Afua a 9-year old partially immunised girl from Narrogin

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Afua a 9-year old partially immunised girl from Narrogin

Afua, 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 department, her ultrasound confirmed perforated appendix. Afua was rush to the theatre for emergency surgery. She was brought to your ward post-operatively. She had two intravenous cannulas—one on each hand. Nasogastric tube and indwelling catheter were insitu and connect to a drainage bag. Afua has phobia for medications served in syringes. The surgical notes report the presence of three steri-strips at the incisional sites.

Afua and her mother are now in the ward and they have been allocate to you. Prior to their arrival to your ward, your shift coordinator had given you a brief hand over and advised that they will be arriving in the next 15 minutes. On arrival, you notice Afua has been charted regular analgesia and intravenous antibiotics with prn analgesia for her pain management. On arrival, Afua was alert and her observations were: Temperature 38.6-degree, HR= 130 beats per minute, Oxygen saturation 90% on room air, RR= 28 breaths per minute with mild distress, BP = 100/70mmHg. It is estimate that Afua and her family will be on admission for at least 5 days.

Based on the above scenario, discuss the pathophysiology, management and health promotion for Afua and her family.

Afua a 9-year old partially immunised girl from Narrogin

Assignment guidelines Word count = 2000 (+/-10% word count) Your assignment should include the following:

1. Firstly, an introduction summarizing the case study.

2. Secondly, discuss the pathophysiology of the presenting condition.

3. Thirdly, discuss the assessments (Paediatric Assessment Tool and/or Primary Assessment Framework) you will undertake to prioritize and manage care for Afua.

4. Fourthly, describe the nursing management of Afua’s condition

5. Using the child and family centred care model, also how will you care for Afua and her family?

6. What discharge education and health promotion will you emphasize?

7. How will you teach Afua to manage her condition after discharge? What community support resources will you refer Afua to?

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