Situation
Cooper Merino is a 5-year-old boy who has been admitted to the emergency department with exacerbation of his asthma. This is his third admission in the last six months for the same issue. Aside from his asthma, Cooper does not have any other medical history and is otherwise well. His mother Renee has brought Cooper in each time and is reluctant to leave him alone.
Background
Renee [31yrs] and David [33yrs] live in Pimpama, and they have two children: Cooper, and Ella his 3-yearold sister. David is a FIFO (fly in fly out) worker who is currently working in Paraburdoo, Western Australia, and can be away for 6 weeks at a time. Betty and Tom, Renee’s parents who have retired, recently moved to Brisbane from Cairns so that they can be closer to the family and help when needed. When Cooper is in hospital Ella stays with the grandparents if David is at work; however, they live too far away to drive her to day care so she stays at home with them. Although David likes Betty and Tom, he does not like leaving the children with them, as he feels they are “too old to keep on top of the kids”, and often remarks that they do not discipline the kids appropriately.
Assessment
While reviewing Cooper taking his medication you note that Renee is administering it without a spacer, and you are therefore unsure of what dose Cooper is receiving. Renee states that she has tried to use the spacer, but Cooper does not like it and does not want to make him upset in case that makes his asthma worse.
You are also aware that Cooper is withdrawn with you and other health professionals and is often found to be loud, defiant, and ‘playing rough’ with his mother. This is often associated with Renee asking Cooper to do some schoolwork such as reading. Again, Renee is keen not to upset Cooper and therefore does not ‘push’ him if he does not want to do something. Renee has previously commented that Cooper is normally very quiet and calm at home but is likely just very bored at being in hospital, which she feels is also the reason that he has again started to wet his bed at night.
The grandparents have also come to visit Cooper and have brought Ella along. They do not visit the hospital often as they find it is difficult to navigate the roads and afford the cost of parking. Although they love seeing Cooper, these challenges mean they have few visits. Renee is very happy to see Ella, however, Ella appears very shy and reluctant to go to her mother, wanting to cuddle her grandmother.
Questions
1.Use appropriate evidence from scholarly literature to describe the issue and discuss what is known about the issue/challenge.
2.Provide a relevant nursing goal and justify the goal (explain why it is relevant to the issue) using appropriate evidence or policies.
3.Outline one (1) nursing intervention that supports the family to achieve the goal. Each nursing intervention should be supplemented by the recommendation of an existing online resource for the family and an appropriate referral.
4.Describe how you would evaluate the effectiveness of the intervention to address whether it met the planned goal of care (specifically explain how the intervention can be evaluated/judged by the nurse).
The post exacerbation of asthma appeared first on Homework Aider.
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