The Health of Aboriginal and Torres Strait Islander People’s, Marli Case Study - Nursing Assignment Help

Assignment Task

CASE STUDY 
Marli is a 7-year old Aboriginal girl from a remote community in the North West Region of NSW. Marli attends  the local primary school with her 3 brothers and 2 sisters and has never been to the city before. Over the last  2-3 weeks, Marli has not been feeling well, she has had sharp, stabbing pains in her chest when she breathes and experiences periods where she runs out of breath quickly when playing with her brothers and sisters. Marli  also has a cough that makes her light-headed and has a medical history of Asthma. When her mother, Sharon  asked her when she last used her ‘puffer’ she couldn’t remember, Marli thought that not using her puffer was  maybe why she was unwell. Sharon, Marli’s mum, is a single mum and has had trouble getting Marli into see  the Doctor at the local Community Health Centre. Sharon doesn’t have a car and her extended family members lives out of town. Sharon has been quite worried about Marli’s pains in her chest when she breathes and that  she has discolouration to her lips, they go blue after she had been coughing for a long time. A family member  offered to take Sharon and Marli to the hospital in the neighbouring town after hearing Sharon’s concerns over  the phone. The small, 10 bedded hospital has one Doctor available at all times, the Doctor was very concerned  about Marli and felt she needed urgent referral to a larger hospital that has more resources and medical  attention for Marli’s current condition. Marli and Sharon were flown to a metropolitan hospital by the Little Wing’s  safe flight transport for treatment within 4 hours of presentation to the neighbouring local hospital. 
You are working on the Paediatric ward while on your student placement at a metropolitan children’s hospital.  The Registered Nurse you are working with has informed you, that you are allocated a new admission from  ED, a young Aboriginal girl who has been flown in from ‘somewhere out bush’ for queried pneumonia and  potential of uncontrolled asthma. The In-Charge Nurse handing over, seems to be unhappy about this  admission, she continues to make ongoing remarks about the appearance of the young girl and her mother and how they ‘they never even look Aboriginal’. She continued on laughing and discussing the admission to  the other nurses on your shift and suggests that ‘they will just want everything for free’. The Registered Nurse  you are working with went bright red and whispered to you ‘this is very inappropriate’ and she quickly turned  and rushed away from the nurse’s station. Marli and Sharon arrived at the ward soon after, you introduce  yourself and asked if you can check Marli’s vital signs. Marli doesn’t look at you but looks at her Mum. Sharon  apologises and states that Marli has never been on a plane and they are both feeling scared as they have  never left their hometown before and never seen a hospital this size. 

Questions 
1. Identify what health services and resources that you could access to help support the care of Marli and Sharon in  the hospital admission? And why it is important to use culturally appropriate resources? (350 words) 
2. Identify and describe how you could encourage and engage a culturally safe environment for Marli and Sharon through their admission? (400 words)  
 

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