Download PBL Feedback Summary

BN 6
Focussed Experience and Transition
PBL Feedback Summary
Names :
Annette, Margie , OK Jeong, Maria and Dot
PBL :
PBL 2
Action Point:
What is Rheumatic Fever and how does it develop? What is
the ongoing medication and for how long will she need it?
Why?
Team Number:
ONE
Summary of key findings
Acute Rheumatic Fever is an autoimmune response to infection with groups A
Streptococcus bacteria. The ensuing generalised inflammatory response affects only certain
organs: the heart, joints, central nervous system and skin. Carditis can cause long-lasting
damage to the heart valves. This damage can lead to Chronic Rheumatic Heart Disease
later in life. RF often starts with a sore throat (a streptococcal infection). A few weeks after
the “strep” throat your child may develop
Children with rheumatic fever are often treated in the hospital, depending upon the severity
of the disease. Treatment for rheumatic fever, in most cases, combines the following three
approaches: Treatment for streptococcus infection, anti-inflammatory medications and bed
rest.
The best way to stop your child having another attack of Rheumatic Fever is to make sure
they have regular Penicillin injections - on time. Your child will need to have injections for 10
years, or until they are 21 years old, whichever is longer.
Implications for nursing practice
The nursing implication for this action point is ensuring that the nurse has adequate and
current information about the causes of Strep Throat and possible ways to prevent it. The
nurse will also need to know how to administer penicillin injections and educating the
patient/family about the possible side effects and complications to monitor for e.g. swelling,
bruising or pain in the injection site. The community nurse will also be responsible for follow
ups and ensuring that the injections are done on time.
Reference sources & resource with Rationale for use
Heart Foundation (2006). Secondary prevention of acute rheumatic fever. Retrieved from
http://www.heartfoundation.org.nz/uploads/Rheumatic%20Fever%20Summary%20revised%20March%202010.pdf
The reason why we used this resource is that we had previously had used this information in the previous
semester and found it very interesting and easy to follow. Nurses work with guidelines everyday in their practice
and this resource contained a summary of the New Zealand Guideline for Rheumatic Fever. The resource is found
the Heart Foundation in 2006 so it is appropriate and also a relevant literature to our chosen action point.