NUR 602 Chamberlain College of Nursing
updated 2022 Clinical Pearl Case guide
Clinical Pearl Issue # 1: Alcohol/ Substance Abuse
Category: Alcohol/ Substance Abuse
Issue-Pertinent Negative: The mother states that she takes anxiety pills around her son and
will leave the pills unattended around her child. The mother also
smokes in the home and often misplaces her cigarettes. She
states that one time her son was chewing on one of her
cigarettes. The mother took a bottle of alcohol out of her purse
and is also asking for a sleeping medication to give her child.
Pertinent Positive: The mother states that she does not smoke in the child’s room.
She also states that the last time that her child chewed on a
cigarette she called poison control; whose phone number is in her
phone.
Guidelines or
Recommendations: Those who are exposed to secondhand smoke have an increased
risk of lung cancer and other lung diseases. Children who are
around secondhand smoke especially have it tough because it
contributes to asthma as well as ear infections. Children of people
NUR 602 Chamberlain College of Nursing
updated 2022 Clinical Pearl Case guide
, NUR 602 Chamberlain College of Nursing
updated 2022 Clinical Pearl Case guide
who smoke also have an increased likelihood of becoming
a smoker themselves.
Reference: Section on Tobacco Control (2016). Clinical practice policy
to protect children from tobacco, nicotine, and tobacco
smoke. Pediatrics, 136(5), 1008-1017.
Professional/ Ethical
Communication by
Nurse
Practitioner to Parent: “I think it is great that you have the Poison Control’s phone
number readily available on your telephone, but it is important to
take further steps to prevent any accidents from happening. It is
important that medication bottles and any alcohol be kept out of
reach from your children. Your child can potentially open up the
bottles and severe adverse reactions can occur if he was to take
the pills or drink the alcohol. I know you are concerned about
secondhand smoke effects on your child, and you do not smoke in
his room, but it is best if you do not smoke in any room in the
house. Secondhand smoke can have detrimental effects on your
child’s health.”
Clinical Pearl Issue #2: Sleep Routines
NUR 602 Chamberlain College of Nursing
updated 2022 Clinical Pearl Case guide
updated 2022 Clinical Pearl Case guide
Clinical Pearl Issue # 1: Alcohol/ Substance Abuse
Category: Alcohol/ Substance Abuse
Issue-Pertinent Negative: The mother states that she takes anxiety pills around her son and
will leave the pills unattended around her child. The mother also
smokes in the home and often misplaces her cigarettes. She
states that one time her son was chewing on one of her
cigarettes. The mother took a bottle of alcohol out of her purse
and is also asking for a sleeping medication to give her child.
Pertinent Positive: The mother states that she does not smoke in the child’s room.
She also states that the last time that her child chewed on a
cigarette she called poison control; whose phone number is in her
phone.
Guidelines or
Recommendations: Those who are exposed to secondhand smoke have an increased
risk of lung cancer and other lung diseases. Children who are
around secondhand smoke especially have it tough because it
contributes to asthma as well as ear infections. Children of people
NUR 602 Chamberlain College of Nursing
updated 2022 Clinical Pearl Case guide
, NUR 602 Chamberlain College of Nursing
updated 2022 Clinical Pearl Case guide
who smoke also have an increased likelihood of becoming
a smoker themselves.
Reference: Section on Tobacco Control (2016). Clinical practice policy
to protect children from tobacco, nicotine, and tobacco
smoke. Pediatrics, 136(5), 1008-1017.
Professional/ Ethical
Communication by
Nurse
Practitioner to Parent: “I think it is great that you have the Poison Control’s phone
number readily available on your telephone, but it is important to
take further steps to prevent any accidents from happening. It is
important that medication bottles and any alcohol be kept out of
reach from your children. Your child can potentially open up the
bottles and severe adverse reactions can occur if he was to take
the pills or drink the alcohol. I know you are concerned about
secondhand smoke effects on your child, and you do not smoke in
his room, but it is best if you do not smoke in any room in the
house. Secondhand smoke can have detrimental effects on your
child’s health.”
Clinical Pearl Issue #2: Sleep Routines
NUR 602 Chamberlain College of Nursing
updated 2022 Clinical Pearl Case guide
