Transition And Life Cycle By Cowan And Cowan

1520 Words7 Pages
Transition & Life Cycle: Across family life-cycle literature, the arrival of a first child into the marital structure is considered to be one of the most common and key stages a family will experience during its development. Further, it also possesses the potential to be one of the most stressful examples of change within the marital relationship with the experience of having a baby being ranked at 6th out of 102 stressful life events1. It is widely accepted that the birth of a child changes the parents’ marriage or relationship, but to what degree and to which areas of the relationship depend upon the individuals. One literature review by Cowan and Cowan, regarding the transition into parenthood, concluded that; changes that occur in parents’ lives in early postpartum period are more negative than positive; and disruption caused by transitions are equal for men, women, and for the couple2. One finding which is highlighted across much of the literature is the observed decrease in marital satisfaction2,3. However despite this noted decline in satisfaction amongst the majority of couples during the immediate postpartum period, many of these couples will begin to slowly adjust to their new family roles and subsequently observe a return in marital satisfaction. There are three factors that have been studied in particular that may have an impact on the perceived satisfaction during this transitional period into parenthood: prenatal expectations, communication and prenatal relationship state. Prenatal expectations of prospective parents may positively or negatively affect the postnatal period. Pre-baby connections associated with positive postnatal outcomes regarding satisfaction can include a positive relationship regarding expectat... ... middle of paper ... ...o a rationalised and deliberated decision. The crucial factors in obtaining valid consent are that the patient is considered competent with the ability to understand and retain information before communicating their decision21. The consent to undergo or refuse treatment in the majority of cases should be up to the patient only without coercion from family, friends or carers21. The patient should be fully informed with accurate and concise information, including appropriate alternatives and the consequences of refusing treatment, and given appropriate time to reflect upon this and ask relevant questions or request further information21. If after everything has been addressed fully to the protocol and the competent patient were to refuse treatment, it is important as a healthcare professional to respect their decision even if it does not agree with your personal views.

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