Nursing Project: Shared Care Plan for Pediatric JIA and Asthma Patient

This nursing project addresses the care and treatment of a pediatric patient, Liam, who suffers from Juvenile Idiopathic Arthritis (JIA) and asthma. It emphasizes the importance of a multidisciplinary patient care team, including healthcare professionals like Dr. Jones, registered nurses, and Liam's pediatrician, along with family involvement. The project identifies potential barriers to Liam's care goals, such as medical condition, situational complexity, and challenges in self-management. It also highlights essential nursing practices, including communication, teamwork, networking, and personal and professional characteristics. The project concludes by suggesting strategies for implementing a shared care plan, emphasizing collaboration among healthcare providers and organizations to ensure comprehensive and effective care for Liam, ultimately aiming to improve his health and quality of life. This project is available on Desklib, a platform providing study tools for students.

Nursing project

Table of Contents
INTRODUCTION...........................................................................................................................3
TASK 1............................................................................................................................................3
Patient Care Team..................................................................................................................3
Patients barrier to care goal....................................................................................................4
TASK 2............................................................................................................................................5
Nursing practices....................................................................................................................5
Identifying strategies..............................................................................................................6
CONCLUSION................................................................................................................................7
REFERENCES................................................................................................................................8

INTRODUCTION
Juvenile idiopathic arthritis (JIA) refers to a common type of arthritis in kids and teenagers
which can cause joint pain along with inflammation in ankles, elbows and knees and others. It
has also impact on individual body which can create negative health impact (Hechler et. al.,
(2021)). There is need to delivery proper care and treatment with combination of partnership
treatment which can be effective to the patient with JIA and asthma. Patient with JIA and asthma
can face various difficulty which needs proper care and in this there are some barriers which may
impact the patients care goal which needs to be tackle effective to provide effective care to the
patient (Polizzi et. al., (2020)). In this, there is need to deliver the quality care which can be
provided through the service of effective nursing staff. In this, there is need to ensure about the
relevant care coordination skills which are generally possess by the registered nursing staff are
able to provide those care service and manage it more effectively which can help to deliver
quality services to patient. In this, there is need to use some strategy which can be effective to
deliver the quality care services to patient for their health improvement (Schenck et. al., (2018)).
TASK 1
Patient Care Team
Patient with JIA and asthma need for the proper facilities which can be effective and allow
to deliver quality care to the patient for the health improvement. In this, there is need to ensure
about the facilities like proper care, person centred care, ensure about patient safety, healthcare
services, proper treatment, medication, support and help. These are some of the effective
facilities which can be effective for Liam (Opoka-Winiarska et. al., (2020)). There are some of
the effective facilities which are effective and allow to deliver quality care and treatment for the
patient better health. This is the one which can allow to provide and ensure about receiving
proper care and services which can support the patient physical and mentally for their better
health improvement (Mena‐Vázquez et. al., (2021)). There is need for the proper management
which can have high impact on the delivery of better care and allow to minimise the negative
health and provide some health benefits for better and improved health (Bollhalder et. al.,
(2020)).
While ensuring about the proper care and fulfil the need of required facilities for Liam,
there is need for the healthcare professionals and different healthcare premises which can have

high impact on delivery of health care services to Liam. This may include the healthcare
organisation like Accident and Emergency department, regular paediatric rheumatology (Al-
Mayouf, (2018)). These are the healthcare organisation which are considered for the Liam which
can allow to provide better healthcare services that can be effective and allow to deliver quality
services which can be effective for improvement in health. Dr. Jones, Registered nursing staff,
Liam paediatrician are the healthcare professionals who are having the information and attending
Liam health concern. Liam family member are also involved in his better support and care which
can allow Liam to get better improvement in health (Yuwen et. al., (2017)). These are effective
and allow to deliver the quality services to Liam for the better health concern. These are some of
the organisation and healthcare service providers who are having the effective role in delivery of
healthcare services and treatment to the Liam for his health improvement.
The radiographic hallmarks refer to primary osteoarthritis which includes the non-
uniform joint space loss. This includes the features of rheumatoid arthritis which are the joint
inflammation that includes the particular osteopenia, bone erosions, space loss, uniform joint
along with soft-tissues swellings.
After the recent asthma exacerbation pain has been experienced by Liam which needed to
be diagnosed and ensure about any uncertainty which can be effective and can cause negative
health impact on the Liam health. To ensure about the health concern Dr. Jones has referred
Liam for review to his regular paediatric rheumatologist within Sydney that is located 500km
away (Dipasquale et. al., (2019)). This was necessary for Dr. Jones who is the care provider of
Liam and have the responsibility to get ensure about delivery of proper care and treatment to
improve Liam current health. This referral needed to done for getting better visualisation of
health impact on Liam which needed to deliver better treatment and care plan role (Maschmeyer
et. al., (2021)).
Patients barrier to care goal
There is need to deliver proper care to the Liam which can be effective and allow to get
better and effective treatment for achieving the patient goal. In this, there are some of the barrier
which can be effective and allow to get better interacting with the patient. In this, there are some
barrier which can be creates or occur while ensuring and achieving the care goal of patient. Here,
patient have the goal to play the game and other sport which are played by other children of his
health.

Here, Medical condition is one of the potential barrier which is highly effective and restrict
individual to easily meet the patient care goal. In this, there is need for the registered nursing
staff who care take care and delivery quality services with the help of skills which are possess by
them for their job (Bakutenko et. al., (2021)). Liam is having difficulty to play due to his medical
condition where, he need to get better health treatment to get over the health care issues and get
healthy to perform the activity and other task which care generally performed by other children
of his age group. In this, medical condition creates the issue and restrict him to meet the goal
(Zhao et. al., (2018)).
This includes the situational complexity which distinction between simple, complex and
technically complicated. This includes the system complexity while getting healthcare services
and treatment in such complex condition.
Self-management strategies can also create barrier for the Liam to achieve the care goal.
Liam need to ensure about the self-management which can be implemented in such a way that
this can be effective and allow to deliver quality benefits to the patient. This is the one where
Liam need to take care of self-management plan which have an important role in getting better
health. When self-management plan is not effective then Liam can face difficulty in achieving
the care goal. Self-management can also create difficulty in getting different issue like not able to
implement in regular basis, avoid the care plan and other aspect which can restrict individual to
follow the self-management (Arman et. al., (2019)). These are effective and can create barrier for
Liam while achieving the care goal. In this, there is need to ensure about the better health and
should focus on the self-management which can allow to improve his health (Jabs, (2021)).
Patient is getting primary care while there was less chronic situation. Whereas, due to
getting chronic condition this leads to create situation to take secondary care for getting
healthcare services and treatment through the specialist for effective response towards achieving
better health.
These are some of the potential barrier which are effective and can create difficult in
delivering of care and treatment which can create barrier in achieving the care goals.
There is a situational complexity which may include the simple and technical complication
which may include the issue of getting worsen of asthma and getting degradation of arthritis
within patient that lead to impact the heath.

TASK 2
Nursing practices
For proper treatment, there is need for healthcare profession who can share their service skill
and should ensure about the achieving the better health. This is the one in which registered nurse
have the role to deliver quality service and ensure about the Liam better health. This is the one
which need for different skill which should be possess by the Registered nursing staff. There is
high need to get ensure about the role of registered nurse in delivery of proper care and services.
In this, nursing staff should ensure about receiving and coordinating with healthcare professional
and family member which can be effective to ensure and support the patient better health. For,
this, there are some of the skills which are needed to use while delivering proper care and
services to Liam (Alfayadh, (2020)). There are some of the skills which can be effective and
allow to delivery better care as nursing practices which are going to discussed further.
Communication skills- This is one of the effective skills that have high importance while
deliver proper care to the patient with chronic illness. This is the one which can help nursing
staff to get communicate with the patient and help to get ensure about the patient needs and
sharing of health related information in positive way. This skill has high importance in
communication with the other healthcare professional regarding patient health (Clark et. al.,
(2017)).
Teamwork- This is also an effective skill which should be possess by the nursing staff to get
ensure about delivery of proper care service. This can help to work together as a team where
other healthcare professional has also role in delivery of treatment and other services. Here,
nursing staff should ensure and get interact with other professional regarding Liam health. This
can help in getting proper care and positive impact on patient health. Working together can have
positive outcomes in achieving better health of patient. This is also an effective skill for the
nursing staff. This can help them to create effective network which can help them in delivery of
care services with high impact. Networking can help them to get connect with other healthcare
professional who can share their information about good nursing practice and their experience
which can be effective and implemented during service delivery (Grant et. al., (2017)). This can
be helpful in connecting with the healthcare professional of Liam within different organisation
for better health information plan for Liam.

Personal characteristics- Nursing personal characteristics can be effective and allow to get
better response in getting effective service delivery to patient. In this, nursing staff is the
healthcare professional where personal characteristics can also help in getting better and
effective response towards services delivery for improved patient health.
Professional characteristics- This can be effective while delivery of care and services to the
patient for better health improvement. Here, nursing staff should ensure about the better care and
safe practices.
There is need to provide some medication which can be effective for the patient with
Arthritis and asthma which may include inhaler corticosteroid or anti-inflammatory drugs like
beta-agonist, anticholinergics like tiotropium bromide, leukoterien, mast cells stabilizers,
theophylline and immunomodulatory.
Identifying strategies
To implement the shared care plan, there is need to make some strategy which can be
effective and allow to delivery better care and treatment for Liam improved health. In this, there
is need to use some strategies which can be effective and can provide better and positive
outcomes.
In this, there is need to use the strategy of working together. This is the one which can be
effective in delivery of better care and support to the patient with JIA and asthma. This is the one
in through which nursing staff may get ensure about the patient healthcare needs and support
patient by implement the shared care plan of patient. Here, nursing staff should be contact with
Dr. Jones and his regular paediatric rheumatologist who have the information about Liam and
can help to share the required information that can be effective and help in implementing the
effective shared plan (Bradbury et. al., (2018)).
To interact with healthcare organisation with whom patient is connected. This is the
effective strategy that is effective and allow Liam to deliver quality care and share the healthcare
information with nursing staff that can allow to use that information while implementing the
share care plan. Here, nursing staff should get connect with all the organisation through which
Liam is getting healthcare services and treatment (Omura, (2017)). This can help nursing staff to
assist what should be implemented in more efficiently and what should be in restricted manner.
This can help to implement the share care plan for better and positive outcome in context to
patient health.

There is also need to use the strategy of new innovative treatment and care plan which are highly
effective for the patient with JIA and asthma. This can have better positive result in delivery of
better and effectively implementation of shared care plan for the patient health improvement
(Chiang, (2019)).
CONCLUSION
From the above discussion, it can be concluding that care plan is highly effective and should
be helpful in delivery of proper treatment to patient with health issue. In this, there is need to
make better plan and ensure about the patient care team which have an important role in delivery
of healthcare services. During this, there are some of the barrier like medical condition and self-
management which can have impact on the achieving the patient care goals. in this, there is
discussion about the nursing practice which required the effective skills like communication,
team working and networking which have role in getting proper care. There is also discussion
about the strategies which are effective to ensure about the effectively implementation of care
plan. This may include the programs, innovation and several organisations which can be
effective in ensuring about the implementation of shared care plan for delivery of better
healthcare treatment for better and improve health of patient.

REFERENCES
Books and Journals
Alfayadh, (2020). Vaccinations Do Not Increase Arthritis Flares in Juvenile Idiopathic Arthritis:
A Study of the Relationship between Routine Childhood Vaccinations on the Australian
Immunisation Schedule and Arthritis Activity in Children with Juvenile Idiopathic
Arthritis. International Journal of Rheumatology, 2020.
Al-Mayouf, (2018). Noninflammatory disorders mimic juvenile idiopathic arthritis. International
Journal of Pediatrics and Adolescent Medicine, 5(1), 1-4.
Arman et. al., (2019). Effects of video games–based task-oriented activity training (Xbox 360
Kinect) on activity performance and participation in patients with juvenile idiopathic
arthritis: a randomized clinical trial. American journal of physical medicine &
rehabilitation, 98(3), 174-181.
Bakutenko et. al., (2021). AGER gene variant as a risk factor for juvenile idiopathic arthritis. The
Journal of Gene Medicine, e3399.
Bollhalder et. al., (2020). Magnetic resonance imaging followup of temporomandibular joint
inflammation, deformation, and mandibular growth in juvenile idiopathic arthritis
patients receiving systemic treatment. The Journal of rheumatology, 47(6), 909-916.
Bradbury et. al., (2018). Barriers and facilitators to health care professionals discussing child
weight with parents: A meta‐synthesis of qualitative studies. British journal of health
psychology, 23(3), 701-722.
Chiang, (2019). Relationship between authentic leadership and nurses' intent to leave: The
mediating role of work environment and burnout. Journal of nursing management, 27(1),
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Clark et. al., (2017). Perspectives of Clinicians at Skilled Nursing Facilities on 30‐Day Hospital
Readmissions: A Qualitative Study. Journal of hospital medicine, 12(8), 632-638.
Dipasquale et. al., (2019). Tocilizumab for refractory uveitis associated with juvenile idiopathic
arthritis: A report of two cases. Journal of clinical pharmacy and therapeutics, 44(3),
482-485.
Grant et. al., (2017). How do nurse practitioners work in primary health care settings? A scoping
review. International journal of nursing studies, 75, 51-57.
Hechler et. al., (2021). Role of alloplastic reconstruction of the temporomandibular joint in the
juvenile idiopathic arthritis population. British Journal of Oral and Maxillofacial
Surgery, 59(1), 21-27.
Jabs, (2021). Classification criteria for juvenile idiopathic arthritis-associated chronic anterior
uveitis. American journal of ophthalmology, S0002-9394.
Maschmeyer et. al., (2021). Antigen‐driven PD‐1+ TOX+ BHLHE40+ and PD‐1+ TOX+
EOMES+ T lymphocytes regulate juvenile idiopathic arthritis in situ. European Journal
of Immunology, 51(4), 915-929.
Mena‐Vázquez et. al., (2021). Evaluation of cognitive function in adult patients with juvenile
idiopathic arthritis. International Journal of Rheumatic Diseases, 24(1), 81-89.
Omura, (2017). The effectiveness of assertiveness communication training programs for
healthcare professionals and students: A systematic review. International journal of
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Opoka-Winiarska & et. al., (2020). The Impact of Epstein-Barr Virus Infection on Juvenile
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Polizzi & et. al., (2020). The effects on oral related quality of life induced by periodontitis in
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Schenck & et. al., (2018). Comorbidity of type 1 diabetes mellitus in patients with juvenile
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Zhao & et. al., (2018). Flares of disease in children with clinically inactive juvenile idiopathic
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