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. Attached Files Name Description MIMEType Size Downloads manias-difficultieswith-2016.pdf Published version application/pdf 492.86KB 7 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, 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 Persistent URL http://hdl.handle.net/10536/DRO/DU:30093445 Document type: Journal Article Collections: Faculty of Health School of Nursing and Midwifery Centre for Quality and Patient Safety Research Open Access Collection Related Links Link Description Connect to published version Go to link with your DU access privileges     Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved. 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. Versions Version Filter Type Thu, 06 Apr 2017, 10:47:16 EST Fri, 07 Apr 2017, 05:01:53 EST Fri, 07 Apr 2017, 06:07:52 EST Mon, 29 May 2017, 11:38:45 EST Mon, 29 May 2017, 11:45:03 EST Thu, 15 Jun 2017, 14:02:25 EST Thu, 15 Jun 2017, 14:02:57 EST Fri, 07 Sep 2018, 12:36:50 EST Filtered Full Citation counts:   Cited 0 times in TR Web of Science Cited 0 times in Scopus Search Google Scholar Access Statistics: 113 Abstract Views, 7 File Downloads  -  Detailed Statistics Created: Thu, 06 Apr 2017, 10:47:16 EST

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.