Jacob (pseudonym) is a 2-year-old, New Zealand Maori male who lives in Auckland. He was admitted to the emergency unit on the 2nd of March 2016 due to increased work of breathing and shortness of breath. This is Jacob 's 2nd admission since his first presentation in September 2015.
Upon admission, Jacob had a head to toe nursing assessment. During assessment Jacob was oriented and looked distressed, he has tachypnea with an oxygen saturation of 92%. Jacob looked slightly pale but warm and well perfused with a capillary refill of 2 seconds, he presented with an audible wheeze, tracheal tug and subcostal retractions. However, there was a noticeable small bruising behind his left ear, when his mother was asked about …show more content…
The nurses are expected to uphold their professional role and practice by performing their duties in accordance to, the Code of Conduct of Nurses (2012). Therefore, it is expected of them to deliver care safely and competently within current guidelines and policy.
Children are at the stage where they cannot understand the information, therefore, there are legislations developed that safeguard their welfare and best interests (Ministry of Health, 1998). One of these legislations is the Care of Children Act 2004. The purpose of the Care of Children Act (2004) is to promote children 's best interests and welfare. The Children 's Act 1998, Section 6, highlighted that it is the parent 's duty and responsibility to provide care and maintain the survival of their children. In this situation, Jacob refused to have his inhalers but his autonomy is limited and reduced due to his developmental stage. Thus, Cathy, the mother and the legal guardian of Jacob is legally allowed to provide consent to administer the inhalers. This is because she is acting on his son 's best interest for his well …show more content…
The Ministry of Health (2015) explained that the Te Whare Tapa Wha health model is the Maori 's philosophy approach on a holistic health and well being. This health model has four structures; these are taha whanau (family health), taha hinengaro (mental health), taha tinana (physical health) and taha wairua (spiritual health). Disregarding one of the aspects of the Te Whare Tapa Wha health model could result in poorer health outcome (Chambers, 2009). Therefore, it is important to address and respect the culture of Maori 's when delivering