Gastroenteritis Case Study: Strategies for Early Childhood Care

This assignment is a case study focusing on a 4-year-old patient, Ruby Bell, suffering from gastroenteritis. It explores the risks associated with the condition, including the patient's weak immune system, malnutrition, and potential deficiencies. The study identifies three critical clinical errors, such as hospital-acquired infections, dehydration, and the overuse of medications, along with their potential consequences. Furthermore, the assignment outlines four strategies to prevent these errors, emphasizing institutional investment in hand hygiene, the implementation of aseptic techniques, performance feedback, and patient education materials. The study also provides references to relevant literature supporting the findings and proposed strategies.

Strategies
• Institutional investment in
hand hygiene,
and hospital cleaning
• The other strategy to
reduce the hospital
acquired infection
• Prescribing guidelines to
implement aseptic non-
touch technique (Tan,
Cawcutt, Zomok, Go, and
Sia, 2017)
Gastroenteritis Diseases- In Early Childhood
Why patient have more risk
•Children have weak immune
system
•Malnutrition
•Due to lack of vitamin-A
•zinc deficiency (Schnadower.,
et al., 2018)
Clinical Errors
Hospital acquired infection- It
is also called as healthcare-associated
infections that are nosocomially
acquired infection that are not present
(Humphries, and Linscott, 2015)
Dehydration- Inappropriate use of
oral liquids, with the high sodium
content and soft drinks with very low
content may transform a isotonic
dehydration into more complex
hypotonic dehydration
Overuses of medicines -Routine
use of antibiotics, antidiarrheal agents,
and antiemetic's in hospitals may cause
harm and it is a biggest clinical error of
gastroenteritis (Dennehy, 2019).
Strategies
The patient have to take the
fruit juice and fruit drinks
as they contain have too
many carbohydrate, and too
little sodium (Kim, Reed,
Herfarth, and Dellon, 2018)
Case Study
Our Patient Ruby Bell is 4 years
old who is suffering from
gastroenteritis. Her mother and
father are more contentious
about his health.
Gastroenteritis-
Gastroenteritis is a common condition that causes
diarrhoea and vomiting
In most cases, it is also known as Rotavirus in
Children
It can be cause by unpleasant environment
Strategies
•Performance feedback is a
communication strategy that helps
to reduce the overuse of medicines
(Lucendo, Serrano-Montalbán,
Arias, Redondo, and Tenias, 2015)
•The hospital and the other health
care centre has to provide the
patient education materials in
order to communicate with the
children properly
4 2
3
1
5
6

• Tan, E.M., Cawcutt, K.A., Zomok, C.D., Go, R.S. and Sia, I.G.,
(2017) Activity of nitazoxanide against viral gastroenteritis: a
systematic review. International Journal of Travel Medicine and
Global Health, 5(4), pp.107-112.
• Humphries, R. M., and Linscott, A. J. (2015) Laboratory diagnosis
of bacterial gastroenteritis. Clinical microbiology reviews, 28(1),
3-31.
• Dennehy, P. H. (2019) Infectious Gastroenteritis. In Introduction to
Clinical Infectious Diseases. Springer: Cham, pp. 157-168.
• Lucendo, A.J., Serrano-Montalbán, B., Arias, Á., Redondo, O. and
Tenias, J.M. (2015) Efficacy of dietary treatment for inducing
disease remission in eosinophilic gastroenteritis. Journal of
pediatric gastroenterology and nutrition, 61(1), pp.56-64.
• Kim, H., Reed, C., Herfarth, H. and Dellon, E. (2018)
Vedolizumab treatment may reduce steroid burden and improve
histology in patients with eosinophilic gastroenteritis. Clinical
Gastroenterology & Hepatology, 16(12), pp.1992-1994.
• Schnadower, D., Tarr, P.I., Casper, T.C., Gorelick, M.H., Dean,
J.M., O’connell, K.J., Mahajan, P., Levine, A.C., Bhatt, S.R.,
Roskind, C.G. and Powell, E.C. (2018) Lactobacillus rhamnosus
GG versus placebo for acute gastroenteritis in children. New
England Journal of Medicine, 379(21), pp.2002-2014.