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You are the 3rd year student Nurse – asked by the Community RN to put together a presentation for the family focussing on two (2) aspects of care that will • Support self-management in the community, avoid hospitalisation (hospital avoidance) . • Must be person-centred based on what the person has identified as needed for self-management at home.

 

Amelia 13yo – (pronouns she/her ) • Mum: – Sandra – Dad: Derek • Siblings James (16yo) and Darcy (5yo) • Lives in Marion South Australia General medical background • Childhood asthma – eczema as a child – still has the occasional flare up • Triggers, pollen, dust, dander (cats), grasses • No other allergies Medications • Preventor – Pulmicort Turbuhaler (Budesonide) – only during hay fever season • Reliever – Salbutamol (Ventolin) Current situation Recent admission to ED after a sustained asthma episode at school – unrelieved by 2 rounds of 4 puffs of the reliever. Amelia and her Mum report that the frequency of asthma episodes have increased over the last 6 months – since Amelia has started at high school. Amelia does not have an asthma plan in place – and has been reluctant to address this as she believes she is able to manage the episodes on her own now she is in high-school. Amelia states she does not want to draw attention to herself as making friends at school has been difficult. Amelia’s new group of friends like to sit on the school oval at lunch time – and although Amelia knows that the grass on the oval does trigger an asthma episode, she is reluctant to mention this as she does not want to lose her friends. You are the 3rd year student Nurse – asked by the Community RN to put together a presentation for the family focussing on two (2) aspects of care that will • Support self-management in the community, avoid hospitalisation (hospital avoidance) . • Must be person-centred based on what the person has identified as needed for self-management at home. NURS3003 Cases for Assessment 1 – oral presentation 2 Amelia has a ‘spacer’ – but does not use it at school – again this is something that may draw attention to herself as different • Develop an asthma plan – the school has asked for it – but Amelia says she does not understand why this is needed • Amelia would also like to know more about what services are available to her to work towards self-managing asthma episodes, as she feels that when the family meets with healthcare professionals her parents have been the focus of health information, not her. • Amelia has asked to be put into contact with a healthcare professional who can help her and her Mum to work out how to properly use the NDIS website. The NDIS system is sometimes confusing, and the online services are difficult to find and her Mum wonders if they are accessing all the available resources. • Amelia has also asked for more online information sites and / or support groups that she can engaging in – perhaps with people her own age.

SCIENCE
HEALTH SCIENCE
NURSING
NURS 3003

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