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Difficulties with assessment and management of an infant's distress in the postoperative period: optimising opportunities for interdisciplinary information-sharing

Weiner, Carlye, Penrose, Sueann, Manias, Elizabeth, Cranswick, Noel, Rosenfeld, Ellie, Newall, Fiona, Williams, Allison, Borrott, Narelle and Kinney, Sharon 2016, Difficulties with assessment and management of an infant's distress in the postoperative period: optimising opportunities for interdisciplinary information-sharing, SAGE open medical case reports, vol. 4, pp. 1-5, doi: 10.1177/2050313X16683628.

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Title Difficulties with assessment and management of an infant's distress in the postoperative period: optimising opportunities for interdisciplinary information-sharing
Author(s) Weiner, Carlye
Penrose, Sueann
Manias, ElizabethORCID iD for Manias, Elizabeth orcid.org/0000-0002-3747-0087
Cranswick, Noel
Rosenfeld, Ellie
Newall, Fiona
Williams, Allison
Borrott, Narelle
Kinney, Sharon
Journal name SAGE open medical case reports
Volume number 4
Start page 1
End page 5
Total pages 5
Publisher Sage
Place of publication Thousand Oaks, Calif.
Publication date 2016
ISSN 2050-313X
Keyword(s) pharmacoepidemiology and drug safety
medication management
analgesia
pain
communication
postoperative care
Summary OBJECTIVES: The importance of accurate paediatric patient assessment is well established but under-utilised in managing postoperative medication regimens.

METHODS: Data for this case report were collected through observations of clinical practice, conduct of interviews, and retrieval of information from the medical record. This case report involving a hospitalised 1-year-old boy demonstrates the difficulties associated with assessing and managing postoperative distress, including pain and other clinical conditions related to the surgical procedure.

RESULTS: Postoperatively, there were difficulties in managing pain and an episode of over-sedation, occasioning opiate reversal with naloxone. In addition, he had decreasing oxygen saturation and increased work of breathing. X-ray showed changes consistent with either atelectasis or aspiration, and he was commenced on antibiotics. The patient experienced respiratory distress and required intervention from the medical emergency team.

CONCLUSION: This case demonstrated the importance of comprehensive assessment and careful consideration of alternative causes of an infant's distress using the results of assessment tools to aid decision-making. Communication moderates effective patient care, and more favourable outcomes could be achieved by optimising interdisciplinary information-sharing.
Language eng
DOI 10.1177/2050313X16683628
Field of Research 111099 Nursing not elsewhere classified
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, The Authors
Free to Read? Yes
Use Rights Creative Commons Attribution non-commercial licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30093445

Document type: Journal Article
Collections: Faculty of Health
School of Nursing and Midwifery
Open Access Collection
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.