In caring for children, it is hard for nurses because unlike adults, children cannot fully manage their treatments on their own. Children are typically very dependent on their caregiver, which means the nurse is responsible for educating all caregivers and ensuring they understand the information given. I have had a personal experience with a patient whose family was not really able to be adherent to the plan of care. The family was foreign and did not speak English well at all. The child had a g-tube and he frequently came to a respite care center (Pediatria) with it having sediment in the line and not clean at all. This is one example that I can provide from my personal experience. However, there is a multitude of reasons that families are unable to adhere to home care plans.
There are many factors that play into why a family member may be non-adherent. Some reasons that families are unable to provide appropriate care for their child include financial capability of accessing the supplies needed to carry out treatments, the difficulty of treatment, the education level of caregiver...
Having worked as a rehab aide in an outpatient clinic, my pediatric observation experience was completely different from what I am used to seeing. The therapist I observed was Allie Ribner who works at All Children’s Child Development and Rehab Center. Each session was completely different from one another for the session was geared towards the goals of the child and families. I found this to be a great learning experience for I saw a wide variety of different treatments and age range from 14 months to 15 years old.
Education regarding unit or group thinking is to be encouraged and reinforced. The fact that newborn Rosarie will be entering the home poses unique challenges that will require all members of the family to work together. Maria, Jamie, and Alice must be educated on the signs and symptoms of respiratory distress in the newborn and interventions that must be initiated when distress occurs. The nurse responsible for this teaching must require both verbalization and return demonstration of skills learned to ensure proper reception of the information. Once skills are developed by the adults within the home, the remaining children should then be educated on the signs and symptoms as well and actively participate in care. Involving the entire family will bring a cohesive thinking, and allow the family to work as a unit. A marriage counseling referral should as be provided to Maria and Jamie in order for them to work out their existing issues improving their likelihood of a successful marriage. Routine “check in’s” (phone calls, visits, etc.) should be in place for the family both by social services and pediatricians. In addition, community outreach programs (food banks, cultural organizations, etc.) are designed to support families like the Perez’s, nurses working within the community should tell these families about these resources
This allows the nurse to assess the patient’s pain and suffering related to the treatment plan in place (Settle, 2014). The ability to communicate well is essential for ethical decision making in the NICU (Monterosso et al., 2005). Nurses play a big role in supporting the parents while their child is in the NICU. Showing compassion and demonstrating caring actions when caring for the patient makes it more likely that the parents will trust the nurse and the information the nurse gives them regarding their child’s condition. This trust is important as it helps the parents feel confident in the decisions they are making about their child’s care. When the parents of an ill child in the NICU have decided to terminate treatment palliative care by the nurse and other healthcare providers comes into play. Palliative care is keeping the child comfortable by treating the symptoms and being there for the parents and child physically, emotionally, and spiritually (Eden & Callister, 2010). The patient and family should be placed in a private room that is dimly lit and has minimal noise. There should be enough room to accommodate other family members as well. All unnecessary medical equipment such as ventilators and monitors should be removed from the patient. IV access should remain in place to give adequate medication for pain. Supplemental
This birthing plan is often documented in the patient’s medical record which aids the health care staff during the birthing event. Documentation and discussion of these events is often necessary to ensure all the needs of the family are met. Too often all the potential needs are not discussed and the opportunity to meet the needs of the new family is missed. These missed opportunities can result in emotional and religious conflicts within the family unit and toward the health care staff. For the nurse leader these missed opportunities in care could result in unfavorable patient satisfaction scores and reports within and outside the institution which necessitates follow up. The most important missed opportunity is how this affects the family unit itself. Depending on the missed opportunity the family unit may be affected for years based on questions not asked or decisions made with poor information. Some cultures must bury the placenta after birth and if this was not discussed and the placenta discarded the religious implications could be devastating for this family. Application of Henderson’s need theory guides the nurse in the educational plan for the patient-family unit to ensure all basic needs are covered and questions related to those needs are posed in advanced of the birthing
Two potential barriers to the Patient-Family Centered Care model are time and patient/family expectations. Nursing is a demanding job that is known for it's fast paced and often hectic environment. While caring for several patients at a time, it might be difficult to make time to discuss and involve patients and their family in all aspects of their care. This could lead to the patient/family feeling left out or even lead to fear about why information if being kept from them. To address this barrier I will set aside time to spend with each of my patients solely dedicated to discussion about the care they are receiving as well as provide an opportunity to voice questions and concerns.
Managing the care for your parents often times places you in the position of have to provide direction. Often times, taking directions for one’s child is not easy for a parent to handle. The feeling of loosing control over your own life and body is very difficult for anyone and in an effort to maintain a sense of control, inappropriate actions can be demonstrated. Stubbornness or lack of cooperation is a common action and often manifest from the frustration or depression your parent may be experiencing. Not unlike anyone else, having your rights and privileges taken away is a difficult to accept and needs to be handled with grace and dignity.
In conclusion, the counselor was able to use the structural family theory with the family. Family were able to understand the current problem they were experiencing. Family choose health boundaries to have a closed relationship with each other. Family will use the strategies and techniques the counselor disclosed to them if need it in the
Sanjari, M, Shirazi, F, Heidari, S, Salemi, S, Rahmani, M, & Shoghi, M 2009, “Nursing support for parents of hospitalized children”, Issues in Comprehensive Paediatric Nursing, pp.122
After being diagnosed with her chronic illness her family needed to develop coping skills and change their daily routine. In order make a plan of care that is designed to suit the needs of Alyssa’s family, a nurse would need to use family-centered care. A statement made by Mitchel (2010) showed that, family members enjoy participating in their relative’s care in order to individualize care. Family-centered care is an approach that views the families needs in the context of their circumstances, environments, and past experiences (Gottlieb,
Medicating our children for problems such as; Attention Deficit Hyperactive Disorder, bipolar disorder, or autism seems to be a new trend. Unfortunately, these medications have very dangerous side-effects especially in sensitive children like those in foster care. Healthy alternatives are often overlooked for a quick fix pill. Do parents even know what these medications do? Do they know what these medications were originally for?
In an interview with a staff nurse (S.N), the main problem within patient communication included lack of patient’s (and family) involvement/willingness in planning cares. The staff nurse emphasized how “Patients often feel overwhelmed and do not want to participate. But, it is important for patients to be involved in their care for better outcomes” (S.N., personal communication, February 5, 2014). The staff nurse’s statement is supported by Evans (2013) whom remarked “better-informed patients avoid unnecessary care and frustration”.
The Medicated Child exposed the problem of medicating American children for mental illnesses. Diagnosing mental illness has always been difficult and that problem is only exacerbated in children. Common and controversial diagnosis for children that are talked about in this documentary are ADHA and bipolar. Often children will be misdiagnosed which can be a real problem when medication is being prescribed. Before the 90’s children where being prescribed medicine’s that were completely untested in their age group. This was just one of the many problems that the health community, family’s, and the children with these illnesses faced. This was thankfully changed due to government intervention and there is now some knowledge on how these drugs affect
Decisions regarding children’s medical treatment has always been a very controversial topic in the United States. The question has always been “Should children have the right to make medical decisions such as denying medical treatment?” Whether children should be able to deny medical treatment or not is entirely circumstantial.
In health care, there are many different approaches throughout the field of nursing. When considering the field of family nursing, there are four different approaches to caring for patients. This paper will discuss the different approaches along with a scenario that covers that approach. The approaches that will be discussed include family as a context, family as a client, family as a system, and family as a component to society. Each of these scenarios are approach differently within the field of nursing.
...be aware of the signs when education is needed for a family. Unfortunately, all families have barriers and may not be able to attend parenting classes to receive the education that may be necessary before the birth of their child. At that point, it then becomes the nurse’s responsibility to recognize the impairment, put interventions into place, and evaluate the family before discharge. For successful childrearing, parents need knowledge about raising children. Parenting classes and health-care professionals working with parents can contribute to raising children (Campbell,1992).