Anne’s case study Anne is a 10 year old girl who has admitted to the emergency department (ED) with the right iliac fossa pain. Further assessment has done for her by the emergency registrar and appendicitis suspected. The surgical team decides that she needs an appendectomy. Anne returns to the ward with an IV therapy and triple IV antibiotics, morphine PCA, a nasogastric tube in situ on free drainage. Anne is an older of the five children and her parents has a restaurant in the city. This essay will discuss about the appendicitis pathophysiology, the growth and development theories. Moreover, this essay will discuss about how the nurse can provide a family central care model and the …show more content…
The large intestine is about 1.5 long and includes the appendix, cecum, colon, rectum and anal canal. Vermiform appendix is a small tail which attached to the cecum and located in the lower right of the abdomen (Kathryn & Sue, 2014). The vermiform appendix has not a physiologic function in the human body. The large intestine and the appendix’s wall have the similarity layer. These layers include a mucosa, a submuocsa, a muscularis, a shiny thin outer layer, and a serosa (Sam, 2007). The appendix receives the blood from “the appendiceal artery a branch of the ileocolic artery”, which provides blood to the end of the small intestine and the beginning of the large intestine (Donna, 2011). The appendix is inflamed, which is called appendicitis. The appendix becomes inflamed when the appendix obstructs by faeces, foreign bodies or foods which may be located in the narrowing of the appendix, thereby increasing the appendiceal pressure, stopping provide blood for the appendix and causing infection (Donna, 2011). If the appendicitis is untreated, it will increase the risk of perforation. If the appendix breaks down, the bacterial will spread to the abdomen. The bacterial can cause an infection where it is localized, known as peritonitis (Donna, 2011). Pain is the main symptom of the appendicitis. The pain usually allocated at the lower back, central around the navel or lower right side of the abdomen. …show more content…
This model can help reduce the impact of illness for children and families by encouraging all family members as well as health care workers to work together to achieve the best outcomes for their child (Arango,2011). According to Kuo et al. (2012), the main point of this model is respect and dignity, information sharing, and participation. Firstly, a nurse must listen and respect the patient and caregiver for their background, culture, values, and beliefs. Providing the welcoming, assessable and responsive care to Anne and her family. Protecting privacy during consultation and treatment time for Anne and her family. The nurse should not make any assumption about Anne or her family’s beliefs (Wilfred et al., 2012). The nurse need to find out what Anne and her family know about health problem and treatment. This is because planning and delivery of care will be affected by the patient and caregiver’s perspective, therefore, a nurse should be understanding Anne and her family’s concerns and put them into treatment and care with appropriate support for her and her family members (Wilfred et al., 2012). By doing this the nurse will have the benefit such as gaining the greater trust and respect from Anne and her family. Secondly, the nurse should share all the useful information for patients and their families. Anne is under age to
Think back to when you were a child and you became ill. All you wanted was the protection and guidance of your mother to take care of you. If you had older siblings, maybe they were the ones that helped make you feel better. Even as we grow older, we rely on our family for support when we are not well. When a family member is ill, it is not just that one person that suffers. When an illness strikes a family member, it oftentimes includes the whole family to deal with the illness also. There are different approaches that a nurse can utilize when dealing with family nursing. Approaches include family as context, as a client, system and a component of society. In this paper, I will discuss where and how these approaches are utilized.
Anne Aylor, Inc. (Anne Aylor) is a leading national specialty retailer ofhigh-qualitywomen's apparel, shoes, and accessories sold primarily under the "Anne Aylor" brand name. Anne Aylor is a highly __ recognized national brand that defin_s_a _ e dis_tin_t_ c fashion_point of v:iew.--.Anne Aylor
Different materiality bases are considered when determining planning materiality because the magnitude and nature of financial statement misstatements or omissions have different influences on different financial statement users. For example, investors are more interested in the accuracy of numbers involving net income because they are mainly concerned with the company’s ability to increase shareholder wealth. For an audit company, the primary concern when planning materiality is to take into account all expected financial statement users. These different expected users all have different
Patient-Centered Care: Patients should have control over the care they receive. By involving patients and family members in their care it will result in better health outcomes. “The response of health care professionals to patients’ questions, concerns, and feedback directly influences how comfortable patients are with speaking up” (Spath, 2011, p. 236). As nurses we need to respect our patients’ wishes and give each
It also shows that not every family has the same strengths and how the every family’s strengths can differ from each other’s. Which allows the nurse to use this tool to identify their strengths as a family to help them to set a family goal to achieve together and formulate a problem solving plan. It’s an easy tool because the questions are straightforward and it is a child friendly tool, suitable for any age not just the adults. It is a family assessment therefore the children’s feelings shall not be neglected. External family members can take part in this assessment as well, not only will it improve the family members’ relationship with each other and as a family but also help build a trusting relationship with the nurse which will allow the family members to voice out or share anything without feeling uncomfortable. (Smith LM
An appointment was made with this family prior to the visit scheduled and the purpose of the visit and the role of this student nurse in health promotion and disease prevention through stages of family development was explained as an introduction part. The entire family was invited to participate in the discussion. The family was made aware of HIPPA violation and the responsibility of the nurse to keep all information shared confidential. Mathew’s family consists of him, his wife
In addition, trustworthy relationship with Harry and his family encouraged them to share personal information with the nurse, which helped the nurse to collect appropriate data and to understand Harry’s and his family’s needs to provide client-centered care. Secondly, the meso level context includes the influence of health care agency’s policies and philosophy on clinical decision-making. In Harry’s case, it was evident that the practice of family-centered care was followed because the family was involved in each decision related to Harry’s treatment from admission to discharge; hence, the nurse
-A succinct philosophy of family nursing is seen in The Association for the Care of Children’s Health standards stating the expectation for healthcare providers to facilitate family/professional collaboration at all levels of care, and to recognizing family as the constant in the patient’s life whereas the healthcare providers will fluctuate (p.40, 2003).
The appendix is located within the right lower quadrant (RLQ) of the abdomen, and finds itself within the right iliac (inguinal) region. It is a subdivision of the large intestine and is a blind ended tube attached to the posteromedial surface of the cecum (Marieb, & Hoehn, Human Anatomy & Physiology, 2016). The appendix is approximately four inches long and roughly a quarter of an inch in diameter in which resembles a worm; therefore, the alternate name vermiform (worm-like) appendix was allocated. The wall of the appendix consists of an inner circular,
On arrival, Joe’s mother Catherine was distressed and throughout every stage of Joe’s care it was important Catherine was provided with clear information in order to empower her to make informed choices regarding Joe’s care (Glasper et al. 2010). Parental involvement was introduced after the Platt Report in 1959 which recommended that parents should be allowed to stay with their hospitalised child. The report has led to significant improvements in interactions between parents of hospitalised children and the staff who care for them (Priddis and Sheilds 2011). Sousa et al (2013) carried out a study that found communication between parents and children’s nurses is vital. Sousa et al (2013) found that almost all parents who participated in the questionnaire agreed it was a priority to get information on their child’s health condition. This indicates that is important for nurses to manage the child and family as a whole holistically (NMC 2015). Catherine
Family nursing is not all about patient centered care, it is focused on the needs of the family as a whole (Nursing theory). The main goal for family nursing is to improve any health concerns by assessing the needs,problems,influences, and strentghs of the family (Journal of nursing). There are four four types of approaches to family nursing. The four types of approaches to family nursing are, family as context, family as client, family as system, and family as component of society (the book). The purpose of this paper is to define, discuss, and give examples of the four types of approaches to family nursing.
The model consists of four steps used with the patient to reach a decision regarding the individual’s health care needs and decision for planning care. The steps include the provider informing the patient that a health care decision is required and the patient's opinion is important, the professional explains the options and with pros and cons, the provider and the patient discuss the patient's preferences and the professional supports the patient decision and finally the professional and patient discuss the patient’s decision and the health care plan is made (Stiggelbout, Pieterse, & De Haes, 2015). Instituting this model to into practice by the APN will promote active participation and require the patient to understand their health care conditions and needs to improve quality patient outcomes and the provision of quality health care. Another nursing initiative to promote the patient-centered care competency is the implementation of the Patient-Centered Medical Home care model which consist of a team designed approach to developing health care plans and providing patient centered care (Moran & Burson, 2014). The use of this model encourages strong relationships with patients, addresses the needs of patient comprehensively, and provides access of care by the ability of providers to coordinate care effectively (Moran &
The human appendix is a part of the digestive tract. It is a blind ended tube, and its base is located in the cecum, approximately 2 cm beneath the ileocecal valve. The purpose of the appendix is unclear. It has traditionally been proposed to be a vestigial organ, but recent studies suggest that the appendix may play an important role in maintaining gut flora. [1]
Have you ever wondered what Anne's life would have been like if she lived on? Would she have been famous, or would she have been poor? I think she wouldn't have been famous.
Delivery of health care to a child is more challenging when compare to an adult care. However, family health and culture affects the way a care is been received, even though the goal is to maintain the child’s welfare, the family plays an important role in a child’s well-being and the child