The following essay is about ascenario, in which a four-year-old Emily has been admitted to the hospital withgastroenteritis.
She has decreased urine output and is not taking any fluidsorally causing her to be dehydrated. She also has stomach pains from thefrequent passing of stools. Firstly, the author will write about the clinicalelement of the scenario so basically information about gastroenteritis, redflag symptoms, Bristol stool chart and pain management.
Secondly, the authorwill then link the scenario to the theories such as Piaget’s stages ofdevelopment, distraction techniques (play) and care planning. Thirdly, theauthor will write about professional values that nurses needs to follow e.g.following NMC Code which states to show dignity, respect, advocating thepatient and gaining consent for treatment or care. “Gastroenteritis is an infection ofthe gut (intestines). Rotavirus is the most common virus causing gastroenteritisin children in the UK.” (Knott, 2014) Itcan also be caused other factors such as contamination in water and food (foodpoisoning) which can occur when travelling aboard.
The common symptoms for gastroenteritis arediarrhoea and vomiting however children with gastroenteritis may also havestomach pain and fever (Imodium, 2016).Normally symptoms such as vomiting will last about one to three days whereasdiarrhoea will last at least five to seven days however sometimes children canhave these common symptoms for up to two weeks.There are many precautions thatshould be taken when caring for children with gastroenteritis as it can spreadvery easily.
To reduce the spread of infection, it is very important to followthese steps such as wear gloves and aprons when changing the child, washinghands regularly with water and soap, cleaning the toilet with disinfectantafter the child has used it and also making sure that the other people are notusing the same towels and cutlery as the child with gastroenteritis. If thechild shows symptoms of gastroenteritis then they should avoid any contact withother children so they should not return to the school/nursery (NHS, 2017).Someof the red flag symptoms that the parent needs to look out for are if the childis unresponsive and not talking that much and also if the child’s urine outputis decreasing as it is a sign for dehydration.
Gastroenteritis can causedehydration as they are losing fluids through vomiting and diarrhoea. If thechild is dehydrated, their breathing rate and heart rate will increase rapidlycausing the child’s blood pressure to go up. If the child’s body does not have balancedfluids, it will start to affect the body as it will not function properly. Theparents should call the GP if the common symptoms last longer than two weeksand also if they find blood or mucus in the child’s stool (NHS Direct Wales, 2017).