Applying Family Centered Care to Gestational Diabetes Pregnancy can bring joy, and excitement to a woman and her family. Yet, for some women pregnancy can bring complications resulting in complex birth and sometimes a hospital stay. For these women, family centered care becomes essential to their healing process and ability to become independent with the new baby. This paper will discuss family centered care, the four concepts included in family center care, and impact of being diagnosed with gestational diabetes, including any barriers that the mother and child may experience within family centered care. Family Centered Care Family centered care is a phrase that is used often, but is not always implemented in the best possible way. In …show more content…
When the baby is born it is essentially being cut off from the high maternal sugar levels; this results in an excess amount of insulin in the blood with little amount of glucose, leading to infant hypoglycemia. Furthermore, every infant reacts differently to hypoglycemia, some infants are asymptomatic while others experience lethargy, irritability and sometimes seizures (Antonio Negrato, Mattar, & Gomes, …show more content…
Furthermore, health care professionals need to be aware that families can have a very different views on care, procedures and health care providers need to respect these views in order for family centered care to work. Many people would agree that to treat someone with respect, would be to treat them how you want to be treated. However, dignity is harder to define, although many people know when their dignity is taken away. To treat some with dignity means to promote their self-worth and individuality. When health care professionals respect the family’s decisions and ensure their dignity, families tend to be more satisfied with care and families have increased trust in the health care provider. Family centered care is a balance between patient safety and granting the wishes of the family and patient (Katz, 2012). Within this concept, it is important to include the family in planning and providing care as this helps increase family participation, independence and
The pathophysiology of diabetes mellitus in is related to the insulin hormone. Insulin is secreted by cells in the pancreas and is responsible for regulating the level of glucose in the bloodstream. It also aids the body in breaking down the glucose to be used as energy. When someone suffers from diabetes, however, the body does not break down the glucose in the blood as a result of abnormal insulin metabolism. When there are elevated levels of glucose in the blood, it is known as hyperglycemia. If the levels continue to remain high over an extended period of time, damage can be done to the kidneys, cardiovascular systems; you can get eye disorders, or even cause nerve damage. When the glucose levels are low in one’s body, it is called hypoglycemia. A person begins to feel very jittery, and possibly dizzy. If that occurs over a period of time, the person can possibly faint. Diabetes mellitus occurs in three different forms - type 1, type 2, and gestational.
You provided some great points within your answer to question #1. I agree that family centered care focuses on the adaptation of both physical and psychological needs of the patient and family members. I presently work in a Long term care facility where patient focused care is our primary goal. The patient centered care approach is essential to the care we provide as it allows us to create a holistic relationship between the patient, staff, and family members. It also fosters trust, enhances communication, and gives family members the opportunity to provide creative input into the care of their loved ones. The challenges presented within this approach allow health care providers to seek out alternative measures that will assist in facilitating
The author feels that patient centered care cannot be compromised due to a patient’s socioeconomic status. Nurses are held to a strict Code of Ethics, set by the American Nurses Association (ANA) along with policies set by the employer. The first provision of the ANA Code of Ethics states, “the nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth, and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems” (ANA, 2011). Nurses are expected to abide by the Code of Ethics throughout their practice, unlike Helen who blatantly makes her personal beliefs
Person centred care can be defined as “providing care that is responsive to individual personal preferences, needs and values and assuring that patient values guide all clinical decisions.” (Nes, 2013¹) Other definitions suggest that in order to achieve person centred care, healthcare practitioners must place themselves in the patient’s shoes to enable them to be compassionate and respectful towards the patient’s needs
American Academy of Pediactrics. (2003). Family-Centered Care and the Pediatrician’s Role. Available: http://pediatrics.aappublications.org/content/112/3/691.full. Last accessed 23/01/14.
The Family-Centered approach to care is important to the delivery of behavioral health services for children and adolescents because it involves the families in their natural environments and allows the families to make decisions about their care. It promotes home and community based care by creating an equal partnership with the family to ensure optimal delivery of care at all levels (Brewer, McPherson, Magrab, & Hutchins, 1989). For children with special health care needs, such as mental or developmental disorders, coordinating care between all services and people can help to introduce flexible and reasonable ways of providing the maximum amount of care to children and families (Brewer, McPherson, Magrab, & Hutchins, 1989).
Nursing should focus on patient and family centered care, with nurses being the patient advocate for the care the patient receives. Patient and family centered care implies family participation. This type of care involves patients and their families in their health care treatments and decisions. I believe that it is important to incorporate this kind of care at Orange Regional Medical Center (ORMC) because it can ensure that we are meeting the patient’s physical, emotional, and spiritual needs through their hospitalization.
...n level in the blood which is hyperbilirubinemia. The woman’s baby may be at risk for also developing diabetes and obesity. If you have had gestational diabetes you are at a higher risk for developing it again during future pregnancies.
Half the children in this country live in homes in which one or both parents work. Twelve million children in this country do not have health insurance, and over 4.5% of all children are victims of suspected child abuse or neglect (Doktor and Poertner). Believe it or not, these are all indicators of the demand for Family Resource Centers within our school systems. Many question whether Family Resource Centers are worth the money the state pours into them. However, in serving students, parents and teachers, there should be no question of their significance. Due to The Kentucky Education Reform Act in the early 1990's we have seen the development of Family Resource Centers in Kentucky, and they are fulfilling expectations and serve a valuable purpose in spite of some skepticism. Being a social work major and growing up in a school system under KERA, I know that family resource centers are important and that all parents, students and teachers need to be informed of all the good they do for a community. To address these points we will discuss the purpose of family resource centers the controversy that surround them and their effectiveness.
Today, many Americans face the struggle of the daily hustle and bustle, and at times can experience this pressure to rush even in their medical appointments. Conversely, the introduction of “patient-centered care” has been pushed immensely, to ensure that patients and families feel they get the medical attention they are seeking and paying for. Unlike years past, patient centered care places the focus on the patient, as opposed to the physician.1 The Institute of Medicine (IOM) separates patient centered care into eight dimensions, including respect, emotional support, coordination of care, involvement of the family, physical comfort, continuity and transition and access to care.2
In contemporary nursing practice, nurses need to integrate scientific knowledge and nursing theories prior to providing optimal health care. Nursing theories guide nurses to treat clients in a supportive and dignified manner through client centred approaches. However, it is challenge for nurses to practice client centred care in daily realities due to heavy workloads. In order to assist nurses to decrease the gap between ideal and real practice, Registered Nurses Association of Ontario (RNAO) develops Best Practice Guideline of Client-centred-care (Neligan, Grinspun, JonasSimpson, McConnell, Peter, Pilkington, et al., 2002). This guideline offers values and beliefs as foundation of client-centred care, and the core processes of client-centred care can facilitate provision of optimal nursing care. These four core processes of client-centred care include identifying concerns, making decisions, caring and service, and evaluating outcomes. According to RNAO (2006), ongoing dialogue with clients and self-reflection are essential for nurses to develop their nursing skills and knowledge on client-centred care. As a nursing student, I reflected on written transcripts of interactions between patients and me, so that I could gain insights into client-centred care for further improvement. Therefore, the purpose of this paper is to discuss importance of the core processes of client-centred care in nursing practice through identifying and critiquing blocks to conversation. Based on the guideline of RNAO (2006), respect, human dignity, clients are experts for their own lives, responsiveness and universal access will be elaborated in each core process of client-centre care as reflecting on three dialogues with patients.
The provision of patient/family-centered care, which assure safety and quality in the service, would have a team work approach as a foundation and underpinning. In a healing process or in the preservation of health intervene several factors, some of them are closely related with the environment. Healthcare providers constitute an important part of that environment, and definitely, communication with patients, families, and among themselves, have a significant impact on it. The environment would influence the patient’s perception of care, and the staff’s level of
Kaakinen, J. R., Gedaly-Duff, V., Coehlo, D. P., & Harmon Hanson, S. M. (2010). Family Health Care Nursing: Theory, Practice and Research. (4th ed.). Philadelphia, PA: F.A. Davis .
The Royal College of Nursing (RCN, 2009) defines dignity as treating someone as you or your family would want to be treated, when they are feeling vulnerable. According to ( Matiti & Baillie,2011) in modern world the word dignity has lost its meaning, whether it is intentionally or unintentionally, nurses have become very mechanical, trying to give care for dummies rather than human beings, who have emotions, feelings and self-respect, and not realising what impact patients will have when nurses show this kind of attitude. Patient centred care is vital for all nurses, without, discriminating against colour, gender, race, and religious beliefs. Following the code of conduct which is expected of the nurse, working according to the needs of the patients, being a good listener and respecting them. When the nurse shows dignity and respect, she/he tends to develop a therapeutic relationship with patient which in turn results in good health and rehabilitation (NMC, 2008).
According to Indira & Jyotsna (2015), “hypoglycemia is one of the most common metabolic problems seen in the newborn nursery.” Early newborn hypoglycemia and prolonged hypoglycemia can lead to mental retardation and brain damage (Indira& Jyotsna, 2015). A newborn is deemed hypoglycemia if their