The pathophysiology of Sue’s complaint in the case

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Sue is a 14-year-old indigenousgirl who lives in a remote community i n rural Australia. Sue has been
treated for repeated episodes of streptococcal pharyngitis and impetigoover the last 2 years. The local health clinic has registered Sue and
her siblings for a secondary prophylaxis program where she receives
Benzathine Penicillin G IM routinely to aid in reducing risk of
developing ARF/ RHD. However,
I
Written in academic essay format with an introduction, body and
conclusion according to APA Guidelines.
Using evidence specific case study, address the following two (2) points:
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:

The pathophysiology of Sue’s complaint in the case

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• growth and developmental theories,
• family centred care and,
• 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 G 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.

The pathophysiology of Sue’s complaint in the case

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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 38oC.
When Sue is assessed 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 800km away.
Sue lives with her mother and 6 younger brothers and sisters.