Family Children Nursing (Name) Presented to (Instructor/Tutor) (Course/Subject) (Institution/University) (City, State) (Date) Assessment: Clinical Practical Guideline Case Study Analysis Abstract Clinicians and researchers in various healthcare institutions use Clinical Practice Guidelines to provide and manage clinical care…
Introduction Case Study Serena, a young girl of 20 months old is brought by her parents to the emergency department of their local hospital at around 0200 hours. An assessment conducted on her reveals the following: 2/7 history of sore throat Fevers Profuse nasal discharge The girls developed barking cough in the evening and Experienced difficulty in breathing. The Clinical Problem Initially in the 20th century, croup like illness were often confused with diphtheria but today croup is a term used to refer to several respiratory illnesses that vary in inspiratory stridor, barking cough, and hoarseness that result from obstruction in the larynx regions. Classification and Epidemiological Features Historically, croup illnesses have changed over time, but with imprecise classifications. Laryngotracheobronchitis is a term used to describe a spasmodic croup or laryngotrachetitis. The common classes of croup are; spasmodic croup, acute laryngotracheitis, LTB and LTBP and Laryngeal Diphtheria. Croup is an illness that attacks infants and children less than 6 years in age but rampant incidences occur between 7 to 36 months. Boys are more prone to its attacks than girls at a rate of 1.5 times. It has a biennial midautmn peak and annual summer trough (Cherry 2008. P.384). Croup Host factors Parainfluenza virus infections, especially type 3 is common in infants as well as young children. Despite this, croup develops only in a small percentage of children exposed. Reoccurrence of croup in children is linked to allergy. Spasmodic croup is triggered by parainfluenza virus type 1 and 2. Levels of Assessment for Severity Croup The levels of assessment of severity croup are mild, moderate, severe and impending respiratory failure. The mild level is characterized by occasional barking cough. At a rest position, the infant has no audible stridor. Retractions of the skin of the chest wall could be mild. At a moderate level, barking cough becomes frequent with easily audible stridor when the child is resting. Suprasternal and sternal retractions with no agitations are noticed. In the severe stage, barking cough remains frequent; inspiratory becomes prominent with occasional expiratory stridor. The expiratory stridor is marked with sterna retractions, agitations and distress. At impending respiratory failure level, the barking cough fails to be prominent with hard to hear audible stridor when the child is at rest. The sterna retractions cannot be recognised as the child experiences lethargy. In the absence of supplemental oxygen, the infant appears dusky (Scally & Donaldson 1998 p. 67 &68). Strategies and Evidence Evaluation Croup illnesses differ in severity and treatment and therefore require differential diagnosis (Cherry 2008.p388). Other acute obstructive illnesses in the larynx region must be diagnosed. These include epiglottitis, foreign body, and angioneurotic edema of the epiglottis. Epiglottitis is signified by lack of a croupy cough, sitting position of the child, a pushed forward chin and reluctance in lying down. Apprehension and anxiety in the child is spotted rather than inspiratory difficulties. Foreign body and angioneurotic edema cause obstruction in the upper airway. These occur suddenly without fever and infection signs. Lower airway signs like crackles, air trapping, wheezing ...
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(FAMILY CHILDREN NURSING Essay Example | Topics and Well Written Essays - 2000 Words)
“FAMILY CHILDREN NURSING Essay Example | Topics and Well Written Essays - 2000 Words”, n.d. https://studentshare.net/nursing/76244-family-children-nursing.
Q1b: The main organ systems affected by teratogen exposure during the 8th to 10th weeks would be the limbs, brain and the gastrointestinal and urogential systems as these are the main systems being formed during this time period. Q1c: In pregnant women, no level of alcohol consumption has been considered to be safe and complete abstinence from alcohol is recommended, because alcohol consumption even during the earliest stages of pregnancy can have harmful adverse effects such as the development of fetal alcohol syndrome and other alcohol-related birth defects (Atrash, Johnson, Adams, Cordero, & Howse, 2006).
b) Briefly discuss how each identified characteristic may impact on a child’s health. Poverty is often associated with malnutrition and poor hygiene. It contributes to growth retardation in the baby due to poor supply of proper nutrition to the mother and increased perinatal mortality.
Personal Framework: Family Nursing Practice Theory and practice are both essential in health care provision. Nursing theories provide “nurses tools to ensure that nursing assessments are comprehensive and systematic and that care is meaningful” (Frisch, 2009, p.
Asthma is a chronic respiratory disease which is a considerable drain on healthcare resources in terms of costs, manpower, morbidity and mortality (Akinbami, Moorman & Liu, 2011). Chronic diseases like asthma are best managed with a collaborative effort between physicians, nursing staff, patients and their family members (Wooler, 2011) As the prevalence of asthma among children has been increasing over the years (Akinbami, Moorman, Garbe & Sondik, 2009), nurses have come to play a key role in the specialist care of pediatric patients requiring management of acute and emergency episodes as well as ongoing care of chronic asthma.
However, there is no conflict on the issue of follow separate religions among this family. They respect other family members’ religion. They belong to the middle class. Mr. L and his wife have been working in a small car company for a long time, and their children are working as an elementary teacher, hair designer, and the youngest one has been employed at a big insurance company.
Conceivably, nearly all nurses in practice of the connection among family health, culture and nursing is very
eminent. However, family members persist to be normally ruled out in the care of their relatives in specified situations. Recognizing the influence of family involvement in health care is critical to nursing practice.
7). The author then gives preface to registered nurses to apply knowledge and the ethics in managing dying children. Historical practices towards the care has been outlined in an effort of designing contemporary practises in
Jacobs works in a nearby farm to provide for his family. A questionnaire was created for the sake of family wellness and other nursing diagnoses. The questionnaire comprised of various nursing diagnoses that Mr. Jacobs and his answered appropriately. After the successful completion of the interview, a report was compiled and analyzed for the presentation.