Case Study

Abstract

Bill, aged 5 years, is admitted to the emergency department with a fractured right radius and multiple skin grazes on his forehead, right elbow, hip and knees. Bill sustained these injuries from a fall while playing with his skateboard.

Introduction

Nurses play a crucial role in the management of pain of their elderly patients, but it appears that sometimes pain is not managed adequately. The nurse practitioner is responsible and accountable for making the child feel comfortable with all the treatments he/she is undergoing. Children are at high risk of experiencing acute and chronic pain as a consequence of their growing physical activity that includes sports sports and play. If pain is not treated adequately, not only is there the suffering of patients but patients are hard to control.

Children need constant observation and treatment according to their situation. However, in case of Bill he is afraid of getting treatment because he has never had such an experince in his life and this pain is something very fearful for him. Nursing staff have a key role in the management of acute pain. Appropriate ongoing education and accreditation of relevant nursing staff are essential. Identifying errorsDoctors, nurses, and pharmacists share a common goal of identifying medical errors, understanding their causes, and making system wide changes to reduce medical risks. Aggressive case finding may identify injuries and errors that are not documented in a patient's chart. Observational studies, although costly, have identified even higher rates of error and injury occurring during medical care. Patients injured as a result of a medical error spend longer in hospital and have higher hospital costs.

Underreporting, despite any mandate, is understandable when you consider that disclosure has typically exposed organizations and individual practitioners to financial penalties, punitive actions concerning professional and organizational licenses, and legal and public scrutiny. Therefore, mandatory reporting, with its attendant threat of punishment, has had the undeniable effect of suppressing error reporting and inhibiting open discussion about errors and their system-based causes (ISMP). In the end, perhaps it is not the "mandatory reporting" component that has made many such systems unsuccessful in gaining the public's confidence, learning about the causes of error, and enhancing patient safety.

Patient attitudes and beliefs have been shown to modify pain perceptions and analgesic requirements, and patient and carer education can therefore positively influence the outcome of acute pain management. In the case of a child being treated on physical injuries its important to note that when administering a medication error is any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the health care professional, patient, or consumer. Such events may be related to professional practice, health care products, procedures, and systems, including prescribing; order communication; product labeling, packaging, and nomenclature; compounding; dispensing; distribution; administration; education; monitoring; and use.

A discussion regarding analgesia, its role in recovery and rehabilitation, and options available (pharmacological and non-pharmacological), is an essential component of an acute pain management ...