NSG31020: Healthcare - Thomas - Alex Case Study - Patient and Family Centred Care Assignment Help

Internal Code: D_AI_DCIJ_G Code: NSG31020

Patient and Family Centred Care Assignment Help

Assignment Task: NSG31020 Patient and Family Centred Care (P&FCC)-the delivery of health care based on partnerships between patients, families and all those involved in the care of the child and family. Evidence has shown that patient and family-centered care can produce benefits for both the child and their family. Some of the key principles utilized as a guide to improve the experience and outcomes for patients and their families are P&FCC Principles: Respect and Dignity-Treat patients and families with dignity and respect Information Sharing-Share information clearly and openly Participation-Involve patient and family in decision making and care Collaboration-Share the provision of care In 2000 words, answer the following questions in essay format:

1. Compare and contrast one positive impact of P&FCC on the child and family, with features of traditional models of pediatric care.

3. Two concepts of P&FCC are enabling and empowerment. Explain how these concepts are applied in pediatric nursing care in the hospital or primary health care setting.
4. How would you apply one of the above P&FCC principles (as listed in the box above) to the nursing care of the child in Case Study 1 compared with Case Study 2?
5. The impact of hospitalization for a child can have both positive and negative outcomes. Discuss at least three strategies you could employ to reduce the negative effects of hospitalization for the child and family in Case Study 1 or Case Study 2. 

Thomas Case Study: NSG31020

3-year-old “Thomas”, has just been transferred to the Paediatric Ward, presenting with a 2-day history of reduced oral intake, reduced wet nappies, tachypnoea, cough, and wheeze. He has been diagnosed with acute asthma. Thomas’ older brothers have also been unwell with a cold. His mother, Tanya, has primary care of Thomas and his siblings, with his father caring for the children on weekends. Thomas is up to date with his immunizations. Thomas was born at 32 weeks gestation via c- section. He was hospitalized in special care nursery until 34 weeks, for hyperbilirubinemia and poor feeding. Thomas currently has moderately increased work of breathing and requires 1 liter of oxygen via nasal prongs for oxygen saturation of 88%. Thomas is irritable and keeps pulling the oxygen tubing off. He has been ordered salbutamol via MDI every 20 minutes for 1 hour, and he cries and pushes the mask off each time it is administered. His mother cries and leaves the room when the nurses administer the salbutamol, saying she is too upset to watch, which makes Thomas more distressed.

Alex Case Study: NSG31020

16-year-old Alex is an inpatient on the Paediatric Ward, 1-day post-op an open appendectomy. His appendix was perforated on ultrasound. He presented with a 3-day history of right-sided abdominal pain, nausea, vomiting, and fever. Alex is otherwise normally well. He is in year 11 at school and is an only child. Currently, both parents and several visitors, including young children, are visiting and eating takeaway at the bedside. Alex is currently nil by mouth, on full IV maintenance fluids, and a morphine PCA. He has an IDC and nasogastric tube (NGT) on free drainage with 4-hourly aspirates. Alex is presenting as quiet and withdrawn but frequently asks for the NGT to be removed. He denies having any pain despite having several bad tries on the PCA and is refusing to be moved for pressure area care or to be washed by the nurses. He rates his nausea as 10/10.

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