Bachelor Nursing Assignment

 

 

1. Describe the pathophysiology of the presenting complaint in the  case study.
2. Evaluation of the nurse's role to deliver developmentally appropriate nursing care relation to you chosen case study. 

 

Introduction

 

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    This essay will highlight the growth and development theories related to the case study of Sue, the pathophysiology treatment, family centred care and the effect of hospitalisation of Sue and the burden on her family. It has been found from the case study that Sue is  with acute rheumatic fever along with throat infection and she has failed to receive proper treatment. It is necessary for the nurses to deal with the different forms of pathophysiology when they come in contact with the patient and this will help in solving different type of problem. 

 


Discussion

 


Pathophysiology of the presenting complaint in the case study

 


    When Sue was diagnosed with pharyngitis, it was the responsibility of the nurses to understand the pathophysiologic principles of nursing. This will help in analysing and understanding the effect of that particular disease at the cellular level as well as in the systematic way. On the other hand, it is necessary to understand the variables that affect the process of healing of the tissues and the organs. It is necessary for the nurses to understand the environmental risk of progression and the development of the disease that Sue was infected with and thus take adequate steps to prevent it. It can be said that the nurses uses different pathophysiology in order to understand whether the disease that Sue was infected with and thus identify it in the right way. The nurses might also prefer to use different types of information that will help them in identifying the disease but it has failed in case of Sue. Therefore, Sue failed to receive the proper treatment and the medications and the medical procedures that were failed by the nurses were correct to some extent, but Sue failed to receive regular check-ups and take the vaccination in the right time (McDowel,  Ferner & Ferner, 2009).  
    The nurses who treated Sue used pathophysiology to take proper care of Sue. It is the responsibility of the nurses to care for the patients who are terminally ill and needs proper attention. They also have the ability to display the signs and symptoms that are displayed by the patients in their final days. However, it can be said that the nurse here has failed to understand that Sue would not be able to come for further treatment and vaccinations as her condition was deteriorating with the passage of time. When Sue was diagnosed with pharyngitis, it was necessary for the nurses to check that Sue would not develop other symptoms and disease and thus it is necessary to take proper care and prevention steps. 

 


Growth and development theories

 


     Havighursts development stage and tasks can be related as an important theory of development and thus it can be related in this case. In the first stage of this theory i.e. the period of infancy and childhood, it is necessary to take proper care that whether the child is able to take proper care and eat solid food. The children must also be emotionally attached to the family and thus this will help to form simple concepts of physical reality and social reality. On the other hand, in middle childhood stage, it is the responsibility of the parents to teach physical skills to the child and thus build a healthy attitude towards them. This will also help the child to socialise with their peers and thus develop the basic skills of reading and writing (Ndosi & Newell, 2009). Further, it is also necessary for the child to develop such concepts that are necessary for everyday life and thus achieve interpersonal dependence. This will also help in development of better attitudes towards the institution and the social group. The adolescent stage is considered to be the third stage of development and this helps in establishing better relationships with the individuals of the same age and thus adapt a masculine or a feminine social rule of theirs own body.  It also helps the individual to achieve assurance of economic interdependence and thus prepare himself/herself towards a particular occupation. It is necessary for the individuals to develop a set of proper values that will help in guiding the behaviour of the individuals and thus acquire the desired skills that are necessary for civic responsibilities. It is in the adolescent stage where the individual will prepare to join a particular occupation and thus him/her aware of the basic facts and happenings in the society. An individual in the early adulthood stage will learn to live with a partner and thus choose his/her partner accordingly. This will help to maintain an economic standard of living in the society and thus assume the civic responsibilities accordingly. It will also help the individual to become a part of the group and thus establish himself/herself in a particular career and occupation (Severinsson & SAND, 2010).  In the middle adulthood stage, the individual will be able to adjust to physiological changes and thus assist the adolescent’s children to remain happy and adjust to their aging parents. The final stage i.e. the alter maturity stage helps the individuals to adjust to the physiological changes and the alterations in the health status of the individuals. In such a stage, the individual will also have to adjust with the death of his/her spouse and thus develop affiliation towards one’s age group. It is in this stage, the person will have to adjust to the civic and social responsibilities in the society and thus enjoy a satisfactory life (Ravikumar, et al., 2010). 

 


Family centred care

 


    Family centred care is considered to be a partnership approach in decision making process of the health care system. As a nurse, it is the responsibility of the individual to take proper steps in the patient related care and provide proper satisfaction to the patients. In case of family centred care, there is exchange of information among the individuals and this information is considered to be open and unbiased. There must be better relationship with the patients and thus it is vital for the nurse to understand their linguistic and cultural differences. On the other hand, appropriate decisions must also be taken on important medical decisions and this is important to develop better treatment and thus fit with the strengths, needs, abilities and values of the individual in a proper way. There must also be proper negotiation with the patients and the desired outcomes of medical care planning must be flexible and not on absolute basis (Meleis, 2010). Direct medical care must also be provided to the patients and this is important as it reflects the decision making process in the context of their children and within the particular community. As a nurse, it is the responsibility of the individuals to collect proper information and thus there must be support and reassurance of the individuals. This will lead to better understanding and improve the safety care of the patients and provide them better satisfaction. On the other hand, it can be said that being a nurse and treating the patients with love and care helps an individual to view things in a different way. By using the approach of family centred care, the nursing professional tries to create such an environment that helps the child to recognise that their parents are their critical source of information and thus act their caregiver. Moreover, many paediatric practitioners has highlighted that family centred care is considered to be an effective value system and there are many things that needs to be incorporated in this system (Wilson et al., 2010). The paediatric practitioners try to adopt the family centred care and thus recognise its importance and effective value and thus include the family members in the planning, evaluation and delivery and incorporation of proper ideology into the assessment process. This care is necessary in order to provide proper support for the emotional development and to make the child understand the importance of family members and their role in the wellness of their children (Mäenpää & Åstedt?Kurki, 2008). 

 


Effects of hospitalisation of the child, on the child and family

 


    There may be different effects of hospitalisation on the children and thus they might fear that they will be separated from their parents. This fear of separation can be considered as a rejection and they wonder whether they will get cured and thus lead a normal life. The children cannot differentiate between the god and the bad and it is something that hurts them very badly and they are not in a position to understand what has happened to them.  The families of these children gets depressed and they feel worried and helpless in such cases. The parents try to provide better medical care and treatment and thus they try their best to save their children from the diseases. The serious and the prolonged illness of the children might lead to stress for the children as well as the family members. A seriously ill children puts tremendous stress on the children  and thus it affects their family functioning (Rosdahl & Kowalski, 2008). 

 


Conclusion

 


    Therefore, it can be said that the most important method to deliver better treatment to the children is to respect their cultural identity and thus promote better health care facilities in the family centred paediatric care. Provision of high quality and better centred care will help the nurses to identify and relate to the other cultures and thus understand the different factors that play a vital role in providing support to the patients on time. This helps the individual to understand that they are getting adequate support from their family members as well as the health professionals and thus they can recover in a quick span of time. 

 


References

 


Mäenpää, T., & Åstedt?Kurki, P. (2008). Cooperation between parents and school nurses in primary schools: parents’ perceptions. Scandinavian journal of caring sciences, 22(1), 86-92.
McDowell, S. E., Ferner, H. S., & Ferner, R. E. (2009). The pathophysiology of medication errors: how and where they arise. British journal of clinical pharmacology, 67(6), 605-613.
Meleis, A. I. (2010). Transitions theory: Middle range and situation specific theories in nursing research and practice. Springer publishing company.
Ndosi, M. E., & Newell, R. (2009). Nurses’ knowledge of pharmacology behind drugs they commonly administer. Journal of clinical nursing, 18(4), 570-580.
Ravikumar, B., Sarkar, S., Davies, J. E., Futter, M., Garcia-Arencibia, M., Green-Thompson, Z. W., ... & Massey, D. C. (2010). Regulation of mammalian autophagy in physiology and pathophysiology. Physiological reviews, 90(4), 1383-1435.
Rosdahl, C. B., & Kowalski, M. T. (Eds.). (2008). Textbook of basic nursing. Lippincott Williams & Wilkins.
Severinsson, E., & SAND, Å. (2010). Evaluation of the clinical supervision and professional development of student nurses. Journal of Nursing Management, 18(6), 669-677.
Wilson, M. E., Megel, M. E., Enenbach, L., & Carlson, K. L. (2010). The voices of children: stories about hospitalization. Journal of Pediatric Health Care, 24(2), 95-102.

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