Introduction
The process of ensuring that children that are in their infancy state remains safe from harm or injury and greatly requires the intervention and participation of parents in their bid to raise children that are free from injuries and harms. The health care official has made the role of educating the parents to recognize the importance of injury prevention and safety. Safety and injuries prevention is a wide area that really stresses on an array of issue that affects the infants and the adolescents and as a result, parents needs to understand the importance of injury prevention and maintenance both external and internal injuries.
The parent should be educated on the child safety as a serious public health concern that has gained strong research and momentum as reported on the world report on the injury prevention on children. The parents should ensure that child injury prevention is maintained, as this would improve even the economy through minimization of cost. Ensuring that the patients are safe and prevented from injuries should be an ongoing priority for the patients as the child progress from the infancy. The parent should also maintain proper supervision and focus a lot of concentration on the child medical status as this will improve the safety of the student.
Most of the parents of the infants always underestimate the level of the children and they overestimate their sensory skills and cognitive skills. The integration of the injury prevention process and a proper counselling program with the behavioural and developmental behaviour and the family can be an important tool to ensure that information related to prevention of injuries and safety is passed and highly implemented.
Diagnosis of a patient who is 4 month and borne premature, the patient was admitted with meningitis which developed hydrocephalus and they place a shunt that becomes infected. The nursing interventions care and outcomes to ensure that the child is taken care of should include the following flow of activities:
- Nursing diagnosis
- Alteration of the level of consciousness in relation to the neurological and infection impairment
- Goals of this nursing intervention
- To manage the level of awareness of the client and ensure that the client comes back to normal
- No ant kind of physical injuries
- The expected outcomes from the diagnosis
- To maintain the Glasgow Comma Scale within the normal limit which is 15
- Good awareness and conspicuousness of the child
- Orientation to time person and place
- Overall important signs within the normal limits
Nursing Intervention
The nurse should ensure that they monitor the patient neurological status from time to time to the normal state and this includes the required Glasgow coma scale (GCS)
They should access all the motor responses for ant kind of command that is performed by the nurses.
A proper evaluation of the patient's ability to open eye in this entails the spontaneous opening of the eye (fully conscious), the opening of the patient's eye only when given stimulants that are painful or if the patient is in the closed comma.
They should access the verbal responses of the patient and note if the patient is aware or if the patient is confused of even using words.
Nursing Rational
A proper assessment of the trend of changes in the patient level of awareness is very important and the improvement in
Measuring and management of the patient overall situation and the best clue to the patient overall state of consciousness which is then closed
Measuring and determining the level and agreement of speech to develop the level of consciousness
Applying the ideas, a manager can easily ensure that similar malpractice does not occur. Providing education to the parents can be important in that, in this context, they can be guided to stick to, and apply their professional knowledge strictly. They would be able to know the condition of the child under involuntary or involuntary programs. Besides, they would have known the best time to issue discharge to the patient after carrying out a proper assessment of her condition. The idea of timely interventions would also be important in this situation in that the parents would know the decision to make when under the dilemma of whether to apply for involuntary or voluntary admissions. In the case study, the parents were not aware of what to do and had to consult at that given moment. This would have been solved if they would have known the right way earlier.
Evaluation of the Implementation of the Ideas
The results of the application of the ideas can be measured by assessing the ability of the nurses to manage risks with respect to ensuring patient safety in a healthcare unit. Such health practitioners recognize the fact that they have a liability in case the need for the safety of the patients is violated. The assessment should be done early enough before any form of nurse malpractice is experienced to ensure that the professionals re-equipped with adequate knowledge for proper intervention. When patients have a positive experience in terms of safe treatment, then the application of the idea will be considered successful. The actions are therefore proactive since they are initiated before a health problem occurs.
Meningitis Medication
The patient is taking the medication azenil because she is suffering from strep throat. This condition has caused fever, sore throat and swollen lymph nodes in the patient's neck. The health condition has also been confirmed through the oral examination.
Dosage Recommended for the Patient
What is the recommended dosage according to evidence-based practice?
The patient is currently receiving a dosage of 12 mg per day for five days. This is the right dosage for the patient based on her age. The evidence research that a patient in this category is provided with a daily 12mg dosage for five days as in this case; therefore, the practise is informed by appropriate clinical information (Martin, 2015).
Mechanism for Treatment and Prescription to Patient
Azenyl stays in one's body for a significant period during which the medication relieves a sore throat therefore effectively assists in the treatment of the condition. Azenyl tends to treat the strep throat condition by killing the bacteria in the throat and tendrils. As a result, the pain and fever experienced will significantly be lowered. The medication remains effective the complication is caused by bacteria and not a virus. The given choice of medication is based on its effectiveness relative to the traditional and other alternative treatment approaches. Moreover, education was chosen due to the relatively short period during which it treats meningitis.
Potential Side Effects on the Patient
Azenyl is antibiotic and has many possible side effects to the patient. These include stomachache, nausea, vomiting, diarrhoea, and loss of appetite among other significant situations that the patient can suffer from while under the given form of medication (Martin, 2015).
Diagnosis of a patient who is 4 month and borne premature, the patient was admitted with meningitis which developed hydrocephalus and they place a shunt that becomes infected. The nursing interventions care and outcomes to ensure that the child is taken care of should include the following flow of activities:
- Nursing diagnosis
- Alteration of the level of consciousness in relation to the neurological and infection impairment
- The expected outcomes from the diagnosis
- To maintain the Glasgow Comma Scale within the normal limit which is 15
- Good awareness and conspicuousness of the child
- Orientation to time person and place
- Overall important signs within the normal limits
- Goals of this nursing intervention
- To manage the level of awareness of the client and ensure that the client comes back to normal
- No ant kind of physical injuries
References
Anderson, D., Chen, L., Weber, D., Moehring, R., Lewis, S., & Triplett, P. et al. (2015). The Benefits of Enhanced Terminal Room (BETR) Disinfection Study: A Cluster-Randomized, Multicenter Crossover Study with 2 2 Factorial Design to Evaluate the Impact of Enhanced Terminal Room Disinfection on Acquisition and Infection Caused by Multidrug-Resistant Organisms (MDRO). Open Forum Infectious Diseases, 2(suppl_1). doi: 10.1093/ofid/ofv131.122
Demirci, A., Macar, T., Ozturk, Z., Gok, C., Erkum, I., & Hatipoglu, S. (2015). Children with aseptic meningitis in summer in our clinic. Bakirkoy Tip Dergisi / Medical Journal Of Bakirkoy, 9-12. doi: 10.5350/btdmjb201511103
Nuri Dilek, O., Acar, T., Ozlem Gur, E., Ozsay, O., & Haciyanli, M. (2017). Huge retrorectal cystic teratoma mimicking meningitis. Australasian Medical Journal, 10(1). doi: 10.21767/amj.2017.2701
Yorgancilar, E. (2013). External auditory canal osteoma resulting in cholesteatoma which is complicated with meningitis. The Turkish Journal Of Ear Nose And Throat, 23(1), 44-47. doi: 10.5606/kbbihtisas.2013.78790
Stewart, A. (2011). Risk management: reactive versus proactive struggle. Journal of Nursing Law, 14, 91-95. Doi:10.1891/1073-7472.14.3.4.91
Yildiz, D. (2012). 1883 The Risk Fields of Malpractice and Strategies for Reducing the Risk of Malpractice in Neonatal Nursing. Archives Of Disease In Childhood, 97(Suppl 2), A531-A532. doi: 10.1136/archdischild-2012-302724.1883
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