Assignment Task :
Case study
Craig, a 10-year old boy was admitted to your facility in the company of his grandmother whom he spent the weekend with. Craig is known to the neurological team of your hospital. During his stay with his grandmother, he did not take his usual medications for two days. When grandmother queried Craig, he responded that his seizures have been well under control and he had stopped taking his regular medications for a week now.
He was brought in an unconscious state via the ambulance. Grandmother stated that Craig has been having seizures without recovery and appears heavily confused and
disoriented. She stated that the interval between the seizures is less than 3 minutes and Craig had remained unresponsive after the last seizure. Grandmother reported bowel opening and passing of urine in the first seizure episode and stated Craig’s parents were on their way to the hospital. She is terrified and concerned about Craig’swellbeing.
On examination, the following observations were recorded: Temperature = 39.8 degrees, HR= 140, Oxygen saturation 85%, RR= 32 rapid and
shallow, BP= 100/65mmHg. Weight recorded 41kg.
A diagnosis of convulsive status epilepticus was made based on the generalized nonresolving seizures. Craig has a past medical history of epilepsy, which has been under control for the past 18 months with anti-epileptic medications.
Using the case study above, discuss the etiology, management and health promotion for Craig and hisfamily.
Assignment guidelines
Your assignment should include the following:
1. Discuss the aetiology of the presenting condition.
2. Discuss the assessments (Paediatric Assessment Tool and/or PrimaryAssessment Framework) you will undertake to prioritize and manage care for Craig?
3. Describe the nursing management of thecondition
4. Using the child and family centred care model, how will you care for Craig’sfamily?
5. What discharge education and health promotion will you emphasize?
6. How will you teach Craig to take charge of the management of his epilepsy? What community support resources will you refer Craig to?
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