Paediatric Care Plan - MR88i(T)DO NOT WRITE IN THIS BINDING MARGINPaediatric Care PlanMR 88i(T)v7 ...

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Paediatric Care Plan - MR88i(T)DO NOT WRITE IN THIS BINDING MARGINPaediatric Care PlanMR 88i(T)v7   01022010DARLING DOWNS – WEST MORETON HEALTH SERVICE DISTRICT Paediatric Care PlanDOCTOR ADM DATE TRANSFER DATE DISCHARGE DATE LOS ALLERGIES WARD ADM WEIGHT ADM HC ADM HEIGHT DAY ………….. DAY ………….. DAY ………….. PLAN OF CARE PLAN OF CARE PLAN OF CARE BY BY BY TIME TIME TIME PDS INDICATOR DATE DATE DATE Plan discussed with patient/carer  Yes   No  Yes   No  Yes   NoGOAL OBSERVATIONS  HYGIENE / ORAL HEALTH MOBILISATION PAC PATIENT ROUNDING Hourly Hourly Hourly NUTRITION  TECHNICAL ACTIVITIES  FLUID BALANCE  INCONTINENCE  URINARY DRAINAGE  SPECIMENS  Facility: ..........................................................  URN ...................................................................................Family name ......................................................................Given names .....................................................................Address .............................................................................Date of birth ................... XXXXXXXXXXSex M F(Affix patient identification label here)© The State of Queensland (Queensland Health) 2009Pemission to repoduce should e sought fom ip_office@health.qld.gov.auPage 1 of 2DO NOT WRITE IN THIS BINDING MARGINName: DOB: UR: DAY ………….. DAY ………….. DAY ………….. P N OF CARE PLAN OF CARE PLAN OF CARE BY BY BY TIME TIME TIME PDS INDICATOR DATE DATE DATE IVT  IV Checked: AM ….../……/…... PM ….../……/…... N/D ….../……/…... IV Checked: AM ….../……/…... PM ….../……/…... N/D ….../……/…... IV Checked: AM ….../……/…... PM ….../……/…... N/D ….../……/…... ACCT DRUGS MEDICATIONS ESCORT ISOLATION SENSORY DEFICIT MENTAL HEALTH PATIENT EDUCATION WOUND CARE IMMEDIATE OUTCOMES DISCHARGE OUTCOMES TO BE SIGNED BY ALL CARING FOR PATIENT EACH SHIFT DATE DATE DATE AM AM AM PM PM PM ND ND ND Page 2 of 2 Paediatric Interview & Assessment Guide - MR88f(T)DO NOT WRITE IN THIS BINDING MARGINPaediatric Interview & Assessment GuideMR 88f(T)Page 1 of 2v6   01012010  Admitting Consultant Admitting Nurse Signature Date Date of admission Expected date of discharge Local doctor Address Parents’ names - Mother  Father Temporary address (if necessary) Contact phone number Previous hospital admissions Age Hospital Reason Response to hospital How much do you and your child understand about this admission:Has your child had Anaesthetic before ?  Yes  No Response to Anaesthetic  Is your child on medications at home?  Yes  No Bring In:  Yes  No Allergies: (record in red)   Drugs / Foods / Other Immunisations – up to date:  Yes  No Due: Skin integrity: Complete on admission (black biro)/Discharge (red biro) (4 & under)  Rashes  Red area skin intact  Contusions  Blisters  Lumps  Broken superficial  Skin tear  Urticaria  Swelling  Lacerations  Wound  Mouth – teeth/pathology Refeals required:  Aboriginal Liaison  Allied Health (specify) ..................................................................................................................................................................................   Child Health  Oral Health  Other (specify) ................................................................................................................................................................................................  Follow up management: Medical:  GP   Outpatient Department  Oral Health Allied health:  Physiotherapist  Occupational Therapist  Social Worker  Dietitian  Speech Therapist  Nurse:  Child Health  Community Liaison   Aboriginal Liaison Appointment details: ................................................................................................................................................ DARLING DOWNS –WEST MORETONHEALTH SERvIcE DISTRIcTPaediatric Interview &  Assessment GuideURN ...................................................................................Family name ......................................................................Given names .....................................................................Address ......................

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Running Head: CARE OF CHILDREN		1
CARE OF CHILDREN		3
CCA206 CARE OF CHILDREN AND ADOLESCENTS
SCENARIO-BASED COMPLEX CARE PLAN
Table of Contents
Medication Management of the Patient	3
Identified Problem	3
Diagnosis	3
Medication Administered	3
Teaching and Counselling	4
Follow Ups and Outcome Plans	5
Responsibility of Nurse in Observation and Child Protection	5
References	7
Medication Management of the Patient 
Identified Problem
Peter, eight years old, was diagnosed with from cystic fibrosis (CF) since the age of six weeks in the neonatal stage. Initially, he was admitted to hospital to initiate his treatments for CF. Further, the idea of the care plan management was to educate and train his mother Kate so that she can assist in the medication and management of CF of Peter. At the age of four, Peter’s cough swabs showed Pseudomonas sp., for which he was treated with initial antibiotics. However, a year ago, the same antibiotics did not work for similar pseudomonas infection. Peter currently has a PICC line, which makes him uncomfortable and it keeps him confined in his room mostly.
Kate is a 40-year-old woman with mental health challenges. The individual care plan will include the medication and the mode of administration of the drugs and educating Kate on how to take care of Peter. Recently Peter was once again identified with loss of appetite, yellow sputum and vomiting resulted in the decrease of energy. With Kate’s mental condition and increased stress, she often forgets to give Peter his medications. Peter is also found to be depressed and anxious without his mother staying back with him in hospital.
Diagnosis
There are few physical test and blood sample test that needs to be done for Peter. This includes especially the verification of the levels of immunoreactive trypsinogen, which has been released by the pancreas (Lo, Muhlebach & Smyth, 2018). Other tests that the doctor can carry out for the confirmation of CF condition are sweat test and genetic tests (Hind, Maguire, Cantrill, O'Cathain & Wildman, 2017). The genetic test also confirms the level of IRT, based on which the medication and the dosage will be set by the doctor (Francis et al., 2020). Peter shows occasional inflation with yellow sputum and cough, which also indicate the CF condition. 
Medication Administered
The initial treatment consisted of anti-staphylococcal prophylactic antibiotics with pancreatic enzyme supplements and multivitamins. The antibiotics for anti-staphylococcus would help, in controlling the pulmonary infection, according to Kelly, Spencer, Grundy, Lynes and Evans (2017), which is common in cases of the CF conditions. This prophylactic antibiotic will help in preventing lung damage and infection. However, the prolonged use of the antibiotics can lead to Pseudomonas infection, which was observed to develop in Peter at the age of 4 years. 
The multivitamins, which were administered into Peter, were mostly fat-soluble vitamins.

Paediatric Care Plan - MR88i(T) D O N O T W R IT E IN T H IS B IN D IN G M A R G IN Paediatric C are Plan MR 88i(T) v7 01 /0 2/ 20 10 DARLING DOWNS – WEST MORETON HEALTH SERVICE DISTRICT Paediatric...

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