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The model consist of 3 Cs. The 3 circles are: (1) the patients Body, (2) the Disease affecting the body and (3) the Person of the patient. Nursing functions in all 3 circles, but it is interconnected with other professions to different degrees. Core It pertains to person aspect which is cared for by therapeutic use of one self. With the help of the nurse, the patient will be able to use the reflective technique which will aid in clarifying the motive and goals. Thus, it facilitates the process of increasing the patients self-awareness. Therefore, this aims to provide more control over the patients own behavior, even if she must behave on the basis of her feelings and not on the basis of her knowledge. In line with the study, the patient showed her concern based upon on her own knowledge and judgment which opposes the principle of this model. So, the group helped the patient in modifying her behavior. Care It is concern with the delivery of health care by nurses which is the exclusive domain of nursing. Furthermore, this includes all hands-on intimate bodily care such as feeding, bathing and toileting that will result in a comforting and nurturing relationship. This also develops a closer relationship between the patient and the nurse that will represent the teaching-learning aspect of nursing. In relation with the situation, the group was able to implement the different independent nursing interventions that contribute to patients wellness. Cure It tackles the medical care and treatment of the pathological condition. Hence, this is shared with the physician that equates collaborative and dependent nursing interventions in administering different medications and treatments. The nurse functions in this role as an investigator and potential cause of pain related to skills such as injections and dressing changes. In the said case, the patient received the appropriate medical management.
Treatment
Comply with the established treatment regimen given by the doctors including prescribed medications. Encourage the mother to expose the patient to early morning sunlight Advise the mother to provide tepid sponge bath when fever occurs Provide oxygen therapy during active convulsion to alleviate the
difficulty of breathing.
Hygiene
Encourage and explain to the mother that it is vital to maintain proper hygiene by frequently washing her hands.
Out-patient
Its important for the toddler to have her follow-up check up to ensure and have the patients progress monitored.
Diet
Encourage the mother to continue breastfeeding the patient. Instruct the mother that the head must be in upright position when breastfeeding to avoid aspiration and let the baby burp after feeding.
Temperature control in children is not completed until approximately ve years of age. This may be due to the immaturity of the nervous system. The maintenance of body temperature is mainly coordinated by the hypothalamus, a central control center containing large numbers of heat-sensitive neurons called thermoreceptors. It is an important homeostatic mechanism which allows the body enzymes to work efciently within a narrow range of 36.537.5 C. In response to a change in temperature, the peripheral thermoreceptors transmit signals to the hypothalamus, where they are integrated with the receptor signals from the preoptic area of the brain.
The normal set point in childhood reflects a decreasing basic metabolic rate (BMR) as the child grows. The body temperature of the three-month-old child is 37.5 C, whereas at thirteen years it is 36.6 C. Even as the temperature regulatory mechanisms mature through childhood, babies and small children are highly susceptible to temperature fluctuations, as they produce more heat per kilogram of body weight than older children. Changes in environmental temperature, increased activity, crying, emotional upset and infections all cause a higher and more rapid increase in the younger child. The younger the child the less able he or she is to vocalize the feeling of hot or cold or to do something about it. All children may also become too cold. Small individuals who do not have warm clothes and warm homes will not grow if the temperature of their environment is consistently low. They will use much of the energy from their food intake to generate heat (metabolic rate) and leave no spare calories for tissue growth. The smaller the child, the larger the surface area for heat loss in relation to body mass. The head of a small child is relatively larger in proportion to the rest of the body, and covering the head in a cold environment conserves heat for growth. Schoolchildren may experience a sequence of small growth spurts and at times be relatively thin with minimal body fat. At the swimming pool, for example, where children enjoy jumping in and out of the water as they play, thin children may become cold more quickly than their fatter friends who have an insulation layer beneath their skin. Heat can generated through the metabolism of the liver, muscles, and other chemical activities. When children are exposed in a cold environment, it can result to hypoglycemia, elevated serum bilirubin, metabolic acidosis, and increased metabolic rate. When heat loss occurred, non-shivering thermogenesis (NST) heat production takes place in the subcutaneous tissue, hypothalamus, and spinal cord to compensate for the sudden change in temperature. Heat loss transpires through the contact in a cold environment, vasodilation, sweating where the preoptic area of the brain stimulates secretion of water to the skin for evaporation. There are different areas in the body where we can measure the temperature such as axillae, tympanic membrane, and mouth. BENIGN FEBRILE CONVULSION
Fever is among the most common symptom usually seen in infections and can often be a cause for concern for apprehensive parents. In children, a fever can appear quite suddenly and resolve just as quickly although significantly high temperatures may be recorded during the episode. Although a fever may be a sign of the bodys natural defenses against an infection, there are times when a fever can occur without any clear indication of an infection. High fevers may lead to fits (convulsions), often indicating a need for immediate medical intervention.
A fever, usually higher than 38.9 C Loss of consciousness Jerking of the arms & legs Eyes rolled back in the head Difficulty breathing
A simple, benign febrile fits is an episode of convulsions that lasts for less than 10 minutes. The nature of convulsions is generalized in that the entire body goes into spasm or becomes stiff. After the episode of fits subside, the child is normal and suffers no after effects although they may act confused and be quite sleepy. In atypical febrile fits, the episode of convulsions lasts for more than 15 minutes. The nature of convulsions affects only one part of the body and the seizure occurs more than once in 24 hours. The child may show signs of after effects or damage of the brain.
As soon as the fever begins, the temperature has to be brought down immediately by paracetamol syrup administration and tepid sponging. Until the child recovers completely from the fever episode, he has to be watched carefully for any sudden rise in temperature.