I'm having trouble with the following discharge presentation. I'm new to nursing so I have no idea what a discharge presentation really is and what it encompasses. I've done some research in books and such even on youtube.com and found a few videos that illustrate a good presentation but all of them have involved very specific scenarios involving medications etc...
I'd appreciate any insight on what exactly I should be putting in to this scenario - I've included what me (and my group, 3 of us in total) have come up with for a 10 slide, 20 minute presentation.
Theo is an Indigenous 12-month-old toddler who usually lives at home in Fregon with his parents. Theo's dad works on a cattle station. Stella, his mother, was able to breastfeed Theo for four months until she became ill. From then on Theo was bottle fed. Last month Theo developed an upper respiratory tract infection. After four days Stella took Theo to the local health clinic because he was fussy, not drinking his bottle properly, crying more than usual, pulling at his left ear and had a temperature of 38°C. The nurse at the clinic assessed Theo and noted a red, bulging tympanic membrane with a small amount of purulent drainage from the left ear canal which was not clearing with antibiotics. At the clinic Stella came back with Theo, who had similar symptoms again but also had abdominal pain. For three days ago he has been unsettled and not wanting to lie down in his cot. He was not eating and drinking properly, and only sucked from his bottle, crying each time he did this. Theo was pyrexic and anxious. Stella looked very tired and her husband, Joe, smokes cigarettes in the house. Theo and Stella were brought down to Adelaide via the RFDS and admitted to the Women's and Children's Hospital but are getting ready to go home again.
So this is what we've got so far...
1 - Introduce the scenario, Theo's case, PMHx and current situation.
2 - Talk about Fregon and what resources are available - just a brief intro to the place.
3 to 8 - List out the issues and discuss how we can resolve them: Theo's Dad smokes & works on a farm = host of chemicals and allergens to cause respiratory infections, Mum appears unwell and tired, possibly not taking care of Theo as well as she normally could, living in Fregon means insufficient access to resources especially proper healthcare, possible lack of education with parents seeing as it is a recurrent situation, possible hostility towards modern medicine, use of traditional medicines that may harm rather than help, need for interpreter or mediator (sensitivity to cultural differences).
This is a fictional situation, I hope? Because if it's not, all the information you gave out is a serious violation of patient confidentiality and HIPAA...
I'm pretty sure they don't have HIPAA in Australia.
You said mom breastfed until she became ill. Is mom still sick? Is mom healthy? Look into ways to help mom with primary care.
Dad, he smokes, and you may not get him to stop. You can always suggest he smoke outside the house- telling someone to quit smoking when they are against modern medicine may only anger him- and place blame on him for theo's health.
You stated the ear issue is not clearing with antibiotics? Well did mom have theo finish taking them? Did they even fill the script?
I would also plan in the discharge something that includes primary prevention- vitamins, flouride, vaccines. Maybe even a home health assessment.
Unfortunately it doesn't say. Just says at the start she became sick. But we are working under the impression that she may have difficulties taking care of the baby at home - we are still researching the situation of Aborigines in Fregon..
This is a fictional situation, I hope? Because if it's not, all the information you gave out is a serious violation of patient confidentiality and HIPAA...
Absolutely. We have same reverence for patient confidentiality as the US does.
Mulan
2,228 Posts
I'm pretty sure they don't have HIPAA in Australia.