Question

In: Nursing

A child with cerebral palsy is discharged from the hospital, where he has been receiving treatment...

  1. A child with cerebral palsy is discharged from the hospital, where he has been receiving treatment for pneumonia. Home health care nurses through a local agency are to help the family administer intravenous antibiotic therapy and to monitor the child’s health status.
    1. As the home health nurse assigned to the child what should your nursing assessment include.
    2. In this situation what are some nursing interventions that will help ensure family centered care?
    3. When this child is stable and can go back to school what will be the role of the school nurse in caring for this child?

Solutions

Expert Solution

a. Answer:

The nurse should focus on the respiratory system as the child is suffering from pneumonia.

Respiratory rate: check the respiratory rate is increase/decrease/ normal/ shortness of breath

Respiratory sound: The nurse should use the stethoscope and listen for any abnormal sound. Mostly wheezing are produce for pneumonia patient.

Productive sputum: check for presence of productive sputum, color of sputum

vital signs: Check the vital sign everyday to know for increase temperature due to infection.

- Check for present od chest pain.

b. Answer:

The nurse should give the care base on the family center care

- Informed the recovering process and daily treatment is done for the child

- Counsel the family member regarding the condition of the patient

- Encourage to involve in taking care of the patient or in daily living activities

- Take the opinion of the family member before taking any decision for the patient. The priority should be given to the opinion of the family member.

c. answer:

After the child is stable and start resuming the school. The role of the school health nurse is to maintain respiratory hygiene by using a face mask in crowded area. Check the respiratory system once in a month to identify any recurrent of the infection. Educate the children to maintain the importance of personal hygiene.


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