Communication skills, family centred care and compassion are necessary attributes for a nurse to have, in order to develop and maintain therapeutic relationships with pediatric clients. Nursing pediatric patients while having many similarities to nursing those of other age groups brings unique challenges due to the young age of the person. Nursing babies and children takes a special kind of nurse. One who is sensitive to the needs of the whole family. Skills in how to communicate effectively with both the pediatric patient and their parents are important for a nurse to foster to maintain good therapeutic relationships.
Intro to Psychology Child of an Alcoholic Introduction I choose to do my topic on children of alcoholics. Millions of children live with or have lived with an alcoholic parent. Alcoholism is a disease that affects the whole family, not just the alcoholic. Children are influenced by their parents and are vulnerable. However, there is help and hope for children and adult children of alcoholics.
Family Health Assessment Vann Joyner Grand Canyon University: NRS-429V May 9, 2015 Family Health Assessment One of the factors in planning care and health promotion for a patient is overall family support system . When a patient is ill it not only affects them but their family members as well. One tool used by a nurse to help collect family data is the family health assessment. Family health assessment aims at using a holistic approach to ensure the health of individuals, communities and families to ensure that care remains client centered. It focuses on ensuring that families acknowledge their health needs and address them by planning proper intervention strategies.
A patient presenting with a head injury can pose a lot of complications and the nurse needs to assess and monitor the patient thoroughly. Management of traumatic brain injury focuses on stabilisation of the patient and prevention of secondary neurologic damage due to high intracranial pressure. Assessment of the brain injury hinges on evaluation of the Glasgow coma scale, GCS and examination of the pupils (Chesnut, 2006, p.1). Nurses make important clinical decisions everyday and these decisions have an effect on the patient’s healthcare and the actions of other health care professionals, as the emergency department treats patients with various complex needs nurses need to rely on sound decision making skills and assess monitor and
The ANA code of ethics has provisions in place to assist in a decision for this case. Provision 1 protects human dignity, the right to self-determination. Provision 2 protects the patient's interests and facilitates collaboration among health care providers. Provision 3 and 4 provides standards, accountability, responsibility for nursing judgment and action. In the case of malpractice witnessed by a nurse against a fellow nurse and the facility that they worked, the code of ethics also has provisions to protect nurses as well.
Behavioral Problems: Parental substance abuse can be destructive to a family and the relationship that exists within the unit. Children that are subjected to drugs as a baby has a higher risk of substance abuse, academic problems, behavior problems, and violence. Children who come from families involved with substance abuse often has impulsive behavior (Feaster, 1996). Addiction: “Alcoholism and drugs abuse in a family creates patterns in families” (Substance Abuse Training Tri-Town Head Start, 2007). Children who have parents that abused drugs or alcohol are at a much higher risk of becoming addicts.
Parents need to be aware of how their actions affect their children, especially when it comes to substance abuse. II. Parental substance abuse can have significant effects on their children. c. It affects children emotionally. d. It affects children physically.
What is more frightening is 11 percent of all alcohol consumed in the United State is by 12 to 20-year olds; most of the time these people can get a hold of alcohol for free. This amount of underage drinking can cause a person to become more aggressive, which can lead to increased violence, injuries, and death. Sadly, within the United States, more than 4,000 people under the age of 21 die due to underage drinking. Many of which are from motor vehicle crashes and homicides, then with nearly 500 committing suicide on average after consuming alcohol.
Education is important with this form of treatment so clients can recognize how different factors affect the course of the disease and what they can do to manage these factors (Steinkuller and Rheineck 342). Family therapy is also a means of treatment where family members as well as the client see a mental health provider to find solutions and ways to deal with the disorder. Family involvement provides structure and could increase adherence to treatment leading to delays or reductions in relapses (Steinkuller and Rheineck 342). Interpersonal and social rhythm therapy involves stabilizing social and circadian rhythms based on the hypotheses that unstable daily routines result in increased bipolar episodes in individuals prone to them (Steinkuller and Rheineck 349). Social rhythm therapy recognizes the need for regular sleep/wake cycles, regulation of meals, exercise, sleep and plans for keeping rhythms stable when disruptions occur.
Patients with paranoid schizophrenia are more opportunistic in behaving aggressively or violently towards co-patients and/or staff, which is why implementation of such assessment tools have been put in place (Langan, 2008). Upon completion of regular risk assessment screening tools the nurse must implement measures to minimize risks which have been identified. Good examples of this on an inpaitent unit are increased visual observations,