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Word limit:1600 words. Current reference, within the last five yeas. Will also like my required text as part of my reference: Hockenberry, M.J 2012. Wong’s essential of pediatric nursing 9th ed.
For this assignment you are requested to read the five clinical scenarios and select one to address in detail.
Your response should:
• Be written using a short essay writing format.
• Adopt a family strengths approach.
• Comprehensively respond to all sections of the scenario.
• Demonstrate critical reflection, analysis and critique of the identified issues.
• Consider and critique relevant peer review literature relating to the scenario selected. In addition, use the literature to support your rationale for your selection of assessment strategies through which to address issues in the scenario.
Scenario 1
You are a practice nurse and Kate visits you for the two month immunisation of her daughter Sienna. You note that Kate is dishevelled and she states that Sienna is very unsettled and “fusses a lot when breast feeding”. On examination Sienna appears hydrated. Kate also states that Sienna spends hours crying, unsettled and has poor sleep. Kate is teary and states she is tired and not coping. When you weigh Sienna you note that her weight has dropped from the 50th percentile at birth to the 25th percentile.
Identify and prioritise assessment strategies to address the issues in the scenario and provide a clear, concise, comprehensive and logical rationale for these strategies.
Scenario 2
You are a registered nurse working in the emergency department and you are caring for Lachlan, a 14 month old boy, who has just been admitted to the department with a suspected minor head injury. The triage nurse hands over to you that Lachlan will need a thorough assessment as the nurse has noticed that Lachlan’s parent’s Sue and Wayne have different accounts of how the accident happened. The triage nurse states that there are bruises on Lachlan’s legs and back and that she suspects Lachlan to have a non-accidental injury.
Identify and prioritise assessment strategies to address the issues in the scenario and provide a clear, concise, comprehensive and logical rationale for these strategies.
Scenario 3
You are a registered nurse working in the paediatric medical ward and you are caring for 8 year old Ellen a newly diagnosed insulin dependent diabetic. Ellen has a needle phobia and is very distressed with her insulin injections and finger pricks. You note that Ellen’s mum Tracey is extremely anxious for Ellen and states that she is concerned about taking Ellen home as she does not think either Ellen or herself will cope with the diabetic regime.
Identify and prioritise assessment strategies to address the issues in the scenario and provide a clear, concise, comprehensive and logical rationale for these strategies.
Scenario 4
Eleven year old Ben presented to the emergency department after falling from his skateboard and hitting his head on the curb. He sustained a concussion and a depressed skull fracture. Computerised tomography scan (CT scan) of his head showed no cerebral bleeding but there is a small brain contusion under the fracture.
You are a registered nurse in a paediatric surgical ward. Ben is admitted to the ward post operatively having undergone an elevation of a depressed skull fracture. On arrival Ben is agitated and complaining of pain and nausea. His mother is distressed and demanding pain relief. You are concerned about his pain management and his neurological status.
Identify and prioritise assessment strategies to address the issues in the scenario and provide a clear, concise, comprehensive and logical rationale for these strategies.
Scenario 5
You are the Registered Nurse (RN) working on the adolescent ward and you are caring for Caleb, a fifteen year old admitted with pneumonia. Caleb is of no fixed address and does not seem to have any visitors. You have noticed that Caleb leaves the ward regularly and smells of cigarettes on his return. You have gotten to know Caleb over the last couple of shifts and you have developed a good therapeutic relationship with him. You start to delve deeper into Caleb’s life style and he states that he smokes Marijuana as well as cigarettes, lives on the street or crashes at friend’s places when he can. He also freely states that he has occasional drug use of whatever is available to him at the time.
Identify and prioritise assessment strategies to address the issues in the scenario and provide a clear, concise, comprehensive and logical rationale for these strategies.
High level of analysis of issue identification. Coherent and logical, clear and concise analysis of the literature. Aligns to best practice.
Clear concise description of the assessment requirements with significant evidence to support the use of the assessment strategies. Exceptional. Very well presented and superbly written. Clear concise analysis, synthesis and critical evaluation of the literature. Independent and original thought to bring the analysis to a logical conclusion. Excellent understanding and use of the family centred and family strengths approach in all responses to questions
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