Child Care: Effective Nursing Care and Communication Strategies

Running head: CHILD CARE
CHILD CARE
Name of Student:
Name of University:
Author’s Note:

CHILD CARE
1
CNA342 Assessment 2 Template
Clinical Scenario – Written Report
Student Name and ID
Introduction
The case study highlights the story of 7 years old Syrian boy name Karam who have been
hospitalized to the pediatric unit for severe stomach pain, nausea, and vomiting. The diagnosis
reveals that he had appendicitis and requirements urgent laparoscopic appendicectomy. Karam
and his family are refugee from Syria, due to which there is no medical history of the patient. His
father worked as a laborer in Australia and her mother was a homemaker. Post surgery, Karam
was having pain and was crying in the bed. There was the need to take care of the patient
because when asked for pain care by nurse he simply shook his head. As everything was in
control, Karam was discharged and his parents needs discharge info on the post appendicectomy
care, management of pain and GP follow up in 1 week. Therefore, the main aim of the paper is to
discuss the evidence based approach to provide effective nursing care to the child and his family.
The main purpose is to make use of principle of child and family centered care and rights of
child related to heath care in the process of communication.
Nursing Care
The key nursing care required by the child is based on the child’s assessment of
abdominal pain post surgery. It is evident from the case study that Karam was still having pain
post surgery due to which he was crying. Though the nurse interrogated Karam about the need,

CHILD CARE
2
he simply shook his head. From the study of Stein et al. (2019) it can be said that children of 1-8
years of age are not able to express their feeling and address their own area of concern. It is the
responsibility of the nurse to assess the patient by the mean of objective and subjective data to
provide effective care. As it is seen in the case study, the child was crying, which is a sign of
non-verbal communication, where the gesture of the child indicates that he require urgent care
and assistance for the pain. The main principle of child centered care is to involve them in the
decision making and care must be provided assessing the interest of the children (Coyne,
Hallström and Söderbäck 2016). Therefore, there is the need to provide effective care to the
patient for better health outcome.
Child being of 7 years old is at middle childhood age and stage of development.
According Kuczynski, Pitman and Twigger (2018) it can be said that children at middle
childhood stage tends to be less assertive and nurse being involved in care of the child required
to assess the child care need by mean of effective communication. Initially the child will be
approached by the mean of effective communication, where the child will be asked for his health
status and how he is feeling. The middle childhood stage children tends to communicate by the
mean of non-verbal means and use of gesture therefore, to provide nursing care for pain to
Karam, it is important to read his gesture like crying, holding stomach and way of
communication. This way of approach can have positive impact, as he would not feel scare and
afraid by the nurse, as most of the children at this stage may encounter (Mattos dos Santos et al.
2016; Bramhall 2014). When patient will be entertained with respect, which will give confidence
to him in the child care.
The underlining principle of child centered care keeps the child at the center by focusing
on their interest and including them in the care plan. The finding is supported by Lerkkanen et