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Poisoning is one of the leading reasons behind the childhood injury among the children of Aboriginal community. The higher risk of poisoning has been seen in the Aboriginal children of age 0-4 years. Children have been admitted to the hospitals with the cases of poisoning during their developmental stage. Pharmaceutical substances, such as prescription medications and overthe-counter have been considered as the most common and unintentional cause of poisonings in Australia. Among Aboriginal and Torres Strait Islander community children, analgesic, psychotropic, antiepileptic, and other general as well as cardiovascular medications have been found the most common causes of pharmaceutical poisoning. It has also been seen that the aboriginal children were poisoned mostly within their residential premises, out of which kerosene oil is found as the most common poison. Kerosene oil has potentially evoked the risks of aspiration pneumonia and the hazardous first aid measures that are practised and followed by the care givers has increased the risk. The complications related to this are rare but, can be prevented by the provision community education and spread of awareness regarding up-to-dated attention in order to seek medical care along with the forestalling of destructive first aid practices (Senserrick et al. 2010).
The case scenario prepared for this assessment is a reflection that focuses on the health issue “Poisoning” among the children population.
During my clinical placement, I was being posted in a child ward. As I was new there I was observing the pattern of work the other nurses were following and there, I noticed that there were children from different communities. Though, I did not asked about this to anyone that who among the all belongs to which community but, the behaviour and the actions of the staff member clearly showed the discrimination. The ward was specifically for the children injured with unintentional poisoning. When a same age group of population is getting care at the same place from the same healthcare providers, there was still some bias between the quality care services provided to them. What I personally noticed there was, lack of cultural competency, poor leadership, and poor therapeutic communication. All of the three aspects are important in provision of healthcare services and patient-centered care.
The topic of this assessment is Implications of practice and prevention for poisoning among the Aboriginal children. Reducing the rate of poisoning among the Aboriginal children needs a combination of strategies and this include household storage interventions, packaging legislation enforcement, and accessible poisons information centeres. According to Adams, et al., (2016) Till now, no identified prevention programmes for the injury from poison have exclusively addressed the unintentional poisoning in Aboriginal children. However, the key to prevent childhood poisoning is safe storage of the medications. It has been reportedly seen that Aboriginal families often face various challenges and barriers in the promotion of safe storage and this is because the outlay of the safety prohibitions and apparatus in the home installations. However, this problem could be solved by providing equipments at no cost or at low cost. This could potentially enhance the storage practices at households, predominantly with the fitting and education help (Senserrick , et al. 2010).
The actions that could be taken by an Aboriginal health care practitioner depend on different types of instructions and the support that are available. In general, there are two types of supervisions that could be provided by the practitioners:
However, effective clinical supervision that is potential in provision of effective clinical supervision includes:
Cultural safety is the most important aspect while providing care to the patients that belong to a different culture from the practitioner.
Cultural safety can be described as an atmosphere that is safe and protected for people. A surrounding where people do not face any assault, rebuff their identity, regarding who they actually are and what they want. It is all about shared knowledge, shared meaning, shared respect, and experiences about learning, working, and living together with self-respect and dignity.
In case of Aboriginal people cultural requires:
However, Communication, Recognition, Respect , and Embrace are the factors that help in maintaining the cultural safety.
Adams, S. et al. (2016). Child Safety Good Practice Guide: good investments in unintentional child injury prevention and safety promotion. Sydney: Sydney Children's Hospitals Network.
Dayasiri, M., Jayamanne, S. F., & Jayasinghe, C. Y. (2018). Patterns and outcome of acute poisoning among children in rural Sri Lanka. BMC Pediatrics, 18(1), 274. https://doi.org/10.1186/s12887-018-1246-0
Senserrick ,T. et al. (2010). Aboriginal injury prevention projects: a rapid review. Ultimo, Australia: Sax Institute for NSW Health and the George Institute.
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