In this assignment you are to explain the pathophysiology of a complex neonatal condition from
the scenario below, develop a plan of care for this, as well as undertake a literature review for
one aspect of care. Detailed instructions for completing this assignment are provided below.
Study the ISBAR handover provided and respond to each assignment instruction (Part A, B & C)
in your essay.Please note: This essay requires an introduction (approx. 100 words) and a conclusion (approx.
100 words). Referencing is to adhere to the Harvard system.Part A: The pathophysiology
Describe the pathophysiology of hypoglycaemia, including the risk factors, prevalence, signs and
symptoms, treatment and outcomes, with reference to clinical resources and literature to
support your explanation.
(800 words)Part B: Plan of Care
Devise a care plan for this infant in response to the Recommendation component of the ISBAR.
(500 words)Part C: Literature review
Provide a literature review to support any one component of neonatal care as outlined in your
devised care plan or which is outlined in the ISBAR. (1000 words)ScenarioIdentify
Taylor James (B/O Sally James), UR 24658821Situation
Taylor has been brought to the Special Care Baby Unit (SCBU) to have a Blood Sugar Level (BSL)
taken at 1 hour of age. The result is 1.2mmol/L. The Birth Suite Midwife and her Father, Stuart,
has escorted her.Background
Mother Sally is 26 years of age, a primagravida (P1+0) who developed gestational diabetes and
required insulin with meals. She found it difficult to manage her blood sugar levels throughout
the last 8 weeks of her pregnancy, with commonly high BSLs recorded. Sally was induced for
hypertension related to her pregnancy at 38 weeks gestation. The membranes were artificially
ruptured 4 hours prior to delivery and she was GBS negative. She received an oxytocin infusion
and an insulin infusion with her BSLs within normal ranges during labour. Taylor was born
vaginally with Apgars of 7 at 1 minute and 8 at 5 minutes. Sallys partner Stuart was present for
the birth. A birth weight of 4.1 kilograms was recorded. Sally had immediate skin to skin contact
with Taylor. An attempt at a breast feed was unsuccessful.Assessment
Taylors observations are within normal limits.Recommendation
On paediatric review Taylor is to be provided care in the SCBU immediately to correct her blood
sugar level.
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