Ella Rosen

Question 1

Ella has been vomiting and is refusing diet and fluids.
(2 marks)

Answer 1

> This could be the body’s response to expel infection.

> Could also be a symptom of dehydration.

Question 2

Ella has a borderline fever.
(2 marks)

Answer 2

> Pyrexia is body’s response to infection.

> To help stop the production and kill many infective agents.

Question 3

Mum is unable to settle Ella.
(1 mark)

Answer 3

> Ella will be feeling unwell and her only way to communicate is crying.

Question 4

Ella has borderline tachycardia and hypertension.
(2 marks)

Answer 4

> Body increases temp and white cells in response to infection

> which increases HR and BP to pump blood around body faster.

Question 5

From the history and assessment, outline four physiological concerns you have for Ella, and relate them to the pathophysiology.
(4 marks)

Answer 5

> Ella has borderline tachycardia and hypertension.

> Mum is unable to setlle Ella

> Ella has borderline fever.

> Ella has been vomiting and is refusing diet and fluids.

Question 6

Name one concern relating to Ella’s mental wellbeing.
(1 mark)

Answer 6

Ella’s mental health less of a concern, but mum may cope less well with the stress.

Question 7

What action will you take for PEWS SCORE if 1? (1 mark)

Answer 7

Treat as prescribed, 60-minute obs, escalate to 2 if not responding.

Question 8

Explain the process you would follow in preparation for prioritising care and writing a plan of care.
(6 marks)

Answer 8

> Review Ella’s history.

> Review assessment and clinical observations and decide which are out with acceptable limits.

> Decide the ADLs with which Ella needs support.

> Consider the priority of importance of Ella’s needs.

> Write the care plan, ensuring each element is SMART.

> Ensure evaluation date is set.