NUR332 - Nursing Care Plan: Cultural Safety & Influenza in Child

This case study presents a nursing care plan focused on a 4-year-old aboriginal boy diagnosed with influenza, a condition prevalent among aboriginal populations, especially in unimmunized children who are at higher risk of developing pneumonia. The plan emphasizes the importance of cultural safety in nursing practice, highlighting the need for nurses to establish positive relationships with the patient and their family, maintain transparency in information sharing, and be aware of cultural attributes within the aboriginal community. Interventions include diagnostic tests, airway management, IV hydration in cases of inadequate oral hydration, and medications like oseltamivir and zanamivir. The study acknowledges the impact of influenza on young children and their families, noting high hospitalization rates among aboriginal children due to influenza. The case also mentions the child's exposure to passive smoking at home, which needs consideration. The provided references support the communication based interventions to increase influenza vaccination rates among Aboriginal children.

Nursing care Plan - Author (name) and student ID
Introduction
•The study deals with the case study of a 4 year old, male
from the aboriginal community.
•The child is diagnosed with influenza.
•He is showing signs of respiratory inflammation which
might lead to pneumonia.
•The study provides the various interventions, information on
the disease and its influence on the aboriginal community and
the cultural safety of the patient.
Case Study
•The patient is a 4 year old male.
•The patient resides in New South Wales and is a part of
the indigenous community.
•The patient lives with his family consisting of his
parents, two siblings and grandparents.
•The patient is diagnosed with influenza.
•The patient is having symptoms like high fever,
diarrhoea, high temperature, cough and breathing
troubles.
•The child is not properly immunised.
•The patient is under the medication of oseltamivir and
zanamivir.
•The patient is also taking cough syrups to treat the
cough, but it still has not made any impact.
•The patient is also exposed to excessive passive smoking
conditions at home.
Cultural Safety in Nursing Practice
•The nurse should have a positive relation with the patient
and the family members of the patient.
• The nurse should be transparent regarding sharing
information with the family members of the patient.
• The patient is a minor, so the family members will
take the decisions regarding the patient. Therefore,
they should be assisted with all types of information to
take the right decision.
• The language, vocal tone and the body language of the
nurse should be sympathetic towards the family of the
patient (Willis et al., 2018).
• The nurse interacting with the patient’s family should
be aware of the various cultural attributes of the
aboriginal community.
Conclusion
•The treatment procedure should be followed
methodically .
•The study provides a lot of information on the impact of
the disease at the particular age of a preschooler..
Topic Information
•Influenza is prevalent amongst the aboriginal populations.
•Unimmunized children are risked the most of getting influenza and pneumonia.
•The National Immunization Program has helped the aboriginal populations access free
vaccinations to avoid many diseases.
•Pneumonia is an advanced stage of influenza. A lot of hospitalization cases have emerged
every year due to this condition.
•In 2017, the rate of hospitalization of the aboriginal children due to influenza was 7.6 per
1000 children ( Borg et al., 2018).
Nursing Care Intervention(s)/Drug Therapy
Intervention(s)
•Before starting the treatment procedure, the patient should be put through various tests to
learn the cause of the condition.
•The airway of the patient should be kept clear to facilitate the gas exchange.
•In case of inadequate oral hydration, the patient should be attached to an IV.
•Hygiene should be maintained around the patient.
References
Borg, K., Sutton, K., Beasley, M., Tull, F., Faulkner, N., Halliday, J., Knott, C. and Bragge, P., 2018. Communication-based interventions for increasing influenza vaccination rates among Aboriginal children: A randomised controlled trial. Vaccine, 36(45), pp.6790-6795.
Willis, G.A., Preen, D.B., Richmond, P.C., Jacoby, P., Effler, P.V., Smith, D.W., Robins, C., Borland, M.L., Levy, A., Keil, A.D. and Blyth, C.C., 2018. The impact of influenza infection on young children, their family and the health care system.Influenza and other respiratory viruses.