Describe the pathophysiology of the presenting complaint
Using evidence specific to your chosen case study, address the following two (2) points:
1. Describe the pathophysiology of the presenting complaint in the case study. This section is science based and the expectation is that you have a pathophysiology text book and scientific journal articles to quote that discuss the science related to the presenting problem in your chosen case study.
The aim is that you attain knowledge of what is happening at a cellular, organ and system level so that you understand the presenting clinical manifestations.
2. Evaluate the nurse’s role in delivering developmentally appropriate nursing care inrelation to your chosen case study. Address:
growth and developmental theories
This part of the assessment task is concerned with ensuring that the essay has a child and adolescent focus. Throughout the essay discussion, it is expected that you make reference to the child/adolescent’s expected developmental milestones at that age, depending on which case study you have chosen. It is expected that growth and development research is undertaken for your chosen case study and you make reference to growth and development theories that you think are relevant in enhancing your essay argument. Some ideas include things like, at what age do you include a child/adolescent in medical related conversation? how does a child/adolescent make decisions based on their developmental level?
Even through your pathophysiology section, you can make mention of underdeveloped organ systems that might influence your nursing care.
family centred care
Neonatal, paediatric and adolescent nurses provide a family centred care model. It is important that this is reflected in your essay and may bring forward issues of consent, compliance and child/adolescent presentation into care. How are siblings affected? the role of the family and the extended family? cultural influences? and whatever may be specific to the chosen case study.
the effects of hospitalisation of the child, on the child and family
This part follows on from the family centred care component, where it is important to understand the effects of a child’s presentation to health services, particularly in a hospital setting, on not only the child/adolescent but the whole family.
All of the above points should indicate how you will give nursing care in a paediatric setting.