Maternal Child Health Nursing

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Maternal Child Health Nursing

 

 

Case Study: Bobby, a 13-year-old male, was hospitalized following a perforated appendix that required surgery. Bobby has an open wound requiring dressing changes twice daily. He is currently on contact precautions for a methicillin resistant staphylococcus aureus (MRSA) infection. The estimated date of discharge is five-to-ten-days post-op and will include long-term antibiotics and wound care.
The nurse notes on the assessment- Previously Bobby was talkative and related his enthusiasm for school and upcoming science competitions. However, today, he was withdrawn and stated, “I’m just tired”.
• What are the impacts when an adolescent is separated from their peer group?
• How should the nurse arrange for visitation and playtime during Bobby’s hospitalization and isolation?
• What concerns with body image would the nurse anticipate?
• Why is “play” an important part of childhood?

 

Sample Solution

When an adolescent is separated from their peer group, the impacts can be significant; they may experience feelings of loneliness and anxiety as well as a decreased sense of self-worth. This can be especially challenging for someone who, like Bobby, was previously talkative and enthusiastic about school activities. The nurse should therefore assess Bobby’s psychological state to gauge his emotional needs during this difficult time.

To facilitate visitation and playtime during Bobby’s hospitalization and isolation, the nurse should prioritize creative solutions that keep him in contact with his peers while also protecting his health. For example, allowing visitors wearing protective gear such as masks and gowns to come into the room could allow for social interaction without risking contamination (Beers et al., 2020). Or arranging virtual visits through video calls so he can interact with friends online or taking advantage of mobile gaming consoles such as Nintendo Switch™ or PlayStation 4™ which can be used safely within a disinfected environment (Konamiyama & Ikeda, 2019). Ultimately, it is important to recognize that adolescents require connectivity with their age-group in order to maintain healthy mental and emotional development (Larsen et al., 2018) – something which must not be forgotten when care plans involve periods of quarantine and/or isolation.

 

understudies. Given the expected worth of such figures propelling scholastic achievement and hence impacting results like maintenance, wearing down, and graduation rates, research is justified as it might give understanding into non-mental techniques that could be of possible benefit to this populace (Lamm, 2000) . Part I: INTRODUCTION TO THE STUDY Introduction The country is encountering a basic lack of medical care suppliers, a deficiency that is supposed to increment in the following five years, similarly as the biggest populace in our country’s set of experiences arrives at the age when expanded clinical consideration is essential (Pike, 2002). Staffing of emergency clinics, centers, and nursing homes is more basic than any time in recent memory as the enormous quantities of ‘people born after WW2’s start to understand the requirement for more continuous clinical mediation and long haul care. Interest in turning into a medical caretaker has disappeared as of late, presumably because of the historical bac

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