Pediatric Nursing
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Pediatric Nursing
For the purpose of confidentiality the name of the case study, has been changed
(UKCC 1996) The aim of this essay was to select a client, the client in this
case being a ten-year-old boy with cystic fibrosis, in a hospital setting. To
assess the holistic needs of that client, using Beck, Williams and Rawlings
“The five dimensions of self”, (Beck 1993) Josh has lived with cystic
fibrosis for 7 years –People with CF suffer from chronic lung problems and
digestive disorders. The lungs of people with Cystic Fibrosis become covered
with sticky mucus, which is hard to remove and promotes infection by bacteria.
Many people with CF require frequent hospitalisations and continuous use of
antibiotics, enzyme supplements, and other medications. Born and living in hull
59 miles away, Josh has to be admitted to this ward every two months for
treatment, when admitted he generally remains in hospital for three weeks. Josh
has no father, but has a mother who is very protective and takes a keen interest
in his care. His mother who works as a sales assistant in a small shop in hull,
travels with Josh every two months and stays with him for the duration.
Intellectual Dimension Education has been provided in hospital for many years,
the 1944 education act stated that “all children should be educated according
to age, ability and aptitude” (Hull 1989). One of the problems with having to
attend the ward every few months is the lack of schooling Josh received, and
increased chance that he will get behind in his schoolwork. This is why it is
extremely important that education and homework should continue in hospital. The
teacher on the ward that I worked came to see the children at 9am until 12pm
Monday to Friday, spending around 15mins with each child. Having spoken to the
teacher she said that she has to find each child’s level, and work from that.
This has its benefits, giving the child the one to one tuition, however in
Josh’s situation, he wasn’t very well, and didn’t feel particularly
motivated. The last thing he felt like doing was schoolwork. The teacher did
nothing to motivate Josh, she would explain what he had to do, and then leave
him until the following day. As soon as the teacher had gone, he would put the
work down and do something else. It was left to the nurses on duty to motivate
him to do his work, which during busy periods was quite difficult, so regardless
of the teacher being employed by the hospital, I don’t believe in Josh’s
case it was...
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