Nursing management schedule for a child impact of hospitalization.
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Complete Health Care for Infants during Hospitalization

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  • Level: High school
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  • Paper Type: Case Study
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Introduction to Child Care

Child care and nursing constitute one of the most critical and sensitive matters, as every child has specific needs and requirements. One of the primary reasons for the excessive sensitivity is the inability of children to clearly express their suffering and the extent of the impact of illness which is made on their long-term physical and mental health (Behlau, 2015). With respect to the same, nursing becomes a serious challenge for the personnel handling children. It requires the concerned people to undertake additional care of children in comparison to other adults. In the instant report, a nursing management schedule is being developed for a five-year-old child who is purportedly suffering from Croup diseases. Further, it shall also illustrate the role of the family in the recovery of the child and the impact of hospitalization on a child.

Child's Presenting Condition

The child presents the condition of the child is that he is suffering from coughing for the last week and also suffering from mild fever as well. The child is also sneezing and has nasal congestion The major problem which is identified in a child is coughing. He had a cough for the last week and also suffering from a fever (Bennett, Dolin, and Blaser, 2014). Along with this, he is also sneezing and having nasal congestion. Along with this, the child is also suffering from the cold but he is not allergic to food or medications. The main problem of the child is cough so the working diagnosis can be an x-ray. X-ray won't reveal the most common reasons for a cough but it helps to hospitals understand the problem of the child. It is used by them to check if any lung diseases exist.

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It is identified that the child may be suffering from the Croup disease. Symptoms of this disease are cough, stridor, hoarseness, and difficulty breathing, which usually worsens at night. Along with this, the child is also suffering from fever, sneezing, and nasal congestion. All these are signs of the crop. This first step of diagnosis is a frontal X-ray. With the help of the X-ray, they can measure the performance of the neck. Other forms of investigation include blood tests and viral cultures. The viral inflection that causes Croup leads to swelling of the Larynx, trachea, and large bronchi. Swelling produces airway obstruction and, when significant, leads to dramatically increased work breathing and the characteristic turbulent, noisy airflow known as stridor

Nursing Management of Child Condition

Nursing management consists of the performance of the leadership function of governance and decision-making within organizations and employee nurses. The main elements of nursing management include planning, organizing, staffing, and directing (Caparrelli, Calogero, and Lombardi, 2015). The present case is based on a child who is suffering from the croup disease. The following are elements of nursing management.

Planning

At this stage, the nurse of the organization needs to make a plan. In this, they develop different sources that can be used by them for preventing diseases, and they are also needed to plan ways to fight the disease. It also includes the identification of signs and diseases, and it takes the first step of diagnosis. In this child, problem planning includes providing the basis of the diagnosis and then taking further steps.

Organizing

In this step, according to the nurse management, they have to manage their resources effectively (Green, 2016). It also includes giving complete resources, such as medicines, and conducting different types of tests that are required to check the main problems of the child. Along with that, it also includes providing standard treatment to the child and providing a clear description of this disease to other staff members.

Staffing

Another element of nursing management is staffing. At this stage, the nursing management conducts different types of persons, such as doctors, nurses, and other staff members, which are required for performing the operation. In this case, the child is suffering from a cough, so one member of the hospital is required to check the performance of the child, and if any problem arises, then conduct to another member of the hospital.

Directing

The directing includes giving directions to the staff members and ways to prevent diseases. It also includes the various types of guidelines that are provided by the organization to its staff members (Narayanan and Funkhouser, 2014). In this hospital, give direction to junior-level staff members on ways to care for the child. The child is suffering from croup disease so management needs to make them as calm as possible.

Medication of Diseases

In this present report, the child is suffering from croup disease, which is very rare in the present world. A major symptom of this disease is that the child suffers from a cough and also suffers from fever (Caparrelli, Calogero, and Lombardi, 2015). There are many types of medication available for such diseases. Medication of this disease is Dexamethasone and Budesonide. These two types of medication help the child to prevent the croup. From these two medications, croup patients get relief and are also considered as an effective medication.

Dexamethasone

Dexamethasone is a type of corticosteroid medication. This treatment is used for many diseases, such as rheumatic problems, a number of skin diseases, lung disease, and brain swelling. The main reason to give this medicine by administration is to prevent croup diseases. It is considered an anti-inflammatory and autoimmune condition (atel, Kitchin, and Pfeifer, 2017). This medicine helps the child from swelling and other problems which are faced by child during that problems. Administration, with the help of these medicines, wants to give relief to child and generally inject them into children's bodies. With can help a child recover from that disease early

Budesonide

Budesonide (BUD), sold under the brand name Pulmicort, among others, is a medication of the corticosteroid type. It is available as an inhaler, pill nasal spray, and rectal form. Preventing diseases like croup inhalers is the most effective way. Through this problems like infection, cough, and headaches can recover. With the help of this medication administration, the hospital wants to remove their problems. The child is suffering from cough and fever; these medicines help them recover from cough and help the child from swelling and breathing problems. It also helps to that child from other problems like asthma and generic problems.

Role of Family During Child Hospitalization And Its Barriers

A family is called a team of individuals that helps a child prevent diseases. Family plays an important role, which helps a child prevent diseases. During the hospitalization, the family plays an important role in maintaining quality of life in hospitalized patients with chronic problems. It also helps patients to do self-directed activities and develop self-care activities (Schlossberg, 2015). Additionally, the family helps to reduce the stress of patients. In the present report, the patient is suffering from Croup disease and needs extra care so he can easily recover from the problem.

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Role of Family

During the child's admission to the hospital, the parents need to make communication with their family relatives. They need to give mental support to their child so he can give equal responses to their treatments. During the admission, the parents need to consult with doctors and other people who will give treatments to their child. In this process, the parents may face some barriers, such as the fact that many staff members of hospitals do not give equal response to them.

  • Another role of the parents is to make effective communication with their doctors. In this communication process, they can explain home treatments that are given by them and also help staff members understand the main problems of their children which he is facing during the treatments (Searing, 2014). In the given case, the child is suffering from crop problems. His parents give him decongestant syrup, which helps them prevent cough for two days. Apart from this, he is acting like a normal child, and also no other diseases are found in that child.
  • The next role of parents is to make arrangements for financial resources so their child gets the best treatments. With the help of these resources, their children get admission to hospitals and receive treatments from their doctors. The main problem which is faced in this stage is the arrangement of funds in an effective manner (Behlau, 2015). In this case, parents may face problems in arranging the funds to fulfill the requirements of hospitals.
  • Apart, the role of parents also includes giving emotional support to their children. The emotional needs are aimed at the improvement of the therapeutic program and the communication with nursing and medical staff. It helps patient care. In this, the main problem that is faced by the family is to make the child adopt the treatments.
  • Impact of hospitalization on child

There are several impacts of hospitalization on children. During the hospitalization, the child may fear many elements. Following are the impacts of hospitalization on children.

The main fear of children during hospitalization is that they get concerned regarding their parents. In many situations, it is found that children may be afraid that may be their parents. During this time the child may not give equal responses to their treatments and many be them get a nervous breakdown. The child is suffering from the croup disease and he is only 5 years old. During the hospitalization, he may be concerned about his parents. During the hospitalization, the child may get a sense of separation and rejection. In the hospital, the children may get nervous. It may also affect their mental health and physical ability. There are certain other factors which can also be concluded in this. It is that children under 5 may not understand the environment of hospitals and might get afraid of their treatments. Another impact of hospitalization is that a child may create a sense of fear regarding the hospital environment. During the hospitalization, the child may get fear from the pain which he got during the hospitalization. Apart from this, these children also have a fear of many things, along with hospitals. The Children are afraid of many. Hospitalization may increase the scale of the stress of children in the hospitalization. During hospitalization, the children get afraid of many things and also these things lead to many other problems in their situation, such as fears and anxieties, especially separation from their parents, etc.

There are many other problems that are faced by the children during the hospitalization. In this hospital, child may not give equal responses to their treatments; they do not take proper food and along with this, they also get a fear of pain. In this hospitalization process, the child does not take proper food and medicines, which is not a good sign for them. In order to recover from the disease, they need to follow certain rules and regulations. So they can easily recover from the diseases.

It is the responsibility of hospitals and parents to give moral support to their children so they can recover from the diseases. In order to manage the changes, they also need to guide their child so they can easily prevent the diseases.

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Conclusion

The presented information helps in enhancing knowledge about the basic conditions of a child when he is suffering from fever and coughing. There are different factors that contribute to this situation and even worsen the impact if not handled properly. Hence, there are facts presented in this report which denote that apart from specific medications, the patient must not be given any other medicine because it can lead to serious health concerns. Furthermore, there has been a nursing plan presented here which denotes the steps that have to be followed to provide effective care and health support. This report also helps in understanding the role of parents in critical conditions of a child.

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References

  • Behlau, I. (2015). 30. Croup, supraglottitis, and laryngitis. Clinical infectious disease.
  • Bennett, J. E., Dolin, R., & Blaser, M. J. (2014). Mandell, Douglas, and Bennett's principles and practice of infectious diseases. Elsevier Health Sciences.
  • Bjornson, C. L., Williamson, J., & Johnson, D. W. (2016). Telephone Out Patient Score: The Derivation and Validation of a Telephone Follow-up Assessment Tool for Use in Clinical Research in Children With Croup. Pediatric emergency care.
  • Caparrelli, C., Calogero, C., & Lombardi, E. (2015). Systemic corticosteroids in respiratory diseases in children. Systemic corticosteroids for inflammatory disorders in pediatrics. Springer International Publishing.
  • Green, R. J. (2016). Obstructive airway disease in children: respiratory. Medical Chronicle. 2016 (Aug 2016).
  • Narayanan, S. & Funkhouser, E., 2014. Inpatient hospitalizations for croup. Hospital pediatrics.
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