develop white coat syndrome wherein

they perceive that any people who is wearing white will hurt them, thus, dont trust them, but I wont

let these kind of things get in the way of treating the patient, I applied my knowledge in child

psychology wherein such age groups require certain cues to determine whether a person is

trustworthy or not, so in my case, I approached the mother first, established rapport, and started a

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warm conversation, once I had a trusting relationship with the mother, I also had confidant in

encouraging patient converse and trust me, once the child see that her mother trust me enough , she

had learned to trust me.

Nursing Education

I learned that in handling pediatric patients, building a trusting relationship is critical because

failure of such may lead to barriers and hindrance in healthcare delivery, I had learned actually how to

be more emphatic, understanding, and careful which is one of the concepts not actually learned in the

book, it is indeed very refreshing to handle pediatric patient again, that way I was able to muster more

effective approach on dealing, with children, aloof people, psychiatric patients, and even geriatric

patients thanks to therapeutic communication techniques.

On the clinical context, I learned about Henoch-Schonlein Purpurra.

c. Nursing Research

This study could be alluded or associated to researches related or sorted to effective means

of caring in pediatric patient suffering with Henoch-Schonlein Purpurra .

VIII. Referral and follow-up:

The patient is still admitted at the hospital (BGH-MC) under the care of Dr. FLOR