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Subject Code : CCA206
Country : Australia
Assignment Task

 

Learning Outcomes - The Subject Learning Outcomes demonstrated by successful completion of the task below include:

a) Define and apply the key concepts related to the growth and development of children and adolescents to nursing assessment and care planning.

b) Explain the theoretical underpinnings of a range of childhood health issues and apply this knowledge when using skills in simulated practice.

c) Critically evaluate the psychosocial and cultural needs, the ramifications of illness and hospital admission use this knowledge in care-planning and professional practice.

d) Explore the complexities of medication management with children and adolescents and interpret and apply to care planning. e) Recognise child protection responsibilities and collaborative processes with a multidisciplinary team.

Context
As adolescents mature and develop their independence, they will at times present on their own to seek health care services. Adolescents will also commonly present with their parents(s), requiring the nurse to practice family centred care.
When planning, delivering, and evaluating nursing care for adolescents who present without a parent in the emergency department setting, the nurse needs to build and sustain a therapeutic relationship with the adolescent, and advocate for their rights and needs.
In clinical scenarios where adolescents present on their own, and do not wish to include their family in their care, the nurse and medical team can be faced with moral and ethical dilemmas as to whether the family should be involved, despite the patient’s refusal. Adolescents should be viewed as individuals, and a determination should be made as to whether they are Gillick competent, whilst ensuring local legislation and policy is upheld. The determination as to whether an adolescent can be deemed Gillick competent, should also be made when an adolescent presents with parent(s) or a guardian, as it is essential to include the adolescent in decision making practices.
The case scenarios provided below, will test your knowledge of different pathologies and your understanding of the role of the Registered Nurse (RN) when caring for adolescents.

Task Instructions
To complete this assessment task, you must:
1. Visualise yourself in the role of the newly graduated Registered Nurse (RN), working in a busy metropolitan emergency department (ED). Your patient has been seen by a medical officer who has commenced assessment and they have handed the patient over to you for nursing care.
2. Choose one case study from the four presented.
3. Write an essay using the suggested structure below.
4. Incorporate current evidence-based literature into the critical appraisal.
5. Respond to each of the points listed below pertaining to the selected case study:
- Outline and describe the pathophysiology of the clinical diagnosis.
- Identify and briefly describe the signs and symptoms of the clinical presentation and how they relate to and/or support the clinical diagnosis.
- Consider the growth and development milestones for the age of the case study character and how this will influence nursing assessment and the planning of care.
- Discuss whether the adolescent in the scenario can provide informed consent, and make independent medical decisions based on your knowledge of Gillick competence, considering the clinical diagnosis.

 

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  • Uploaded By : Brett
  • Posted on : August 16th, 2019
  • Downloads : 433

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