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Childhood Development Theory Paper

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Child and growth development theories influence the way we assess paediatric patients and helps to improve communication between practitioner and patient using age appropriate concepts. Understanding cognitive development theories will benefit nurses, providing competent paediatric care in all medical situations.
A ten-year-old girl has presented to the emergency department with suspected ruptured appendix.
Presentation of acute appendicitis is the most common cause of emergency abdominal surgery in children ages 4 to 15 years (Wall and Albanese, 2015). Appendicitis occurs as a result of an obstruction of the lumen of the appendix. This is most commonly due to a faecalith although other causes such as lymph tissue growth, foreign bodies and tumours of the caecum exist.
The intraluminal impaction leads to increased local tissue pressure and recruitment of the …show more content…
Secondary peritonitis occurs when there is a rupture or perforation of an abdominal organ, releasing gut constituents such as bacteria, enzymes and bile into the peritoneal cavity. Peritonitis is commonly caused by a ruptured appendix (Edwards, 2005).
Following the diagnosis of appendicitis, it is routine for the child to be kept nil by mouth to reduce the likelihood of aspiration for anticipated upcoming anaesthesia. Surgery is usually performed to remove the appendix, either via laparoscopic means or via a laparotomy. Initial management of peritoneal involvement can be done during surgery with the draining of fluid from the peritoneal cavity (Farrell, 2011)
Perioperative antibiotic therapy and parental fluids are administered to help treat the peritoneal infection and hence reduce the likelihood of systemic involvement and sepsis. Parental fluids can be ceased when the child can tolerate food and fluids by mouth. (Edwards, 2008)(Edwards, Lewis's Medical-Surgical Nursing,

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