Word count 2000 +/-10% The purpose of this assessment is to facilitate your understanding of the theoretical and practical aspects of caring for acutely ill children. The assessment questions are designed to give you the opportunity to demonstrate your understanding of the content covered in the Learning Guides for themes 2 & 3 of this subject. Question 1 (900 words) Having completed the Learning Guide for Theme 2 in this subject (Febrile Illness and Sepsis, in paediatrics), you will have considered the many issues that surround fever and its management. For this question you are required to write a short essay/discussion addressing the following points; Explain the complexities of contemporary fever management. Provide an overview of current best practice for fever management that is supported by the literature – compare this to your local practice HEALTH, AUSTRALIA. evaluating strengths and weaknesses and highlighting areas for improvement. Question 2 (1100 words) In the Learning Guide for Theme 3 of this subject, (Managing fluid and electrolyte balance in a child with gastroenteritis) you will have read about various clinical issues related to fluid and electrolyte balance in children, the assessment of hydration, and the provision of fluid therapies. In order to complete this short essay you are asked to choose a patient from your clinical practice that has a fluid imbalance this could be a patient that is dehydrated/hypovolaemic secondary to surgical or traumatic blood loss, GI losses resulting from gastroenteritis, or renal losses from diabetes insipidus. Or you may choose a patient that is overhydrated or hypervolaemic, as a result of acute renal failure, or iatrogenic fluid overload, for example. Speak to your tutor if you are unsure. In the discussion of your chosen patient you must include; An overview of the patient’s history, reason for admission/presentation and working diagnosis A description of the patients clinical presentation and subsequent clinical assessment findings – include links to underlying pathophysiology and method for assessing hydration Rationalise the fluid management plan calculated for your patient – use evidence from the literature to justify the plan Prioritise the nursing management strategies important to your patients care. Remember: using a case review as the focus of your essay is not about tracking the patients progress notes or about describing the patients in-hospital stay – for example, listing vital signs or blood results means nothing without an analysis of them. You must analyse and evaluate the episode of care in relation to the topic points above. Your assessment will be graded using the Marking Rubric for Short Essays.
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