Treated for repeated episodes of streptococcal pharyngitis

Using evidence specific case study, address the following two : 1. Describe the pathophysiology of the presenting complaint in the case study. (300-500 words) 2. Evaluation of the nurse’s role to deliver developmentally appropriate nursing care in relation to chosen case study. Address following 3 points: 0 growth and developmental theories, 0 family centred care and, 0 the effects of hospitalisation of the child, on the child and family. (1100-1300 words) Case Study Sue is a 14-year-old indigenous girl who lives in a remote community in rural Australia. Sue has been treated for repeated episodes of streptococcal pharyngitis and impetigo over the last 2 years. The local health clinic has registered Sue and her siblings for a secondary prophylaxis program where she receives Benzathine Penicillin (3 IM routinely to aid in reducing risk of developing ARF/ RHD. However, Sue has failed to attend the clinic on multiple occasions to receive her IM antibiotics. Sue has presented to the remote area health clinic complaining of a 4-day history of acute joint pain in her knees, ankles, elbows and shoulders. A health history taken by the remote area nurse on arrival reveals that Sue reports having a sore throat 2- 3 weeks ago, migratory joint pain starting with her knees and ankles and which now includes other joints. Her temperature is 3800. When Sue is M by the remote clinic medical officer, a diagnosis of Acute Rheumatic Fever is suspected. The doctor at the clinic attending to Sue informs her mother that she needs to be transferred to a hospital for cardiology review and echocardiogram. The closest hospital that provides these services is 80okm away- Sue lives with her mother and 6 younger brothers and sisters.      

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