Choose one (1) of the case studies below and address the two (2) associated questions. Your Assessment will be written in academic essay format with an introduction, body and conclusion. Using evidence specific to your chosen case study, address the following two (2) questions:
1. Describe the pathophysiology of the presenting complaint in the scenario (300-500 words) and link this to question 2.
2. Evaluation of the nurse�s role to deliver developmentally appropriate nursing care in relation to care of the child and family in the chosen case study including:
I. growth and developmental theories,
II. family centred care and,
III. the effects of hospitalisation of the child and family (1100-1300 words).

Case Study
Mark is an 8-year-old boy who has presented to the emergency department in the local hospital with right iliac fossa pain. On further assessment by the emergency registrar, appendicitis is suspected. He is made nil by mouth, commenced on IV therapy and admitted to the paediatric unit for a surgical review for possible theatre that evening.
The surgical team agree that the signs and symptoms are associated with a possible appendicitis and take Mark to theatre for an appendectomy.
The handover on return to ward is that the surgical team found a gangrenous perforated appendix with peritonitis. Mark has returned to the ward with a nasogastric tube insitu on free drainage, morphine PCA, IV therapy and triple IV antibiotics.
Due to the severity of the infection and the potential complications, Mark will need to remain in hospital for 10 days of IV antibiotics and pain management.
Mark is the oldest of five children and his parents own and run an Indian restaurant in the city.

1. Describe the pathophysiology of the presenting complaint in the scenario (300-500 words) and link this to question 2.
This section is science based and the expectation is that you have a pathophysiology textbook and scientific journal articles to discuss the science related to the presenting complaint in your chosen case study. You should aim at 300-500 words for this section in at least one paragraph. You should attain knowledge of what is happening at a cellular, organ and system level, so that you show that you understand the presenting clinical manifestations.
2. Evaluation of the nurse�s role to deliver developmentally appropriate nursing care in relation to the care of the child and family in the chosen case study including:
I. growth and development theories
This part of the assessment task is concerned with ensuring the essay has a child and adolescent focus. Throughout the essay discussion, it is expected that you make reference to the child�s expected developmental milestones at that age. It is expected that growth and development research is undertaken and you make reference to growth and development theories that you think are relevant in enhancing your essay argument. Some ideas include, at what age do you include a child in medical related conversation?, how does a child/adolescent make decisions based on their developmental level ?, and even through the pathophysiology, you can make mention of underdeveloped organ systems that might influence your nursing care. How does a nurse provide developmentally appropriate care to the specific age in your case study inclusive of the presenting complaint?
II. family centred care
Neonatal/paediatric and adolescent nurses provide a family centred care model, not a person centred model. It is important that this is reflected in your essay and may bring forward issues of consent, compliance and child presentation into care. How are siblings affecting the role of the extended family? , cultural issues and whatever may be specific to the case study.
III. the effects of hospitalisation of the child and family
This section follows on from the family centred care component where it is important to understand the effect of a child�s presentation to services, particularly in a hospital setting on not only the child but the whole family.
All of the above points should be in reference to how your nursing care will be guided in a paediatric setting.
As a guide the following general essay information is provided.
Paragraph and Essay structure. An essay incudes an introduction a body and a conclusion.
The introduction should provide the reader with a framework for the essay and what will be discussed. Sometimes it is easier to write the introduction after you have completed outlining what you will be discussing. (Approximately 100-200 words).
The body of the essay is the crux of your discussion and will consume the bulk of your words (which will be divided into paragraphs). Your paragraph structure is important to note, as follows:
? Each paragraph should have a topic sentence and a concluding statement.
? Each paragraph should have a direct connection with the one prior and the one after
it. This allows the essay to flow.
The conclusion should provide a summary of the key points presented in the essay. (Approximately 100-200 words).
? The definitions used in your essay should only use academic references (not online dictionaries).
? It is important to note that this is an academic essay and should be written in the third person but may be written in the first person or a combination of both.
? There are no minimum requirements for the number of sources you use, however as a general guideline an academic paper can have 1 source per hundred words.
? In regard to the currency of references, it is generally expected that sources are within 5 years of publication. If you have sourced a reference that is older than this you must acknowledge that this source exceeds the 5 year limit and demonstrate how it is relevant to your writing.
Analysis � what do the experts state regarding the topic? Here you present the research you have undertaken, looking at different perspectives.
Synthesis � What connections can be made regarding the research into expert discussions? Evaluation � What conclusions can be reached after presenting the arguments based on
analysis and synthesis?