Case Study: Interdisciplinary Management of a Chronically Ill Pediatric Client Client: Ava, 9 years old Medical History: Steroid-sensitive nephrotic syndrome (diagnosed at age 6) Type 1 diabetes mellitus (diagnosed at age 6) Previous hospitalizations for peritonitis (related to peritoneal dialysis) and diabetic ketoacidosis (DKA) Presenting Symptoms: Fever Abdominal pain Blood glucose of 420 mg/dL Emergent Interventions: Initiated IV insulin and broad-spectrum antibiotics for suspected peritonitis Peritoneal dialysis held temporarily pending infection control Psych consult requested for anxiety and sadness Acute Phase Care: Hourly glucose monitoring and strict input/output measurement Infection control precautions and antibiotic administration Nutritional consult for modified renal-diabetic meal plan Therapeutic play and education with child life specialist Rehabilitation Phase: Discharge planning: Home health for peritoneal dialysis Family training in glucose management and peritonitis prevention School reintegration support with a 504 plan Psychosocial follow-up for anxiety, with counseling for Ava and caregiver support for the mother. 3. Acute Care and Hospitalization of Pediatric Clients What interventions ensure safety and therapeutic communication during acute phases, such as Ava's DKA and peritonitis episode? How can nurses facilitate Ava's development