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Asked by moisemarie77
Joey is a 13 year old African American boy who presents to the emergency department (ED) with a severe nose bleed and bruises on both legs. The ED physician asked Joey’s parents’ how the incident occurred. They replied, “He was just picking his nose and he started bleeding!” They are unsure how Joey got the bruises. ED physician further asked about their family medical history. Joey is adopted, and his Caucasian parents do not know anything about Joey’s biological parents except that they are in prison serving a life sentence. A hematologist was consulted and orders a factor analysis. Lab results came back as the following:

WBC- 7,000/ Hgb 13.6/ Hct 36%/ Platelets 80,000/ PTT 65/ PT 14/ INR 1.0 

ED physician orders fresh frozen plasma (FFP) and platelet transfusions. Joey’s parents are Jehovah Witnesses and they refused the transfusion. Joey is not stable for discharge home and was admitted to the pediatric unit. Factor analysis results came back, and the hematologist diagnosed Joey with Hemophilia A. Joey’s parents still refuse the transfusion.  

2. read the article above and provide a note for each of the following below , and know need to provide references.

Teamwork and 

Collaboration 

Care management: 

include cultural/spiritual focus. 

Collaborative Care: include cultural/spiritual focus. 
Care Choices 

 

Evidence Based Practice 

1. Search the research to find 

Evidence- Based 

Practice for 

Healthy 

Practices, 

Pharmacological, and Alternative 

interventions for your assigned patient. 

Informatics 

1. Initial assessment/ Follow- up 

issues 

 

Quality Improvement 

1. Quality of care 

 

 

SCIENCE
HEALTH SCIENCE
NURSING
NURSING AS 1101