There will be two ISBAR scenarios provided, with paent informa… 1 answer below »

There will be two ISBAR scenarios provided, with paent informaon and images. Please choose only one of these scenarios to focus on for your wrien report. There are two main focus areas for the wrien report: 1) Describe in detail the assessment (‘airway and breathing’ or ‘circulaon’) of an acutely unwell child. You must describe the assessment as indicated on the scenario; 2) Outline the likely findings from that assessment based on the informaon and images provided in the clinical scenario; and 2) Describe in detail the underlying pathophysiology related to the assessment findings. The assessment of the unwell child should cover the type of assessments you would undertake, what you are likely to find based on the informaon provided in the clinical scenario, and how these findings differ from the normal findings for that child if they were not unwell. The assessment should be relevant and specific to the child’s condion and developmental stage. The descripon of the underlying pathophysiology should directly relate to the assessment findings. For example, what is the underlying pathophysiology that is causing the breath sounds heard when auscultang the child or infant’s chest? The descripon of the pathophysiology should be relevant and specific to the child’s condion and developmental stage. Assessment Criteria 1. Demonstrates comprehensive understanding of how to undertake an accurate assessment of an infant or child presenng with a respiratory or gastrointesnal condion (40%) 2. Demonstrates effecve communicaon skills (20%) 3. Demonstrates detailed understanding of the underlying pathophysiology associated with a common paediatric respiratory or gastrointesnal condion (40%) The rubrics for the assessment task provides more detailed informaon about the assessment criteriaIssy: Bronchiolitis (Airway and Breathing) I Issy is a 7 week old infant, who has been brought into the Emergency Department (ED) by her parents at 1000hrs. S Issy has a three day history of rhinorrhoea and tachypnoea. Her parents have brought her in because they are concerned Issy is getting worse. Issy is breastfed and for the last 2 days has not been feeding as well as usual – her mother reports she frequently ‘pulls off the breast’. B Issy was born at term and had no birth complications. Issy is normally well and has received her 6 week immunisations. A Temp (axillary): 38.4 degrees C; heart rate: 165 beats per minute; blood pressure: 90/50mmHg; respiratory rate: 55 breaths per minute; SpO2: 95% on room air. R* Issy has been diagnosed with moderate respiratory distress caused by RSV bronchiolitis.Max: Gastroenteritis (Circulation) I Max is a three year old boy who has been brought into the Emergency Department (ED) by his mother at 1600hrs. S Max has been camping with his family over the weekend. He started vomiting at approximately 0500hrs today. The family packed up and returned home – it was a four hour drive from the camping site to their home. Max continued vomiting – he is thirsty, but every time he has a drink he vomits. He wears pullups and Sylvia reports he has not been wet since early this morning. B Max is normally well and is up to date with his immunisations. A Temp (axillary): 37.0 degrees C; heart rate: 140 beats per minute; blood pressure: 100/65mmHg; respiratory rate: 35 breaths per minute; SpO2: 99% on room air. R* Max has been diagnosed with moderate dehydration caused by viral gastroenteritis.

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