CCA206 Care of Children and Adolescents - Assessment 3: Critical Appraisal

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Assessment Task

In this assessment task, you will be required to critically evaluate the information provided in the case study scenario and demonstrate an in-depth understanding of common adolescent pathologies, and the role of the nurse in the assessment, planning and delivery of care.

Context

As adolescents mature and develop their independence, they will at times present on their own to seek health care services. Adolescents will also commonly present with their parents(s), requiring the nurse to practice family centred care.

When planning, delivering, and evaluating nursing care for adolescents who present without a parent in clinical settings, the nurse needs to build and sustain a therapeutic relationship with the adolescent, and advocate for their rights and needs.

In clinical scenarios where adolescents present on their own, and do not wish to include their family in their care, the nurse and medical team can be faced with moral and ethical dilemmas as to whether the family should be involved, despite the patient’s refusal. Adolescents should be viewed as individuals, and a determination should be made as to whether they are Gillick competent, whilst ensuring local legislation and policy is upheld.

Consider using the Clinical Reasoning Cycle to guide your case study appraisal.

For more information, you may refer to: Levett-Jones, T. (2017). Clinical reasoning. Pearson Education Australia, Chapter 1- Clinical reasoning: What it is and why it matters.

Instructions

To complete this assessment task, you must:

  1. Read the case study document found in Assessment 3 resources folder on Blackboard
  2. Critically evaluate the information provided in the case scenario
  3. Address the following questions pertaining to the case study
    • Outline and describe the aetiology and pathophysiology of the clinical
    • Identify and briefly describe the signs and symptoms of the clinical presentation and how they relate to and/or support the clinical
    • Discuss any psychosocial, emotional and/or cultural needs which should be factored into nursing care and care
    • Consider the growth and development milestones for the age of the case study character and how this will influence nursing assessment and the planning of
    • Identify the child protection responsibilities of an RN in a clinical setting and discuss the collaborative processes with a multidisciplinary team.
    • Discuss whether the adolescent in the scenario can provide informed consent, and make independent medical decisions, based on your knowledge of Gillick competence, and legislation in your state and
    • Outline and discuss the Registered Nurses role in the safe administration and management of medications for the adolescents.

Formatting

  • A cover page must be included which includes; subject name and code, assessment number, student name, student number and word count
  • Page numbers should be included in the footer along with student ID number
  • Suggested structure
    • A brief succinct introduction should be written to introduce the case study and intention of the critical appraisal (100-150 words).
    • A conclusion should be written which sums up any significant findings and concludes the critical appraisal in an engaging way. No new information should be introduced in the conclusion (150-200 words).
    • Use Headings and Subheadings where appropriate to indicate which question is being

Referencing

  • 15+ references are required for this assessment. Use recent, relevant and reliable resources to complete this task. These should be peer-reviewed literature and other credible sources (government documents, reports, publications, authentic webpages etc.,) related to the subject matter and not older than seven years.
  • It is essential that you use appropriate APA style for citing and referencing research. Please see more information on referencing in the Academic Skills webpage.

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