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NRSG257 Child, Adolescent And Family Nursing

tag 0 Download 9 Pages / 2,026 Words tag 09-07-2021

Question:

Case Study 1

Anne is a 10 year old girl 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.

The surgical team agree that the signs and symptoms are associated with appendicitis and take Anne to theatre for an appendectomy.

The handover on return to the ward is that the surgical team found a gangrenous perforated appendix with peritonitis. Anne has returned to the ward with a nasogastric tube in situ on free drainage, morphine PCA, IV therapy and triple IV antibiotics.

Due to the severity of the infection and the potential complications, Anne will need to remain in hospital for 10 days of IV antibiotic and pain management.

Anne is the oldest of five children and her parents own and run an Indian restaurant in the city.

Case Study 2

Jay is a four-month old boy admitted to the paediatric unit via emergency with vomiting, decreased feeds, no bowel actions and intermittent spasmodic abdominal pains. During the spasmodic pain episodes, Jay draws his legs up and has a high pitched cry.

After a diagnostic ultrasound, intussusception was thought to be the cause of the presentingmsymptoms and Jay was admitted to the ward. His treatment plan included observation, electrolyte monitoring and IV therapy until a contrast enema could be implemented to correct the intussusception.

The approximate length of stay for Jay will be 2 days, during which time, Jay’s mother is informed that the rotavirus vaccine that Jay had at 4 months has increased the incidence of this condition amongst infants. Jay’s mother ismnow having serious doubts regarding future vaccines for Jay.

Case Study 3

Sue is a 14-year-old indigenous girl who lives in a remote community in rural Australia. Sue has been treated for repeated episodes of streptococcal pharyngitis and impetigo over the last 2 years. The local health clinic have registered Sue and her siblings for a secondary prophylaxis program where she receives Benzathine Penicillin G IM routinely to aid in reducing risk of developing ARF/ RHD. However, Sue has failed to attend the clinic on multiple occasions to receive her IM antibiotics.

Sue has presented to the remote area health clinic complaining of a 4 day history of acute joint pain in her knees, ankles, elbows and shoulders.

A health history taken by the remote area nurse on arrival reveals that Sue reports having a sore throat 2- 3 weeks ago, migratory joint pain starting with her knees and ankles and which now includes other joints. Her temperature is 38oC.

When Sue is assessed by the remote clinic medical officer, a diagnosis of Acute Rheumatic Fever is suspected. The doctor at the clinic attending to Sue informs her mother that she needs to be transferred to a hospital for cardiology review and echocardiogram. The closest hospital that provides these services is 800km away.

Sue lives with her mother and 6 younger brothers and sisters.

Describe the pathophysiology of the presenting complaint in the case study.

Evaluate the nurse’s role in delivering developmentally appropriate nursing care in relation to your chosen case study.

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Total 9 pages

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My Assignment Help. (2021). NRSG257 Child, Adolescent And Family Nursing. Retrieved from https://myassignmenthelp.com/free-samples/nrsg257-child-adolescent-and-family-nursing/a-case-study-on-appendicitis.html.

My Assignment Help (2021) NRSG257 Child, Adolescent And Family Nursing [Online]. Available from: https://myassignmenthelp.com/free-samples/nrsg257-child-adolescent-and-family-nursing/a-case-study-on-appendicitis.html
[Accessed 07 February 2023].

My Assignment Help. 'NRSG257 Child, Adolescent And Family Nursing' (My Assignment Help, 2021) <https://myassignmenthelp.com/free-samples/nrsg257-child-adolescent-and-family-nursing/a-case-study-on-appendicitis.html> accessed 07 February 2023.

My Assignment Help. NRSG257 Child, Adolescent And Family Nursing [Internet]. My Assignment Help. 2021 [cited 07 February 2023]. Available from: https://myassignmenthelp.com/free-samples/nrsg257-child-adolescent-and-family-nursing/a-case-study-on-appendicitis.html.


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