Briefly restate the patient’s condition and problems and how the nursing interventions can benefit the patient’s health

Annabelle is a 6 year old girl who has been brought to the Paediatric Emergency Department by her parents. Her parents reported that they dined at a Chinese restaurant for dinner and after returning home Annabelle began to have difficulty breathing and appeared red in the face. Annabelle has a history of peanut allergy and has an Epipen but the parents stated, “We packed it away when we moved house and we haven’t found it yet and she’s never really had any allergic reactions since she was 3 years old.”

When you assess Annabelle, she is flushed in the face and has a reddened raised rash on her arms and abdomen. She has a hoarse sounding voice and her lips and tongue appear swollen. She says “I can’t swallow or breathe and I feel dizzy.” Her respiratory rate is 25 breaths per minute and shallow. Her heart rate is 120 beats/min and her blood pressure is 85/50 mmHg. Her oxygen saturations on room air are 92%.

The 2200 word essay should cover the points below:

· Introduction (150 words): State an overview of the patient’s condition and identify the TWO priority nursing problems. Give a brief plan for the essay topics.

· For the first problem (950 words): Briefly explain how it relates to the patient’s assessment data. You will need to draw on your understanding of pathophysiology to explain the link between the problem and the patient’s signs and symptoms. Identify TWO priority nursing interventions to address the problem. Justify the nursing interventions you will implement (explain what is involved in implementing the intervention, why it is suitable, any relevant positive or negative aspects/considerations) and support/justify the use of these interventions with reference to current evidence-based literature. Outline the evaluation criteria/data that would indicate that each intervention is improving or resolving the identified problem.

· For the second problem (950 words): Briefly explain how it relates to the patient’s assessment data. You will need to draw on your understanding of pathophysiology to explain the link between the problem and the patient’s signs and symptoms Identify TWO priority nursing interventions to address the problem. Justify the nursing interventions you will implement (explain what is involved in implementing the intervention, why it is suitable, any relevant positive or negative aspects/considerations) and support/justify the use of these interventions with reference to current evidence-based literature. Outline the evaluation criteria/data that would indicate that each intervention is improving or resolving the identified problem.

· Conclusion (150 words): Briefly restate the patient’s condition and problems and how the nursing interventions can benefit the patient’s health.

You need to discuss at least one independent nursing intervention in your essay.
For any collaborative nursing interventions you use you must discuss the nursing responsibilities and actions in relation to this collaborative intervention.
Medications cannot be both of your chosen collaborative interventions for a problem. If a medication is one of your collaborative interventions you must identify an appropriate drug that is likely to be/or has been prescribed by the doctor (in the case options some medications may have already been prescribed). You must also consider and discuss the nursing responsibilities associated with the medication (action, dose, side effects, prevention and management of same, administration requirements, evaluation).
Remember assessment is not an intervention and symptoms are not problems

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