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Case study analysis - Essay Example

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Pediatric Case Study The rate at which children are attending emergency departments (ED) is increasing every year. It is expected that the advanced paediatric nurse practitioners will be in greater service in trying to help these children achieve that which they believe is the best for these children…
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Case study analysis

Download file to see previous pages... The APNPs are also expected to provide quality indicators that will assure the parents of the continued health of their children. They are however expected to act within a preset guideline that allows for structured assessment as required by the health regulators. It should also be noted that assessment is not a singular event that takes place when a child is brought in. instead, it is a continuous assessment process that dynamically changes in regard of the symptoms or results achieved with every assessment (American Academy of Paediatrics 2009:1233). It should be noted that an infant should be considered as sick unless it can be otherwise proven. This means that the APNP will have to get a good history of the illness and work on eliminating any possible illnesses until the most appropriate for the conditions observed after the assessments. As observed, child assessment is not a one-day affair. It is a continuous process that requires constant attention and keenness not to miss any cues or subtle signals that may pass unnoticed during initial testing (Barnes 2003:5). Thus, the report herein will look at the different attributes of the paediatric section and ways through which countries and researchers' advice on taking care of the children. To do this, the best method would be conducting an online search with the terms paediatric, emergency department, requirements and clinic being the key terms of reference. The search would be differentiated by how relevant the articles are on the topic of discussion. The results would then be used to provide an episodic care treatment for the sick Serena. Priorities At the moment, there are two important priorities that must take precedence in the case. First, a structured assessment is required. As noted above, the need for a continuous assessment is paramount with every step taken with deeper precaution. The dynamic nature of this assessment is also an integral part of the whole treatment regime (American Academy of Paediatrics 2009:1233). Given the fact that particular signs and symptoms may not be as readily expressed as those of an adult or as an adult would express them, repeated observations and assessments require proper attention and vigilance to avoid a relapse or worsening of the present conditions. The paediatrics are supposed to ensure that that they have put all measures that point towards quality improvement by providing an avenue through which indicators of good outcomes, proper data collection and synthesis and clearly defined outcomes that provide evaluative measures of success to ensure quality is maintained in the ED (Barnes 2003:8-9). This also implies that paediatrics have to be flexible enough in their response to the different signs and symptoms that the child portrays after a given interval. This flexibility is also meant as an avenue through which the doctors consult on certain issues that may have arisen from their assessment and also eliminate other possibilities. The second priority is to have her admitted. Safety is one of the most important considerations when a child is involved. The fact that any release could lead to more fatal effects or worsening of the conditions already stated should be a pointer enough that there need to be a greater caution when dealing with infants. Unless the APNP is assured of the infant’s safety, Serena should remain in their custody till ...Download file to see next pagesRead More
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