CNA342 Assessment Task 1 Clinical Scenario – Written Report (40%) For this assessment, you are required to write an evidence based report based on a paediatric clinical scenario. Method Part I –...

CNA342 Assessment Task 1 Clinical Scenario – Written Report (40%)

For this assessment, you are required to write an evidence based report based on a paediatric clinical scenario.

Method

Part I – Description and Analysis (approx. 500 words)

•  Consider the situation and review the information given for the

  infant/child/youth and family in ONE of the clinical scenarios provided.

•  Describe and analyse the care need/s (physical, social and/or emotional) of

  the infant/child/youth and family 

•  Identify three nursing problems/issues based on your analysis of these

  needs.

  Part II –Application and Synthesis (approx. 1000 words)

•  Describe the strategies/approaches you would take to develop a trusting relationship and engage the infant/child/youth and family. Justification of these strategies/approaches should include reference to at least one theoretical perspective and/or principle key to the care of children and families such as:

   relational/interpersonal/communicationtheory  family-centred and/or child centred care
   child rights
   cultural safety

   child development

•  Outline a plan of care to address ONE of the priorities that you identified in Part I.

  This plan of care should include: clear goal/s of care; at least two interventions you would undertake to achieve these goal/s; and how you would evaluate the effectiveness of your care (ie. whether the chosen interventions achieved the goals). Support all arguments/discussion with evidence drawn from the published literature – this is an evidence based plan of care.

  Assessment Criteria

  1. Describes the physical, social, cultural needs of the infant, child or youth and family. Identifies three priorities for nursing care relevant to the clinical scenario. (10 marks)

  2. Develops strategies to engage with the infant, child or youth and family that are feasible and supported by relevant theoretical perspectives. (10 marks)

  3. Synthesises and applies the best available literature to develop a plan of care tailored to ONE specific need of the infant, child or youth and family. Describes clear, practical and evidence-based interventions and evaluation. (15 marks)

  4. Demonstrates and applies expected academic writing skills including accurately adhering to the Harvard referring style. (5 marks)

  Due: Week 9 Wednesday 19th September 2018 at 2359 through the Assessment Folder in MyLO

1

Clinical Scenarios: CNA342 Assessment Task 1

Please choose ONE of these scenarios to discuss in your written report

Scenario One: Jamir (8 years) – Care provided by a school nurse in a primary care setting

You are a school health nurse working in a rural suburban neighbourhood. One day, when you are at one of the schools in your catchment area, a teacher shares her concern for Jamir, an eight year-old boy in her class.

Jamir was diagnosed with asthma 12 months ago. He has had three asthma attacks at school in the last 2 months, all of which occurred during a Physical Education (PE) session. Over the last few weeks, Jamir has participated less in the PE classes, preferring to watch the other children. The PE teacher has tried to encourage him, but is worried about his asthma. At school Jamir uses a Salbutamol puffer when needed to relieve his asthma symptoms. Jamir has also been absent from school a number of times this year and is falling behind in his studies.

Jamir lives at home with his three younger sisters and parents. His family immigrated to Australia from Afghanistan two years ago and his mother has since developed depression. His father works long hours in the family business. The teacher has talked to Jamir’s mother about his asthma, but nothing seems to change for Jamir. The teacher has asked for your help. What would you do in this situation?

2

Scenario Two: Emily (17 years) – Care provided by a RN in an outpatient care setting

You are a nurse working in the outpatient diabetic clinic at the local Children’s Hospital. You have just started in this role, taking over for a colleague’s maternity leave. At the clinic one morning, you meet Emily and her mother.

Emily was diagnosed with Type 1 diabetes 6 years ago. Emily’s mother, Karen, is her primary carer and is extremely knowledgeable about diabetes. Karen’s management of Emily’s diabetes has enabled Emily to successfully participate in school and club sports and have a varied diet. Emily has only had two presentations to hospital with unstable diabetes in the last 6 years, both associated with an acute infection.

Emily is being prepared for transfer to adult services. She has been taking over the management of her diabetes, assuming responsibility for her own insulin regime and diet. During the appointment, Emily goes to the toilet and Karen tells you she is concerned that Emily is not properly managing her condition because she has been having high blood sugar readings. She has stopped playing sport and Karen suspects Emily has been drinking alcohol at parties and might be dieting. Karen is upset about being excluded, particularly as she is a single parent and has therefore been solely responsible for Emily’s care. Karen asks for your help. What would you do in this situation?

3

Scenario Three: Sarah (11 months) – Care provided by a RN in an acute care setting

You are a new graduate nurse working a late shift on the paediatric unit at the local metropolitan hospital in a large regional city. You have been allocated a new admission from the Emergency Department – an 11 month old girl being admitted into an isolation room with acute exacerbation of eczema.

Sarah is being admitted for antibiotics and daily dressings to her eczema. She has a red and very angry looking rash covering most of her legs and one arm. Sarah appears small for her age – her weight and length put her on the 25th percentile on the World Health Organisation growth charts.

Sarah is accompanied by her mother, Deborah who appears very tired and a bit dishevelled. Deborah’s husband is in the army and has been stationed interstate for the last 6 weeks. He regularly calls and face times with Deborah and Sarah. Sarah has been needing daily dressings for her eczema and is very unsettled overnight, scratching and restless. When at home, Deborah’s husband usually does Sarah’s dressings because she does not get as upset when her father does them. When you ask Deborah about Sarah’s diet she becomes very defensive, stating that she is sick of people asking her about what Sarah eats. She knows Sarah is small, but says Sarah eats well, although her diet is restricted because so many things make her eczema worse. Deborah then bursts into tears. What would you do in this situation?

CNA342 Assessment Task 1 Clinical Scenario – Written Report (40%)

For this assessment, you are required to write an evidence based report based on a paediatric clinical scenario.

Method

Part I – Description and Analysis (approx. 500 words)

•  Consider the situation and review the information given for the

  infant/child/youth and family in ONE of the clinical scenarios provided.

•  Describe and analyse the care need/s (physical, social and/or emotional) of

  the infant/child/youth and family 

•  Identify three nursing problems/issues based on your analysis of these

  needs.

  Part II –Application and Synthesis (approx. 1000 words)

•  Describe the strategies/approaches you would take to develop a trusting relationship and engage the infant/child/youth and family. Justification of these strategies/approaches should include reference to at least one theoretical perspective and/or principle key to the care of children and families such as:

   relational/interpersonal/communicationtheory  family-centred and/or child centred care
   child rights
   cultural safety

   child development

•  Outline a plan of care to address ONE of the priorities that you identified in Part I.

  This plan of care should include: clear goal/s of care; at least two interventions you would undertake to achieve these goal/s; and how you would evaluate the effectiveness of your care (ie. whether the chosen interventions achieved the goals). Support all arguments/discussion with evidence drawn from the published literature – this is an evidence based plan of care.

  Assessment Criteria

  1. Describes the physical, social, cultural needs of the infant, child or youth and family. Identifies three priorities for nursing care relevant to the clinical scenario. (10 marks)

  2. Develops strategies to engage with the infant, child or youth and family that are feasible and supported by relevant theoretical perspectives. (10 marks)

  3. Synthesises and applies the best available literature to develop a plan of care tailored to ONE specific need of the infant, child or youth and family. Describes clear, practical and evidence-based interventions and evaluation. (15 marks)

  4. Demonstrates and applies expected academic writing skills including accurately adhering to the Harvard referring style. (5 marks)

  Due: Week 9 Wednesday 19th September 2018 at 2359 through the Assessment Folder in MyLO

1

Clinical Scenarios: CNA342 Assessment Task 1

Please choose ONE of these scenarios to discuss in your written report

Scenario One: Jamir (8 years) – Care provided by a school nurse in a primary care setting

You are a school health nurse working in a rural suburban neighbourhood. One day, when you are at one of the schools in your catchment area, a teacher shares her concern for Jamir, an eight year-old boy in her class.

Jamir was diagnosed with asthma 12 months ago. He has had three asthma attacks at school in the last 2 months, all of which occurred during a Physical Education (PE) session. Over the last few weeks, Jamir has participated less in the PE classes, preferring to watch the other children. The PE teacher has tried to encourage him, but is worried about his asthma. At school Jamir uses a Salbutamol puffer when needed to relieve his asthma symptoms. Jamir has also been absent from school a number of times this year and is falling behind in his studies.

Jamir lives at home with his three younger sisters and parents. His family immigrated to Australia from Afghanistan two years ago and his mother has since developed depression. His father works long hours in the family business. The teacher has talked to Jamir’s mother about his asthma, but nothing seems to change for Jamir. The teacher has asked for your help. What would you do in this situation?

2

Scenario Two: Emily (17 years) – Care provided by a RN in an outpatient care setting

You are a nurse working in the outpatient diabetic clinic at the local Children’s Hospital. You have just started in this role, taking over for a colleague’s maternity leave. At the clinic one morning, you meet Emily and her mother.

Emily was diagnosed with Type 1 diabetes 6 years ago. Emily’s mother, Karen, is her primary carer and is extremely knowledgeable about diabetes. Karen’s management of Emily’s diabetes has enabled Emily to successfully participate in school and club sports and have a varied diet. Emily has only had two presentations to hospital with unstable diabetes in the last 6 years, both associated with an acute infection.

Emily is being prepared for transfer to adult services. She has been taking over the management of her diabetes, assuming responsibility for her own insulin regime and diet. During the appointment, Emily goes to the toilet and Karen tells you she is concerned that Emily is not properly managing her condition because she has been having high blood sugar readings. She has stopped playing sport and Karen suspects Emily has been drinking alcohol at parties and might be dieting. Karen is upset about being excluded, particularly as she is a single parent and has therefore been solely responsible for Emily’s care. Karen asks for your help. What would you do in this situation?

3

Scenario Three: Sarah (11 months) – Care provided by a RN in an acute care setting

You are a new graduate nurse working a late shift on the paediatric unit at the local metropolitan hospital in a large regional city. You have been allocated a new admission from the Emergency Department – an 11 month old girl being admitted into an isolation room with acute exacerbation of eczema.

Sarah is being admitted for antibiotics and daily dressings to her eczema. She has a red and very angry looking rash covering most of her legs and one arm. Sarah appears small for her age – her weight and length put her on the 25th percentile on the World Health Organisation growth charts.

Sarah is accompanied by her mother, Deborah who appears very tired and a bit dishevelled. Deborah’s husband is in the army and has been stationed interstate for the last 6 weeks. He regularly calls and face times with Deborah and Sarah. Sarah has been needing daily dressings for her eczema and is very unsettled overnight, scratching and restless. When at home, Deborah’s husband usually does Sarah’s dressings because she does not get as upset when her father does them. When you ask Deborah about Sarah’s diet she becomes very defensive, stating that she is sick of people asking her about what Sarah eats. She knows Sarah is small, but says Sarah eats well, although her diet is restricted because so many things make her eczema worse. Deborah then bursts into tears. What would you do in this situation?