Evidence based Paediatrics Care

The assignment will further explore the role of developmental stage in the design and provision of nursing care services to children as well as the importance of including family centred care in the care of the child. Finally, the paper will conclude by discussing the effects of a child's hospitalization to the child and to the family. Pathophysiology of Appendicitis Appendicitis is the inflammation of the vermin appendix’s inner lining spreading through to other parts of the appendix (Parveen, Avabratha and Shetty, 2017). The occurrence of appendicitis presents in patients with a lower right abdominal pain and presents a surgical emergency. Appendicitis occurs as a result of the blockage of the appendicitis rumen due to an obstruction in the lumen of the organ.

The cytokines thus introduced result into an inflammatory reaction within the peritoneum resulting in peritonitis which is characterized by a tender abdomen (rebound tenderness), fever, reduced urine output, increase heart rate and swelling of the stomach (Mustafa et al. Nurse’ Role in Delivering Developmentally Appropriate Care Anne is aged 10 years of age. The patient’s age bracket according to Erick Erickson’s developmental theory is the age defined as “industry vs guilt” (Bishop, 2013). At this age bracket, the child learns to become effective in conducting some things on their own. During this stage of development, the child will try out different things and develops confidence from being able to successfully complete such tasks (Bishop, 2013). The code of practice for Australian nurses (code 1) calls for nurses to offer quality nursing care to all (Nursing and Midwifery Board of Australia, 2017).

In the provision of the paediatric nursing services the nursing interventions must be within the child’s needs, the interventions also ought to be aligned to the child’s age and needs. The nursing care provided to the child and their psychosocial needs that are present for the child should also be differentiated from the needs of the parents or the family during their care. The age of development for Anne provides need to promote self-care for the child by involving her in the nursing care planning, allowing her to personally conduct some of her care needs. The allowance for Anne to participate in self-care promotes confidence in the child and prevents the development of self-doubt (Bishop, 2013). The inclusion of the family in the care of the child ought to include allowing the child to interact with the siblings during care to promote bonding and enhance their family cohesion.

The inclusion of the family promotes the child’s holistic approach to care ensuring that her psychosocial care needs are addressed through enhancing family coping strategies and incorporating them in the child’s care planning (Seliner, Latal and Spirig, 2016). The transcultural nursing theory emphasizes the importance of incorporating and respecting the patient’s cultural and religious needs in care to ensure holistic care (Busher & Daniel, 2016). The Australian nursing code of conduct (code 3) encourages nurses to provide culturally respectful and save care to the patients under their care (Nursing and Midwifery Board of Australia, 2017). Family-centred care provides the child and her family the opportunity to be able to positively engage with the healthcare teams enhancing the healthcare team’s understanding of their existing cultural and religious beliefs and their incorporation in the care planning and implementation.

The care team ought to ensure effective communication, sharing of the child's information and care planning to reduce the stress, anxiety and fear associated with a child's hospitalization. Conclusion The care of paediatric patients in conclusion is a sensitive intervention that incorporates both family-cantered care and an understanding of the implications of admission on the child and the family. The two are integrated aspects of care that are critical to ensuring that the child receives holistic and age/developmentally appropriate care for age to ensure positive outcomes. Involving the family enhances recovery and fosters effective communication and maintenance of family roles and ties while ensuring that the child is able to integrate into the care environment seamlessly and develop positive coping.

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