Life Limiting Illness Essay

surface-to-air missile (name changed to protect confidentiality) is a nine calendar month old boy who was born at 26 weeks and diagnosed with inveterate lung disease. He was sent home on 0.3 litres (L) of oxygen per minute with the view of bit by bit weaning this gobble up as he grew stronger. When I joined the confederation oblige visiting surface-to-air missile at home, he had been deprive down to 0.1L of oxygen per minute, so was now having his time on oxygen weaned down from continuous oxygen eventually to none. The community have gots follow the dedicates nursing assessment guidelines which are based on The twelve Activities of Daily Living (Roper et al, 1983). This model allows nurses to organise and prioritise care effectively for each individual child (McQuaid et al, 1996). As Sam was recovering from chronic lung disease, his respiratory well-being was the main priority. During the weaning process the community nurses get regular respiratory reviews to ensure Sam is coping with the lessening measurement of oxygen.This assessment can begin as soon as the nurse enters the home. We were competent to assess Sams work of breathing by looking at him and listening to him. He was not exhibiting any signs of respiratory distress such as nasal flaring, recession, grunting or wheezing, all of which would make out us he was making excessive respiratory effort (Huband and Trigg, 2000). It is indwelling to monitor oxygen impregnations and vital signs in a respiratory review. The flash oximeter is used to alert nurses to potential hypoxaemia. It does this by emitting red and infrared decrease from the sensor into the patient. Oxygenated and deoxygenated blood absorb different amounts of infrared light, so an fair(a) value can be calculated to show the percentage saturation (Huband and Trigg, 2000). The nurse ensured Sams foot was warm before attaching the analyze to it, to determine if he had good peripheral perfusion. This is important for obtaining an accurate reading.The nurse sure Sams parents that we would be happy with Sam saturating supra 95%. He was sitting around 99-100%, which was a great sign. His airing rate was within limits at 41. Sam was currently having 8 hours turned oxygen per day and this review showed he was coping well. The pulse oximeter withal recorded his heart rate at 124 beats per minute, he was peripherally warm to the touch, and he was pink and perfused, so there were no concerns with his circulation. Sam is bottle fed on demand. He was gaining weight and his mum account he was feeding well 6-8 times a day. There were no concerns with his elimination as he passed urine and opened his bowels regularly.He had no history of pyrexia or hypothermia so it was not necessary to clear his temperature. Sam lives at home with his mum and dad, the family appear happy and settled. twain parents seem to have bonded well with him. His mum is very good with him exclusively is often keen to progress with Sam q uicker than is advised by healthcare professionals. For example when Sam was having 3 hours off oxygen a day, his mum had disclosed she left him off for 5 hours, although this was against advice given.The nurses role is to reinforce the advice given without losing the good relationship with parents. Working in partnership with parents in the community after their children have been discharged involves handing catch back to them, but this must be balanced with professional intimacy and expertise (Muller et al, 1992). Sams mother also had a purpose to compare his development with other babies of his age, forgetting to correct his age for his prematurity.The nurse reminded her that Sam was doing very well considering he was 3 months premature. As I was playing with Sam I found him to be very alert and receptive. He interacted well with me, smiling and giggling at stimulations. After conducting a thorough respiratory review and discussing Sams progress with his parents, the communit y nurse was able to advise them to advance him to 12 hours off oxygen a day. She informed Sams parents that another overnight sleep study would wishing to be conducted in the next few weeks, so the consultant would be able to confirm he was still coping well.Huband. S and Trigg. E (2000) Practices in Childrens Nursing Guidelines for Hospital and Community. Harcourt Publishers Limited. McQuaid. L, Huband. S, and Parker. E (1996) Childrens Nursing. Churchill Livingstone. Singapore. Muller. D, Harris. P, Wattley. L and Taylor. J (1992) Nursing Children Psychology, Research and Practice. Second Edition. Chapman and Hall. London. Roper. N, Logan. W and Tierney. N (1983) apply a Model for Nursing. Churchill Livingstone. Edinburgh.