Jenny is a 10 year old girl being treated for pneumonia following her first course of combination cytotoxic chemotherapy regime. Her recent C & S has shown she has Bacterial Pneumonia caused by Haemophilus Influenzae
Patient: Jenny COSTE
DOB: 19/12/2005
Age: 10
Address: 29 Grant Crescent, Blakeview SA 5114
Weight: 25 kg
Height: 130 cm
MRN: 1009642
Jenny was diagnosed with Acute Lymphocytic Leukemia (ALL) six months ago but has been hospitalised for the past 10 days with pneumonia and remains very weak.
Jenny lives with her parents, Sam and Henry and two older siblings, Josh and Annalise. Jenny has been discharged home with the palliative care team and home care support services.
A Her last assessment showed:
BP 90/60, HR 85, Temp 37.4, RR 24,
IVT – 0.9% NaCl with 5% dextrose at 60 mls/hr
Medication
ceftriaxone 650mg BD IV
hydrocortisone 70 mg TDS IV
paracetamol 375 mg 6/24 IV/PO/PR
Ibuprofen 200 mg PO
maxalon 10 mg PO/IV
O2 at 2L/min via nasal specs
She is due for her next dose of ceftriaxone.
1gm ampule
9.6ml water for injection = 100mg/ml
The title of essay is CaseWorld scenario critical reflection
Critical reflection is an extension of ‘critical thinking’ and requires students to think about their practice and to examine their thinking by asking probing questions. Critical reflection moves beyond examining past situations and moves forward to apply theoretical knowledge to the future. In this assignment students must ;
choose one of the case world scenarios used in this topic to develop a written piece of work that demonstrates their capacity to critically analyse a patient situation.
consider the following theoretical perspectives : pathophysiology, relevant pharmacology, best practice, inter-professional roles in patient centred care, lifespan and psychosocial issues and choose four (4) perspectives, from the chosen case world scenario for extended discussion within your assignment.
demonstrate the capacity to think critically and relate theoretical concepts to clinical practice.
use the following headings in the structure of their paper
Heading
Intent
Introduction
Purpose of this paper.
Introduce the patient, and the scenario.
Introduce the four chosen perspectives discussed in this paper.
Extended discussions of each of the four (4) chosen perspectives.
Theoretical foundation of the chosen perspective
Identify objective & subjective data
Provide a brief rationale for each of the perspectives identified.
How does the theory influence and inform care provided
Relating knowledge to Clinical practice.
Demonstrate integration of knowledge to care provided:
eg. best practice, patient centered care, pharmacology, inter-professional roles, lifespan and psychosocial issues, pathophysiology.
Demonstrate understanding of the importance of Evidence Based
Practice in nursing practice,
demonstrate capacity to think critically and link theoretical concepts with clinical practice
Conclusion
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