i-Human Virtual Patient Encounter – Gastrointestinal System

i-Human Virtual Patient Encounter – Gastrointestinal System

In the context of attending to a 24-month-old male child with gastrointestinal complaints, as presented in the virtual patient, the following community resources can be of help: children’s hospitals within the local region, such as Children’s Hospital Los Angeles, which provides pediatric health care, especially for severe cases of trauma and gastrointestinal problems among children. Further, community clinics offer general medical care services, while organizations such as the First 5 California advocate for early childhood care and treatment services (Haldane et al., 2019). Also, Child Protective Services (CPS) and other social services provide significant support to children who are most likely at risk of ending up in an abusive home, as illustrated by the patient in question.

California state laws are rigorous as far as reporting suspected child abuse or neglect is concerned. Healthcare professionals fall under the mandated reporters, which means they are required to report any suspicions to the CPS immediately (California Department of Education, 2023). They can also be submitted through the Child Welfare Services/Case Management System (CWS/CMS) or the local CPS hotline. Hence, noncompliance also has legal repercussions, making it crucial to adhere to these guidelines.

The clinical judgment, in this case, is one of identifying possible abuse indicators like multiple fallen ribs, ribs in different healing stages, and abnormal diagnostic results suggesting compromise through trauma or infection. The interventions include the administration of fluid to support the patient’s condition and arranging for his speedy transport to an appropriate children’s hospital. Making a report to the CPS and the police is crucial to prevent further abuse of the patient and other children in the household. Moreover, managing the issues surrounding this patient requires the combined effort of physicians and legal and social services to manage this patient’s needs. Jacket al. (2021) note that coordination between healthcare practitioners and social services plays a vital role when addressing child abuse cases while ensuring appropriate safety and protection in the future.

References

California Department of Education. (2023, January 23). Child abuse identification & reporting guidelines – Child abuse prevention training and resources (CA Dept of Education). Ca.gov. https://www.cde.ca.gov/ls/ss/ap/childabusereportingguide.asp

Haldane, V., Chuah, F. L. H., Srivastava, A., Singh, S. R., Koh, G. C. H., Seng, C. K., & Legido-Quigley, H. (2019). Community participation in health services development, implementation, and evaluation: A systematic review of empowerment, health, community, and process outcomes. PLoS One, 14(5). https://doi.org/10.1371/journal.pone.0216112

Jack, S. M., Gonzalez, A., Marcellus, L., Tonmyr, L., Varcoe, C., Van Borek, N., Sheehan, D., MacKinnon, K., Campbell, K., Catherine, N., Kurtz Landy, C., MacMillan, H. L., & Waddell, C. (2021). Public health nurses’ professional practices to prevent, recognize, and respond to suspected child maltreatment in home visiting: An interpretive descriptive study. Global Qualitative Nursing Research, 8(8), 233339362199345. https://doi.org/10.1177/2333393621993450

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i-Human Virtual Patient Encounter – Gastrointestinal System
Reflection
Address the following questions:
What resources are available in your community to assist with concerns such as those faced by your virtual patient?

i-Human Virtual Patient Encounter – Gastrointestinal System

What are the reporting requirements for your state (CALIFORNIA) and to whom would you report?
Include the following components:
write 150-300 words in a Microsoft Word document
demonstrate clinical judgment appropriate to the virtual patient scenario
cite at least one relevant scholarly source as defined by program expectationsLinks to an external site.
communicate with minimal errors in English grammar, spelling, syntax, and punctuation