NCS3101: Child and Adolescent Health- Evidence Based Case Study- Nursing Essay Assignment

Kevin is a four-year- old boy who has been transferred to the hospital from a remote community by the family doctor for admission and surgical insertion of bilateral grommets. This follows a history of repeated occurrences of acute otitis media with effusion. Kevin and his grandmother have just arrived on the ward and the nursing team you are working with has been allocated Kevin to their patient load. You are responsible for conducting and an initial assessment when admitting Kevin to the ward, preparing him for theatre and developing a plan of care relevant to his stay on the ward. Kevin appears shy but is demonstrating some age appropriate curiosity about his environment, however, his grandmother is very wary and anxious around the nursing staff, not making eye contact and reluctant to engage with nursing staff. She is unwilling to let go of Kevin’s hand. Kevin has a drink bottle containing cordial in his hands.

Kevin has initial admission observations of, T- 37.4 o C, HR – 86, RR – 26 BP 90/55, and assessment weight 13.9Kgs, height 100cms. During the assessment you notice Kevin has old dried exudate and the remains of a recently completed course of ear drops surrounding the ears and in localised hair. You also notice extensive dental caries affecting his baby teeth.

Specific content guidelines
1. Students are required to research and write a case study essay with headings, directly relating to the above scenario. Examine and discuss your nursing assessment, pre and postoperative management and discuss all general nursing care incorporating a C & FCCapproach. Identify what nursing interventions you will consider and any referrals will you put into place during Kevin’s stay on the ward.
2. Discuss all of the members of the multidisciplinary team, and which particular members that would be involved in Kevin’s management of care, including what service that they will provide in the given scenario.
3. Referring to the C&FCC framework, develop a care plan incorporating an education plan for the child and his family that includes short and long term goals including discharge planning.Supportive rationale for your management is required. The care plan is not to be submitted but your planning, rationale for the plan and anticipated outcomes are to be discussed.

Nursing – Clinical Reasoning Cycle – Medical-Surgical Nursing – Case Study Assignment Help

Case :

Melody King, 36, Peritonitis following ruptured appendix:

Ms. Melody King presented to the Emergency department with 2-3 days of severe Right Lower Quadrant abdominal pain, which required emergency laparoscopic surgery for removal of a ruptured appendix. She has a past medical history of asthma and depression, with her current prescribed and compliant medications list which includes Ventolin, Seretide, Sertraline.

Melody’s observations were as follows:

BP 95/45mmHg

HR 120

Temp 38.3°Celcius

RR 22/min and shallow

SpO2 95% on room air

She complained of increasing nausea and centralised abdominal pain 7-8 on a scale of 0 to10. Physical assessment showed a distended abdomen and generalised abdominal guarding. To investigate her condition further, pathology results reveal a raised white blood cell (WBC) count and CRP. You are the RN caring for Melody post-operatively on the surgical ward.

Task :

Task, will take the form of a case study, in the field of medical-surgical nursing, which discusses the provision of ethical, legal, evidence-based, holistic person-centred care including the establishment of realistic and relevant goals through the theoretical examination of a particular nursing specialty case study using the Clinical Reasoning Cycle (Levett-Jones, 2013).

Utilise the Clinical Reasoning Cycle (Levett-Jones, 2013) (a clinical decision making framework) to plan and evaluate person-centred care:

Considering the person’s situation, collect, process and present related health information;

Identify and prioritise at least three (3) nursing problems/issues based on the health assessment data that you have identified for the person at the centre of care;

Establish goals for priority of nursing care as related to the nursing problem/issues identified;

Discuss the nursing care of the person, link it to assessment data and history;

Evaluate your nursing care strategies to justify the nursing care provided;

Reflect on the person’s outcomes.

Overview of Risk Management and Quality Management in Health Care Worksheet The purpose of this assignment is to gain a broad perspective of risk management and quality management as applicable to all health care organizations, rather than focusing on a specific segment of the health care industry. Conduct research to provide you with an introduction to the health care disciplines of risk management and quality management and their roles in and influences on organizational performance. To complete this assignment, look for common themes and characteristics shared among the sources you used to conduct your research related to risk management and quality management- relationship to leadership and governance, philosophy and culture, and stakeholders. Use at least three research sources, with two from the University Library and one from the course textbooks or this week- Electronic Reserve Readings. You may use as many additional resources as necessary to assist you in identifying factors. Complete the grid by summarizing information in the Risk Management and Quality Management columns. Use bullet points of a few words or short phrases to describe each element. Use at least four bullet points for each item. This grid is not meant to be lengthy or all-inclusive; rather, it is a starting point upon which you can build your knowledge of risk-management and quality-management concepts. Risk Management Quality Management How does the leadership and governance of a health care organization influence the development and implementation of risk-management and quality-management policies? How do the philosophy and culture of the risk-management and quality-management policies influences organizational performance? How do the risk-management and quality-management policies affect stakeholders? Provide APA citations for all sources in the following fields.