Create an advanced level teaching plan for this pediatric client and his family that addresses education and outcome measures

Create an advanced level teaching plan for this pediatric client and his family that addresses education and outcome measures

Competency:

Synthesize principles of advanced pathophysiology to improve health outcomes of individuals, groups, and populations across the lifespan

Student Success Criteria

View the grading rubric for this deliverable by selecting the “This item is graded with a rubric” link, which is located in the Details & Information pane.

Scenario:

You are the primary nurse caring for a 14-year-old male receiving treatment for Acute Lymphocytic Leukemia (ALL). Before this diagnosis, he had no other medical issues. He has been undergoing chemotherapy via an implanted access port. The medical center where he is receiving treatment is geographically distant from his home. His mother is a single parent with limited transportation resources and an unstable housing situation. She recently secured employment at a warehouse. The patient’s father is not involved in his care, and there are limited extended family supports. He has responded well to the initial rounds of chemotherapy but has suffered from depression and anxiety related to his diagnosis, infrequent maternal visitation, absence from school, and loss of peer interaction. He is expected to be discharged within the next week but will need to return for chemotherapy treatments every few weeks for the next several months. Due to his treatments, he is immunosuppressed and requires precautions to be undertaken to decrease the chance of infection. You have been involved as a member of the multidisciplinary team during his acute hospitalization to coordinate care. Still, given the social and geographical variables, it has been challenging for the nursing staff to address many elements of the discharge teaching plan.

Instructions:

Create an advanced level teaching plan for this pediatric client and his family that addresses education and outcome measures related to:

  1. Acute Lymphocytic leukemia (ALL) including pathophysiology as well as short/long-term care considerations
  2. Chemotherapy side effects and care for the implanted access port
  3. Precautions for immune suppression
  4. Challenges for continued education and care related to social/economic/transportation issues.

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