Brief statement identifying and succinctly summarising your chosen scenario and what you will address in the body of your report. Zane is a 15 year old boy who has been admitted to the emergency ward as he flipped from a bike and the motorbike landed on his leg which results in swollen and deformed thigh. Zane is in 6/10 pain which has been increased to 9/10 on the movement. Zane has no medical history and has been updated with the immunisation. He has been diagnosed with proximal femoral shaft comminuted fracture. Doctor has written for IV opioids which will help him in some relief for pain management. Zane will require pain medication which helps in faster recovery and results. This study will highlight, specific aspect of the nursing care and principles of child centred care. Furthermore, it will also highlight issues related with communication in a specific clinical scenario. This study will also integrate principles of family centred care while communicating with family and patient. Identifyone specificaspect of nursing care currently required by the child based on the information presented in the scenario. Based on the case scenario, the specific nursing care must be provided to zane is with pain management in order to recover fast from proximal femoral shaft comminuted fracture. Any injury in the body tissue near fracture results in pain ( Kacha et al. 2018). There are three stages of pain due to fracture which includes acute pain, sub- scute pain and chronic pain (Kacha et al. 2018). Acute pain is occurred when bone is broken immediately after the fracture. Sub acute pain occurs in the weeks when soft tissues and bones start to heal after the fracture (Chiu et al. 2019). Chronic pain tends to last for a longer period of time after the fracture (Chiu et al. 2019). In chronic pain soft tissues of the body have finished healing ( Chou et al. 2015). For jane in the case study the femoral shaft comminuted fracture is due to high energy collision which ishappened because of motorbike landed on his leg. Rationale: the nursing care should ensure free motion of weights in order to avoid excess force on fracture. In relation to this, patient should avoid lifting and releasing weights. Avoidance of unnecessary movement helps ion preventing pressure deformities (Stainton 2019).In relation to this, fracture site is supported with folded blankets, trochanter roll, footboard, sandbags, splints and pillows (Stainton 2019). This will helps in enhancing the healing process (Comfort Devices Used for Patient in Hospital,2019). Like wise, patient care is one of the most important care in order to
treat patients. Controlling of pain helps in improving behavioural, psychological and hormonal outcomes (Ganesan et al. 2016). Conjunction with pharmological therapies helps in lowering level of pain, anxiety and distress in patients (Gosselin et al. 2017). Relaxation techniques and physical intervention such as heat and cold compress, massage repositioning are useful strategies in managing pain to zane (Gosselin et al. 2017). Furthermore, psychological therapies such as meditation and cognitive behaviour therapy are useful strategy in pain management of zane (Pennock et al. 2017). Discuss how the child’s developmental age and stage may impact the way you approach the child and provide the required nursing care. (Khow and et.al., 2017) sought to determine the fact that, Child's development age and stage is critical as it influences the recovery process among individual (Tanner &Arnett 2016). Child development can be categorized into infancy, childhood, adolescence and adulthood (Tanner and Arnett, 2016). In accordance with the current case scenario, Zane is of 15 years of age and is at the stage of early adolescence. This is one of the most crucial period of life where there is a specific need for health and development. This is a stage where individual goes through various physical changes like rapid growth, facial hair, development of sexual organs, etc. The femoral shaft comminuted fracture causes severe pain. The major complications associated with this injury is leg length difference which can grow up to 2 centimetres in the next 2 years after fracture (Ganesan et al.2016). This fracture may also result in malunion.This is a situation where the bone has not healed properly which results in permanent damage to the individual (Ganesan et.al., 2016). Child's development leads to psychological, emotional and biological changes which occurs in human from birth till adolescence. Zane is at its adolescent stage where it goes through various psychological and physical changes at this stage. In the specific case of Zane, he is suffering from pain which in turn largely influences the development of child. He is suffering from9/10pain which results in anxiety, depression, lack of normalcy in child's life, physical limitation often leads to frustration, etc (King et al.2019). Child develops muscles and bones which helps in faster recovery of pediatric patient. At the early stage, bones of the child is flexible. With the ageing process, bones tend to get stiff and it in turn results in increasing the frequency of pain in child. Pain may also affect the growth and development stage of Zane. Nurses should focus on assessing
pain of the child, proper medication and cognitive behaviour therapy.Zane's tissue growth is affected due to proximal femoral shaft commuted fracture which in turn affects the Endochondral growth of the bones. Discuss how you will incorporate the principles of child centred care while providing the required nursing care. Child centred care is a practice where young people and children actively participate in the care program in order to recover from the pain (Shields 2015). Child centred care helps in protecting and safeguarding the interest of the children (Shields 2015). Bsed on the case study, Zane thigh is deformed and swollen which made it difficult for him in the movement of leg and results in significant pain. The key principles of child centred care are: Principle of child centered care focuses on cognitive, physical, social and emotional development.It is very crucial that health care practitioners should create safe and comfortable environment for the children.This will help nurses to give effective treatment toZaneforfasterrecoveryprocess(Coyne,etal2016).Parentsandhealthcare practitioners must focus on developing physical, social, emotional and cognitive support to an individual. Participation of children in the care process. This helps in independently taking care of oneself in order to get better results and outcomes (Hill et al. 2018). This in turn helps in strategic decision making.Zane should freely express his viewpoints in order to effectively participate in health care decision making. Recognizing and being sensitive to the child's unique experience and perspective.In the given case, Zane is suffering from severe pain and the proper medical treatment should be given to the child. It helps in finding out the relationship of Zane with family members. Family members and health care practitioners should come together in order to provide better health care services to the Zane. It helps in faster recovery and health outcomes. Mick and Kelly must work together as a team in order to provide emotional support to the Zane for better recovery and results. They should be responsible in order to actively participate in decision making related with Zane health condition.
Paraphrase This Document
Need a fresh take? Get an instant paraphrase of this document with our AI Paraphraser
Communication (Hoskins et al. 2017) said that, Femoral shaft comminuted fracture can be treated among adolescents with the help of intramedullary nailing. Knee mobilizer can be used to prevent movement which helps in keeping the child comfortable (Pennock et al 2017). More rigid nails are used which is inserted near the hip, at the top of the femur. This is done to interrupt blood flow to the ball of hip joint (Gosselin et al. 2018). Sub-muscular plating is another way to treat femoral shaft comminuted fracture (Gosselin et al 2018). Stainless steel plate is inserted under the muscle of the leg near fracture. Screws are placed across the bone and plate to hold it intact on place. This in turn will help Zane to recover effectively from femoral shaft comminuted fracture by managing pain (King et.al., 2019). Mick has surgical team has consented Zane for the surgery, as he will require metal plates, wires, screws, etc. Traction can be used in Zane to realign and stabilise the bone fracture in order to reduce pain of fracture before surgery. The major communication problem in the particular case scenario is that Zane is suffering from severe pain and is not able to effectively communicate with the parents and nurses. His parents are arguing about the decision to admit him to surgery and also nervous to discuss anything with them in his severe pain condition. There is a conflict between Zane parents which results in agitated argument. Zane was not able to communicate with the parents and make them understand the pain which he was going through. Likewise, there is no direct communication of parents with the nurses which in turn affects the decision making and recovery process of Zane. Physical discomfortandpatientsanxiousbehaviourisoneofthemostimportantbarrierstothe communication in nursing care (Wani et al.2016). This may lead to difficulty in pain management of the patient which adversely hamper the recovery of the patient (Wani et al.2016). Stress, anxiety, distress, depression, fear avoidance behaviour, etc. have a positive relationship on chronic and acute pain describe an issue with communication arising from this scenario. Discuss how will you address this issue when communicating with this patient and family. Communication issues in healthcare is very detrimental to the patient care and results in various medical errors. Zane's parents were arguing which led to increase anxiousness in patients nad led to major communication problem. Creation of effective patient channel results in effective care and results. Effective communication helps in better care results and outcomes for Zane.
Health care practitioners should understand the viewpoints of family members and patient for better treatment. Miscommunication leads to adverse care results and affect the health outcomes of the patient. Corporation of effective communication in healthcare company requires effective training programs. The nursing care focuses on addressing the severe pain caused by Zane due to proximal femoral shaft comminuted fracture by making parents understand the pain through which Zane is going in order to give him mental and emotional support. Nursing care will also focus on applying cognitive behaviour therapy which will help patient on changing the thought patterns in order to improve the overall functioning of the patient (Dobson and Dozois 2019). Cognitive behaviour therapy is also very useful in reducing the post surgical pain of the patient due to treatment of femoral shaft comminuted fracture (Dobson and Dozois 2019). This in turn helps in better recovery and improves quality of life.Cognitive behaviour therapy helps in increasing the physical functioning of the individual. This therapy helps in reducing the pain severity and it further helps in lower intake of IV opioid medication.Nursing care should involve parents in decision making process to provide better care and support to the patients (Cognitive behavioral therapy to reduce persistent postsurgical pain following internal fixation of extremity fractures (COPE): Rationale for a randomized controlled trial,2019).Effective communication between care takers and patient helps nursing care to provide customized care according to the need and preference of the Zane for faster recovery. It helps in better understanding of the needs and want of the patient. Healthy and positive environment will be maintained for faster recovery and healing of patients (Titov et al. 2015). Nurses focus on providing patients with individualized care and support for better recovery and health outcomes. Discuss how will you incorporate the principles of family centred care when communicating with this patient and family. Patient and family centered care is important as it helps nursing care in gaining important information of the patient which in turn helps in decision making (Almasri et al.2018). The core concepts of family centred care are dignity and respect, information sharing, collaboration and participation.Dignityandrespect:Nursingcarepractitionershonorfamilyandpatientchoices, perspective, values, cultural background, knowledge for better delivery of care. In case of
Zane, it will help in understanding the care values and belief of patients and family members to attain better care results.Nurses will collaborate with Mick and Kelly in nursing care in order to gain knowledge related to the patient's culture and belief. It helps in better health care results to the Zane.Information sharing: It helps in sharing unbiased information which in turn results in effective decision-making. Nurses will help family to communicate with patients using various technology and direct communication with the patient in order to gain correct information. According to this case, the nurses will share information related to the pain Zane is suffering in order to provide emotional and mental support of parents.Participation: Families and patients participate in decision making and delivery of care. As per the case, participation principle helps nurses in providing better care by involving parents in decision making and child care support.Participating patients in family-centred care helps in better care results ad outcomes.Mick and Kelly must work together as a team in order to provide emotional and psychological support to the Zane for better health care outcomes. Collaboration: Collaboration of heath care practitioners, family and patients helps in development of program and best quality care to the patient for higher recovery. This will help nurses to find best care solution for Zane to provide effective care and treatment.Mick and Kelly collaborate with health care practitioners in order to manage pain and provide proper treatment for better care results. These principles of Patient and family centred care in turn helps in pain management of Zanebyreducingconflictsamongparentsandcaretakers.Thisinturnhelpsinbetter communication and improves the care of the patient by finding best evidence based solution to the problem (Almasri, An and Palisano, 2018). Taking viewpoints and family centred participating in decision making process helps in providing the best care to the patient. CONCLUSION From the above conducted study it has been summarized that, nursing care should focus on child centred care and family centred care in order to provide effective care to the patients. This study helps in highlighting the child development age and stage which influences the recovery process.
Secure Best Marks with AI Grader
Need help grading? Try our AI Grader for instant feedback on your assignments.
REFERENCE Almasri, N,A. An, M, Palisano, R,J 2018, Parents' perception of receiving family-centered care for their children with physical disabilities: a meta-analysis.Physical & occupational therapy in pediatrics.38(4). pp.427-443. Chiu, Walfer, f, Jou M, Kniff D 2019, Healing assessment of fractured femur treated with an intramedullary nail.Structural Health Monitoring, p.1475921718816781. Chou, R, Ming F, Ching, G, Yang C 2015, The effectiveness and risks of long-term opioid therapy for chronic pain: a systematic review for a National Institutes of Health Pathways to Prevention Workshop.Annals of internal medicine,162(4). pp.276-286. Coyne, I, Hallström, I, Söderbäck M 2016, Reframing the focus from a family-centred to a child- centred care approach for children’s healthcare.Journal of Child Health Care.20(4). pp.494- 502. Dobson, K, S,& Dozois, D.J 2019,Handbook of cognitive-behavioral therapies. Guilford Publications. Ganesan,R,P,Happel,Y,Brownsons,R,DangJ2016,ELASTICSTABLE INTRAMEDULLARY NAILING OF FEMORAL AND TIBIAL SHAFT FRACTURES IN CHILDREN.JOURNALOFEVOLUTIONOFMEDICALANDDENTALSCIENCES- JEMDS.5(71). pp.5196-5201. Gosselin, R,A, Quasem, F, Zirkle, L,G, Habler B 2017, Trauma of the Hip and Femoral Shaft. InGlobal Orthopedics(pp. 203-218). Springer, Cham. Hill, C, Knafl, K,A, Santacroce, S, J2018, Family-centered care from the perspective of parents of children cared for in a pediatric intensive care unit: an integrative review.Journal of pediatric nursing.41. pp.22-33. Hoskins,W,Bingham,R,Griffin,X,L,McGowan2017,Distalfemurfracturesin adults.Orthopaedics and Trauma.31(2). pp.93-101. Kacha, N,J, Peters, M, Straus, S 2018, Comparative study for evaluating efficacy of fascia iliaca compartment block for alleviating pain of positioning for spinal anesthesia in patients with hip and proximal femur fractures.Indian journal of orthopaedics.52(2). p.147.
Khow, K,s, Brownson, R, Aromataris, E,Leydan J 2017,Outcomes between older adults with atypical and typical femoral fractures are comparable.Injury.48(2). pp.394-398. King, P,R, Lyons, S, Kuron, J, Ban J 2019, The Effectiveness of a Flexible Locked Intramedullary Nail and an Anatomically Contoured Locked Plate to Treat Clavicular Shaft Fractures: A 1- Year Randomized Control Trial.JBJS.101(7). pp.628-634. Pennock, A,T, Bastrom, T,P, Upasani, V V 2017, Elastic intramedullary nailing versus open reductioninternalfixationofpediatrictibialshaftfractures.JournalofPediatric Orthopaedics.37(7). pp.e403-e408. Shields, L, Robers, D, Wellington, J, Graham2015,Measuring family-centred care: Working with children and their parents in a Turkish hospital.European Journal for Person Centered Healthcare.3(3). pp.327-333. ShieldsL2015,Whatis“family-centredcare”?.EuropeanJournalforPersonCentered Healthcare.3(2). pp.139-144. Tanner, J,L, and Arnett, J.J 2016,The emergence of emerging adulthood: The new life stage between adolescence and young adulthood. InRoutledge Handbook of Youth and Young Adulthood(pp. 50-56). Routledge. Titov, N, Chochesy, E, Hartwich, J, Minneci M 2015, Clinical and cost-effectiveness of therapist- guided internet-delivered cognitive behavior therapy for older adults with symptoms of depression: a randomized controlled trial.Behavior therapy.46(2). pp.193-205. Wani, M,M, Batman, L, Rentea, M, Thota C 2016,Use of external fixator versus flexible intramedullary nailing in closed pediatric femur fractures: comparing results using data from twocohortstudies.EuropeanJournalofOrthopaedicSurgery&Traumatology.26(2). pp.223-230. Online AcutePain,SubacutePain,andChronicPain.2019.[ONLINE].Available through:<https://link.springer.com/referenceworkentry/10.1007%2F978-3-642-28753-4_75>
Paraphrase This Document
Need a fresh take? Get an instant paraphrase of this document with our AI Paraphraser
Cognitive behavioral therapy to reduce persistent postsurgical pain following internal fixation of extremity fractures (COPE): Rationale for a randomized controlled trial. 2019. [ONLINE]. Available through:<https://clinicaltrials.gov/ct2/show/NCT03196258> ComfortDevicesUsedforPatientinHospital.2019.[ONLINE].Available through:<https://www.canestar.com/comfort-devices-used-for-patient-in-hospital..html>