Care Of The Child In The Paediatric Emergency Department: Analysis
Care of the Child in the Emergency Department
This essay will seek to critically reflect on the presentation of a fourteen year old female patient with type 1 diabetes mellitus (T1DM) to the Paediatric Emergency Department (PED) of an inner city acute trust hospital, particularly within the context of family centred care (FCC) and its delivery within the PED.
Reflection will be through use of the Gibb’s reflective model (Gibbs, 1988). This model enables the user to look at what happened; their feelings on those events; and what was good and bad about the experience; in order to analyse the events, make conclusions and decide on future actions (Gibbs, 1988). Benner (1984) described expert care as “outstanding clinical situations where the …show more content…
I felt this may be a contributory factor in the case of Patient A, and this work suggests that making time to see Patient A alone for part of the assessment may have been appropriate (Duncan et al, 2014), providing it was felt she had competency of decision making in her own health care (NSPCC, 2014). Wilmott (2010) considered that in the small amount of research available, there was little difference in the ability of adolescents to make decisions about their own health care when compared to adults. In their extensive systematic review of 2011, Mikkelsen et al considers that whilst FCC is important, viewing the family solely as a unit could be to the detriment of the child. Meta-analyses such as this can be rigorous overviews of available, appropriate evidence and provide guidance for best practice and future research (Parahoo, 2006). They concluded that children are not always found to be placed at the centre of their own care often enough; rather that the concept of FCC is based around the desires of the
This essay will seek to critically reflect on the presentation of a fourteen year old female patient with type 1 diabetes mellitus (T1DM) to the Paediatric Emergency Department (PED) of an inner city acute trust hospital, particularly within the context of family centred care (FCC) and its delivery within the PED.
Reflection will be through use of the Gibb’s reflective model (Gibbs, 1988). This model enables the user to look at what happened; their feelings on those events; and what was good and bad about the experience; in order to analyse the events, make conclusions and decide on future actions (Gibbs, 1988). Benner (1984) described expert care as “outstanding clinical situations where the …show more content…
I felt this may be a contributory factor in the case of Patient A, and this work suggests that making time to see Patient A alone for part of the assessment may have been appropriate (Duncan et al, 2014), providing it was felt she had competency of decision making in her own health care (NSPCC, 2014). Wilmott (2010) considered that in the small amount of research available, there was little difference in the ability of adolescents to make decisions about their own health care when compared to adults. In their extensive systematic review of 2011, Mikkelsen et al considers that whilst FCC is important, viewing the family solely as a unit could be to the detriment of the child. Meta-analyses such as this can be rigorous overviews of available, appropriate evidence and provide guidance for best practice and future research (Parahoo, 2006). They concluded that children are not always found to be placed at the centre of their own care often enough; rather that the concept of FCC is based around the desires of the