NUR3503 ASSESSMENT 2: CASE STUDY ANALYSISAfua, a 9-year-old partially immunised girl from Narrogin, was admitted on account of one-week history of abdominal pain and fever. At the emergency...

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Health care
Table of contents
Introduction    3
Section one    3
Section two    5
Section three    7
Conclusion    8
References    9
Introduction
Providing a suitable quality of care and treatment, the role of a health professional is remarkable. In the given scenario Afua, a 9year old girl from Narrogin has been admitted with a one-week history of abdominal pain and confirmed perforated appendix. Afua was brought to the ward post-operatively. Observing the physical status of Afua the decision making behavior of a concerned nurse has been judged throughout this study. Proper medication planning along with the discharge planning has been discussed focusing upon the pathophysiology of the disease and the physical condition of the patient. In this assessment the child and family centered care model has been followed and the management of the nursing has been described in the similitude of the given scenario. The attentive presentation, as well as the experience of the nurse, can help in building up the coordination with the patient and the family in order to improve the quality of care.
Section one
Appendicitis generally occurred due to the acute inflammation of the appendix (Dixon, & Singh, 2020). There are various stages can be seen in appendix. The perforated stage of appendix is one of the severe cases of the disease (IAMARINO, et al., 2017). Due to the increase of the inflammation in the appendix the patient can face a severe health situation and the intraluminal pressure gets increases (Jonas, Bombil, & Mannell, 2017). That results the swelling of lymphoid, blocks the venous outlets, bacterial infections (Petroianu, & Barroso, 2016). In many cases thrombosis becomes one of the severe symptoms. Abscess and gangrene are being experienced by the patient with a large scale of abdominal pain (PAIN, 2017). Finally the perforation stage comes within 24 to 36hrs and the removal of the appendix becomes necessary.
The given scenario is describing the post-operative physical status of the patient. Afua has been admitted to the ward postoperatively and the physical status of her has been examined properly in order to get a lead of the treatment procedure. The body temperature has been measured by 38.6-degree Celsius. As this temperature indicates a mild fever, still it can be considered a normal case after the operation (Buist, 2016). The oxygen saturation level of the patient was 90% and it is considered as a lower level. Hence this is needed to be corrected by providing supplemental oxygen as early as possible (Siemieniuk, et al., 2018). The heart rate of Afua has been detected 130 beats per minute. This is generally quite higher from the normal range of the heartbeat level. The resting heart rate is needed to be maintained 80 to 100 beats per minute (Fernandes, et al., 2017). As the increasing rate of heartbeats enhances the risk of multifocal atrial tachycardia, the necessary precaution is needed to be taken here to avoid any danger (Duus, et al., 2018). By the process of proper medication, the heart rate can be controlled. The respiratory rate of the patient has been monitored 28 beats per minute with mild distress (Saguil, & Fargo, 2020). Here in this case the proper access of oxygenation is needed to control the patient’s respiratory rate. To avoid respiratory complications as well as to reduce the risk it is immensely needed to adopt a few prompt medical interventions (Jaber, et al., 2017). Various physical, as well as the pharmacological processes of treatment, can be adopted in case of maintaining the heart and respiratory rate of Afua. The breathing function is an essential part that is needed to be maintained in case of detecting the proper physiological status of the patient after surgery (Luther, et al., 2018). The blood pressure is measured 100/70 mmHg and it is in a normal range.
According to the given scenario, the patient is a 9-year-old child and she has gone through the emergency operation of the appendix. It has been mentioned that Afua has a phobia for medications served in syringes. It can also be seen that she had two interventional cannula and nasogastric tubes and an indwelling catheter been inserted. It has also been mentioned that Afua has been chart with regular analgesia and intravenous antibiotics with prn analgesia for pain management. The level of the physiological distress of the patient has been observed and according to that the proper management of diet and medication is needed to be arranged (Singer, et al., 2019). It is a mandatory part to intake the antibiotics after the removal of the appendix by the surgery (Ceresoli, Catena, & Ansaloni, 2018). Here in this case the intravenous antibiotics are being provided to Afua at the initial level and it can be continued up to three to four weeks. A sufficient dose of pain medication is also being prescribed to reduce post-surgical pain. Afua is not allowed to eat anything in the initial days. Necessary fluids are being injected into the bloodstream directly until the risk of infection is gone. A very limited portion of liquid diet can also be charted in case of providing proper nutritional supplements after the healing of the intestine (Dickinson, Coppersmith, & Luks, 2017). As Afua is alert when she was admitted to the ward here an obvious try to establishing the communication bonding can be adopted in case of reducing the panic.
Section two
In the case of taking care of the child as well as the adolescent, the concept of family-centered care has become very much accepting nowadays. The adoption of family-centered care enhances the rate of the wellbeing of pediatric patients (Park, et al., 2018). In order to get the prompt improvement of the patient’s health, an optimum level of collaboration in the care system is immensely needed. The emotional and physical support of the family is also helping in increasing the fruitfulness of the treatment (Fix et al., 2018). The philosophy behind this particular process of care lies in the concept of the understanding of the mental status of the child. It can be mention that a nurse must understand patient psychology before starting the process of care service (Fix, et al., 2018). On the other hand, the development of the proper planning of child care demands in hand collaboration with the...