how much would that be?

Running Head: CRITICAL APPRAISAL OF A CASE STUDY    1
CRITICAL APPRAISAL OF A CASE STUDY        8
CRITICAL APPRAISAL OF A CASE STUDY
[Case Study (Option 1)]
Table of Contents
1. Pathophysiology of the Clinical Diagnosis    3
2. Analysis of Signs and Symptoms of the Clinical Presentation    3
3. Interpretation of Growth and Development of the Child/Adolescent in Case Study    4
4. Child Protection Responsibilities of a Registered Nurse    5
5. Analysis of Multidisciplinary Processes for Handling Complex Safeguarding Issues    5
6. Identifying Medication Management Complexities for Application to Care Planning    6
7. Risk Assessment and Suitable Risk Assessment Tools Applicable To the Case Study    7
References    8
1. Pathophysiology of the Clinical Diagnosis
The case study chosen to be accessed includes Mrs Sooma and her 5-month-old baby son Amar. Amar is reported to be prematurely born during the 8th month of pregnancy or 32 weeks gestation period. Further, he is reported to have slow growth compared to other children of his age. Cu
ently Amar was admitted to the emergency department because he was suffering from congestion, cough and runny nose for the past 3 days. Further, his mother reported heavy coughing, vomiting and difficulty in
eathing as well as high fever.
The doctor, after reviewing the results from tests and documents, reported that Amar was suffering from moderate viral
onchiolitis. Bronchiolitis is a very common lung infection among young children and infants. Bronchiolitis usually occurs due to viral invasion of human body and as a result, congestion as well as inflammation of airways may be observed (Meissner, 2016).
Initial symptoms of this disease are quite similar to common cold or flu; however, progression of disease reflects the characteristic symptoms of wheezing, heavy coughing and difficulty in
eathing. Florin, Plint and Zorc (2017) presented that, virus infects the
onchioles and as a response to this infection,
onchioles may become inflamed.
Further, mucus accumulation may occur in the airways; thus, making it more difficult to
eathe or to move the air in and out of the lungs. Usually, respiratory syncytial virus (RSV) has been reported to be the common causative of this disease in infants and children. Weak immune system could be one of the major factor responsible for the persistence or catching of this disease. Amar has been reported to be weaker and smaller with respect to the development of body than the average children of his age are. Therefore, his lungs and immune system was not fully developed to resist the exposure.
Likewise, Mrs Sooma’s 4-year-old daughter was also reported to have cold. Bruises on Amar’s body were reported to be due to biting from the Mrs Sooma’s daughter. Therefore, it could be presented that Amar may have received the viral exposure from his sister and due to weak immune system; Amar’s body was not able to resist the infection at all.
2. Analysis of Signs and Symptoms of the Clinical Presentation
Clinical representation refers to the signs and symptoms or features, which are observed by the physician or doctor. It would be essential to consider that these features can be either subjective or objective. Clinical features in Amar’s case majorly were the bites or
uises, which could explain the exposure to the virus. Further, upon weighing and measuring the height, it was observed that Amar is underdeveloped compared to other children of his age.
Further physical examination reflected that the body temperature was high at 38.4 degree Celsius, while it normally should be 36 degree Celsius. Amar’s heart rate is nearly double than the heart rate of normal individual along with a very high respiratory rate of 60
eaths per minutes, which usually should be between 12 to 20
eaths per minute. Very high
eathing rate as well as, heart rate clearly reflects the difficulty in
eathing. As evident from the pathophysiology mentioned above, high heart and respiratory rate may be due to inflammation and swelling of
onchioles.
Likewise, the voice from his chest while
eathing reflects mucus accumulation in the airways. Blood pressure of Amar was reported as 90/50 mmHg, which is 90 mm Hg systolic and 50 mm Hg diastolic. This range of blood pressure is low compared to a normal child. Likewise, the oxygen saturation levels were 92%, which reflects that less amount of oxygen is being supplied to Amar’s body due to reduced area of gas exchange. Inflammation of
onchioles as well as, mucus accumulation could be considered as 2 major factors responsible...