Children’s professional boundaries of a children’s nurse include

Children’s nurse attributes include being intuitive and being able to look after children, their families or carers when they’re distressed. When Ben was in the hospital, the children’s nurses looked after the child very well by showing respect and empathy. The nurses also supported his parents by providing them information on how to treat their child at home. It is very important that the nurses have excellent verbal and non-verbal communication skills in order to meet the child’s needs as well as their families. Children’s nurses role is to look after children from ranges of 0-18 years of age who are suffering from different conditions, to assess the child’s needs and their medical, social, cultural and family circumstances are taken into account (Prospects, 2018). One of the professional boundaries of a children’s nurse include maintaining confidentiality and this is by not sharing personal information to others, this allows trust between the nurses and the patients. It is vital that all nurses treat all individuals equally. Even though Ben’s parents didn’t stay with Ben throughout his whole time in the hospital, the nurses are not suppose judge them and accept their families decisions. Otherwise this can build bad relationships between Ben’s family and the nurses as Ben’s parents will feel betrayed. This can break the nurse professional boundaries. Maintaining professional boundaries are extremely important as it gives protection emotionally and legally. Working together is important

Play specialist and a named nurse were the two multi-disciplinary teams who were involved in caring for Ben. A named nurse is responsible for the patients care they receive in the hospital. They’re required to create a care plan which shows the treatments and care the patients will receive depending on their needs. During the patients stay in the hospital, the named nurse will discuss with the patients family about their care in order for them gain an improved understanding of the patients care, treatment and their needs. During Ben’s time in the hospital, the named nurse looked after him and they provided him appropriate treatments in order for Ben to manage his condition well.  Play specialist was also part of the multi-disciplinary team and their role use their understanding of the children’s development in order to help children cope with anxiety, fear or pain during their time in the hospital. Ben having a play specialist was very beneficial for him as his parents do not come to visit him very often and he wouldn’t feel lonely. When Ben received his treatments, the play specialist used good distraction techniques to help Ben cope.

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Both of Ben’s parents work long hours, this can cause Ben to feel lonely, he’ll feel neglected and miss his parents during his time in the hospital. Spending time in the hospital alone most of the time can be stressful for Ben. Studies have shown that parents should stay with their child during their time in the hospital especially during the night, this allows children to get better quickly (Parenting and Child Health, 2017). However, Ben’s parents only visit Ben in the mornings due to work and this can cause Ben to not feel better any time soon. Moreover, Ben will struggle to go to sleep in the night as his parents are not there with him, this can have a negative effect on Ben’s development as he is required to have plenty of sleep at his age. Ben’s families no being there most of the times can cause Ben to feel confused as he won’t understand what is happening when children are ill. When Ben’s parents visit their child, they receive …… Parents supporting their child whilst they’re in the hospital is very important in order to allow them to have good experience in the hospital and to build good relationships with the members of staffs in the hospital. Ben’s parents are permissive because they have few demands on their child.

Ben requires treatments as he hasn’t got enough oxygen in his blood and this caused him to have problems with breathing as well as eating and drinking. Children with bronchiolitis are recommended to have extra oxygen and the amount of oxygen in the blood is measured with a pulse oximeter, this is either attached to the child’s finger or toe. Ben had thin tubes in his nose in order to receive more oxygen. He was given fluids through a feeding tube (this is known as a nasogastric tube) as he was having troubles with eating (NHS, 2015). This tube was in Ben’s mouth and the fluid was travelled down to his stomach. Ben’s parents were asking for their child to have antibiotics. However, the NICE guideline highlights that antibiotics should not be given to children to treat bronchiolitis. (NICE, 2015) This clearly indicates that antibiotics are not effective in managing bronchiolitis. Ben being refused to be given antibiotics by the nurses can cause his parents to feel like the nurses are ignoring them and they may also feel like the nurses are not doing well enough in managing Ben’s condition. This can also cause the parents to not have a good relationship with the nurses. Ben has an infection and he was put into isolation in a single room, the reason why he was in there is to prevent infection from spreading to patients, staffs, and visitors. Staffs are required to wear personal protective equipment (PPE)  including apron and gloves; they’re also required to wash their hands effectively to prevent infections from passing on to others. Ben required to stay in the hospital for a couple of days and being in isolation can make him feel very lonely, bored and sad. If Ben was put in a bay instead of a side room then his experience in the hospital will be positive as he’ll be with other children and he wouldn’t feel lonely. He would have also been able to go out to the playroom to play with other patients.

This condition can make Ben feel uncomfortable as he is having trouble breathing well. This can have an impact on his siblings because Ben wouldn’t feel comfortable playing games with his siblings, this can cause them to feel unhappy and they could even wish that things were the same as they were before. At the age of two, children’s growth rate will begin to slow down and there are lots of changes in his bodily proportions. Normal growth and development are supported by taking good nutrients, having plenty of sleep and exercising.  However, Ben having bronchiolitis can have a negative effect on his growth and development. This is because he would struggle to eat normally as before due to finding it hard to co-ordinating feeding and breathing at the same time. He would also struggle to have plenty of sleep as he may be having a persistent cough during the night. Furthermore, Ben taking part in physical activities can cause many complications including shortness of breathing, dizziness, chest pains and wheezing. This can cause Ben to not take part in any physical activities which can have an effect on his growth and development.

In this essay, I am going to discuss about a two year old patient, whom I shall call Ben to maintain confidentiality in line with the NMC Code of Professional Conduct (NMC.org.uk, 2015), who has been admitted to hospital because he has bronchiolitis. This condition is caused by an infection of the bronchioles, this is a tiny branch of air tubes in the lungs. These airways become inflamed which causes swelling and a lot of mucus. This can result in having a cough and experiencing pain in the throat or upper chest when coughing (Parenting and Child Health. 2017). 

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