NRSG257: Child, Adolescent and Family Nursing- Case Study Assignment
Case Study 1:
Mark is an 8-year-old boy who has presented to the emergency department in the local hospital with right iliac fossa pain. On further assessment by the emergency registrar, appendicitis is suspected. He is made nil by mouth, commenced on IV therapy and admitted to the paediatric unit for a surgical review for possible theatre that evening. The surgical team agree that the signs and symptoms are associated with a possible appendicitis and take Mark to theatre for an appendectomy.The handover on return to ward is they found a gangrenous perforated appendix with peritonitis. Mark has returned to the ward with a nasogastric tube insitu on free drainage, morphine PCA, IV therapy and triple IV antibiotics. Due to the severity of the infection and the subsequent complications, Mark will need to remain in hospital for 10 days of IV antibiotics and pain management.Mark is the oldest of five children and his parents own and run an Indian restaurant in the city.
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Jayda is a four-month old girl admitted to the paediatric unit via emergency with vomiting, decreased feeds no bowel actions and intermittent spasmodic abdominal pains. During the spasmodic pain episodes, Jayda would draw her legs up and have a high pitched cry. After a diagnostic ultrasound, intussusception was the cause of the presenting symptoms and Jayda was admitted to the ward. Her treatment plan included observation, electrolyte monitoring and IV therapy and antibiotics until a contrast enema could be implemented to correct the intussusception. The approximate length of stay for Jayda will be 10 days, during which time, Jayda’s mother is informed that the rotavirus vaccine that Jayda had at 4 months has increased the incidence of this condition amongst infants. Jayda’s mother is now having serious doubts regarding future vaccines for Jayda.
Case study 3:
Steven is a 15-year-old indigenous boy who lives in a remote town in rural Australia. Steven was diagnosed with Asthma at the age of two. His asthma has been well managed over the years predominantly with relievers and preventers with the occasional need for steroidal anti-inflammatories.
Steven has presented to the local hospital complaining of shortness of breath and relays that he has a past history of asthma to the triage nurse.A health history taken by the nurse on arrival reveals that Steven has had a two-year history of smoking cigarettes and is not always compliant with his asthma medication or management plan. Steven lives with his mother and his 6 brothers and sisters.
Question:
The essay is aimed at critically evaluating the research explored related to a chosen case study presented in LEO and the importance of using and evaluating evidence-based sources when caring for children, adolescents and their families in relation to current Australian nursing practice.
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