Define and discuss the condition the patient is presenting with, including the relevant related pathophysiology.
NURS 2021 Responding to Altered Health Care Needs – CHILD – FOP case scenario
You are expected to provide a 3000-word written response to the below case scenario. Please ensure you use the correct referencing technique and adhere to the usual academic writing guidelines for this assignment.
Evidence from literature/clinical guidelines should be used to underpin/support your answers.
Case scenario:
Sara is a 3-month-old baby admitted to the ward with possible bronchiolitis. She was born at 31 weeks gestation and spent four weeks in the neonatal unit. Sara has chronic lung disease of prematurity. Since discharge from the neonatal unit Sara has requires supplementary oxygen of 0.5L/min via nasal prongs at home to maintain oxygen saturations above 97%, and is regularly reviewed by the respiratory team. Sara’s mum is with her on the ward, but has had to leave her other child Josh, who is 16 months old, at home with his dad. On admission to the ward Sara is dehydrated, has a respiratory rate of 56 and oxygen saturations of 87% (with the supplementary oxygen). Her temperature is 38.2 C and there is an audible wheeze.
In relation to the above scenario:
1. Define and discuss the condition the patient is presenting with, including the relevant related pathophysiology. (500 words)
2. Using a systematic approach, discuss the assessment and the priorities of nursing care related to the scenario demonstrate an understanding of the biopsychosocial factors that may influence the patient’s care. (1500 words)
3. Critically discuss the impact of acute illness on the patient and family. (1000 words)
Specific guidance:
Please familiarise yourself with the learning outcomes below, as these will be used to assess your written assignment.
- Be sure to use the clinical definition in relation to your scenario and please research the diagnostic criteria/manuals and consider relevant guidelines e.g. NICE guidelines. Ensure you fully explain the definition and pathophysiology of the condition as well as identify risk factors and commonly used prediction tools with up to date clinical/academic sources to support your writing.
- You need to demonstrate a systemic assessment approach using the Resuscitation Council’s (2015) ABCDE assessment method and explain the nursing priorities for the scenario demonstrating an understanding of biopsychosocial factors.
- Critically discuss how the acute illness impacts upon the patient, family, carers etc. with an understanding of how the nurses’ role can influence this.
Learning Outcomes:
| 1. Utilise and develop existing knowledge and fundamental nursing skills when responding to individual’s altered health needs in your chosen field of practice | 1, 2, 4, 5 |
| 2. Demonstrate the ability to exercise effective decision making in the early detection, assessment and management of individual’s altered health care needs | 1, 2, 4, 5 |
| 3. Demonstrate, under supervision, the ability to proficiently assess, plan, implement and critically evaluate evidence-based care for individuals with unexpected altered health needs in your chosen field of practice | 7 |
| 4. Demonstrate the importance of transferring knowledge and skills to a variety of settings in order to respond to the altered needs of individuals | 9, 10, 12, 13 |
| 5. Identify and analyse the impact of working in partnership with others on care provision in your chosen field of practice | 9, 10, 12, 13 |
| 6. Articulate how effective communication and interpersonal skills positively contribute to the co-ordination and care delivery of individuals with altered health needs. | 15, 16,17 |
