NURSING 7210 Applied Nursing Practice I


Answer:
Genogram
Family Structure

Williams nuclear family consists if four, Steven Williams, Hannah Williams, Billy and the newly born baby girl. Williams extended family includes, Sam and Marion who are the Stevens in laws, Mavis who is Steven’s mother.  The extended family also consists of Ariel who is a step mother to Hannah. Barry is also part of the extended family since he was once Hannah’s husband before divorce and he is also the father of her child Billy.

Child Health Nursing

Family strengths in a child health nursing is assessed through the health progress of a child (Orem, Taylor & Renpenning, 2009). Williams family has a family midwife in order to ensure the health of the new born child is protected before and after the birth child. Hannah went to deliver in a hospital where she had a caesarian section. In the scenario one, Hannah visits her child frequently in order to breastfeed the child. She has done all she can to ensure that the child is health and in a good condition. Hannah also took an initiative to deliver in the hospital because she wanted he child to be delivered under a safe condition. Hannah also planned to stop working and employ a person to look after his business. Hannah is also planning to bread feed her child for six months before resuming her business work. Hannah is planning to take her child to a daycare before she resumes her job. This is to ensure that the child is getting the necessary required care instead of leaving the child at home. Hannah has even gone to the extent of moving to a three-bedroom house. This is done for the safety of the new born child. Hannah has also installed curtains in the room where the child is sleeps. She did these to ensure that the child is well protected from diseases such as pneumonia, she says through these she will be able to save money, which according to the case would rather be used to treat me child due to failure of protection from coldness.

Early Child Psychologists

Hannah has taken her firstborn child, Billy to preschool. Through these, the child will be psychologically mentored as he grows. in the school, Billy is able to interact with many children of his age and he is therefore in a condition to avoid social isolation. Billy also goes to play with his father. Through socializing with other children, the child avoids loneness and social stigma (Yildirim & Ozkahraman, 2011). Billy also gets company from jane’s children who have been adopted by his father Barry. Through interactions with these children, Billy has avoided and also with his father, Billy is able to avoid things such as social isolation, that is being experienced by his mother due to loneliness and lack of company. Hannah is also planning to take her child to a daycare. In the daycare the child will grow psychologically fit. This is because the child will be able to play with the fellow children in the daycare. Through playing and interacting with other children, the child will avoid loneliness, hence social isolation.  

Description Of Challenge

Parents face many challenges while bringing up their children. Commitment in jobs and businesses can make a parent very busy that he or she can fail to get enough time with his or her children (Bomar, 2011). According to scenario one there is challenge seen in the family about child upbringing and care. We can clearly see that it is really becoming a challenge to both parents. The mother wants to stay with the child for only six months and take the baby to a daycare. After taking the child to daycare she wants to go back to running her boutique business. While the Steven is very stack in job such that he only has little time to spend with his family. The little time he gets he wants to join golf club. This is an unclear indication that up bring of the child is a big challenge to the family. The family is not allowing their children to develop independently in the word as they are planning to take their baby to a daycare so that they can be able to work. this is in order to bear the cost of racing children. This is what is making Hannah to leave the baby at an early age in order to continue with her business. Dealing with bedtime hassles also affects child raising.

The nursing goals in the challenge is to equip with knowledge and skills and empowering them to make their own decisions about the infant (Morton et al., 2017). This is important since it enables them to support parents effectively. The nurse should build the parents’ capacity in decision making through giving them relevant information about care options. The nurses should also support the parent in their decision making. These opinion of parents making decision was found important because they valued more profession tasks or jobs rather than children. As a nurse it is very important to respect their decision and also advise them accordingly.  After the implementation of the nursing care, the child’s care should be improved since the child needs parental care and love (Ross, 2009). These will be achieved through forming groups of parents to teach them about achieving good child caring methods. This can also be achieved through giving available and appropriate methods for child feeding if breastfeeding in not available due to much commitments.  As we all know breastfeeding is very important to children since it builds their immunity hence reducing the chances of getting infections. If Hannah is not able to breastfeed her child, it is important to look for an alternative source for immune boosters for her child, so as to protect the child from infections. Alternatively, Hannah can use parked milk, fruits blended juices, glucose and so on to boost the immune system of her child. This prevents some infections which might affect the child throughout the childhood stage which were be prevented through breastfeeding which her child may not be able to get.

Implementing Nursing Care

For the success of the child, both parents must be involved since togetherness is unit. Therefore, the mother should not be left alone with the duties to provide and bring up the child. This means that the father is also part and parcel of bring up of the child. It is important to give the parents appointments of baby well-being clinics, which should be done after every month (Kim & Rose, 2011). This should be done in order to evaluate the baby’s progress in terms of weight.  The mother should also be advised to ensure that her child gets all the required and mandatory immunizations (Pillitteri, 2010). This is done in order to protect the child against contentious diseases such as polio, measles, yellow fever, hepatitis B and others. Immunization is also done to protect the child against common communicable diseases such as tuberculosis, cholera, typhoid and other diseases which might affect the child in future. Regular clinics also enables the mother to understand the present of development in her child. Where the child in not progressing well, as a family nurse it is important to urge the parents to pick on new methods of feeding their child since child’s health is very important in a nursing care. If the child is having some complications, it is important to advice the mother to take her for a thorough checkup by professional doctors or clinical officers.

For the parents who don’t show up for child evaluation, it is important to approach them in the right manner and correct procedures (Yildirim & Ozkahraman, 2011). If possible a family nurse should give regular home visits to the family. These visits should be done as it is an additional advantage to examining the child’s environment of rising. A nurse also gets a chance to talk and correct the parents where they are doing wrong in raising their baby. This also gives the parents an enough chance to ask questions about the necessary requirements for a child growth and good health progress.

The second problem seen in Williams family is social isolation, which is brought about by complete or near complete lack of contact between an individual and society. As seen in this scenario, Hannah wants a social group of ladies to for her to gather experience. The only problem is that she doesn’t know them. Hannah only meets few women while taking her baby for the daycare. Steven wants to take them to dinner in golf club in order to get to know people. Social isolation is a condition that affects all aspects of peoples’ existence (Friedman, 2010). These can also lead to loneliness, fear of others and also negative self-esteem. Lack of consistent human contact can also cause conflict with friend since one is not well adopted to them. The social isolated person can be occasionally talked to by a family nurse in order to teach him or her the necessary code of contact in a family set up (Whyte, 2014). He or she should also be taught about the best code of contact within the community and the society at large. This enable the person the be able to communicate with others without fear. In the scenario one Marion social isolation is both a potential and symptoms of emotional or psychological challenges. This is also seen in Hannah due to painful divorce with Barry which she experienced in her previous marriage. As a cause of perceived inability to interact with well with others can create to an escalated pattern of challenges. These social isolations can also be brought about by things such as domestic violence, divorce or living in a lonely place.  Social isolations are also brought about by loss of a spouse and also societal diversity. An individual can also isolate during a depression episode. This is done only to surface the effects of depression. When the mood improves as seen in Marion’s life one is able to socialize with others well. Social isolation is both a potential and a symptom of emotional or psychological challenges.  As in the case study, Hannah is going through emotional challenge as a result of his divorce with Barry.

Planning Nursing Care

Nursing goal in social isolation is to show willingness and desire to socialize with others freely. This is enabled by participating in activities such as exercise (Doane & Varcoe, 2010). This is also achieved through participating in programs at the level of ability and desire. People suffering from social isolation should participate in voluntary group activities so as to spend time with others and also interact with others (Parsons & Bales, 2013). Through these groups, one is also able to share his or her challenges with others, through which he or she is able to get different solutions on how to solve his or her own problems and present life and also in future. This will also enable the affected to meet other people who have or have the same problems as their and this makes it easy to solve the problem of social isolation. As a family nurse, it is important to urge Williams’ to engage themselves in family programs so as to be able to solve their family matters easily hence reducing being involved in social isolation in future time. It is also important to urge the affected to participate in social work so as to be able to interact with others and also share his problems with others, since a problem shared is a problem solved. In order to overcome social isolation, it is also important to urge the affected person to visit a psychologist for more guidance and counseling (Houts et al., 2009). This will enable her avoid things such as depression in her life.

Evaluation Of Nursing Care

As a nurse it is important to evaluate the effectiveness of the provided nursing care. Like in the case of child’s feeding. The nurse will be able to learn about the effectiveness of the feeding method where there is record of increase in the weight (Wingard, 2012). He or she is able to evaluate the achieving of his or her planned goals where the baby have recorded attendance of all vaccines followed by few cases of infections.  Cases of social isolation can be evaluated where a patient is able to interact well with others. This is also observed where a person is able to overcome things such as fear and also depression. This can also be shown when a person is able to clearly express himself or herself and also participate in public opinions. Effectiveness of nursing care can be also evaluated when a child is growing health and without complications. 

References

Bomar, P. J. (2011). Promoting health in families: Applying family research and theory to nursing practice. Elsevier Health Sciences.

Doane, G. H., & Varcoe, C. (2010). Family nursing as relational inquiry developing health promoting practice.

Friedman, M. M. (2010). Family nursing: Theory and assessment. Appleton-Century-Crofts.

Houts, P. S., Nezu, A. M., Nezu, C. M., & Bucher, J. A. (2009). The prepared family caregiver: a problem-solving approach to family caregiver education. Patient education and counseling, 27(1), 63-73.

Kim, H., & Rose, K. (2011). Sleep disturbances in family caregivers: An overview of the state of the science. Archives of psychiatric nursing, 25(6), 456-468.

Morton, P. G., Fontaine, D., Hudak, C. M., & Gallo, B. M. (2017). Critical care nursing: a holistic approach. Lippincott Williams & Wilkins.

Orem, D. E., Taylor, S. G., & Renpenning, K. M. (2009). Nursing concepts of practice.

Parsons, T., & Bales, R. F. (2013). Family socialization and interaction process (Vol. 7). Psychology Press.

Pillitteri, A. (2010). Maternal & child health nursing: Care of the childbearing & childrearing family. Lippincott Williams & Wilkins.

Ross, B., & Blake, P. J. (2009). Family nursing: A nursing process approach. Addison-Wesley.

Whyte, D. (Ed.). (2014). Explorations in family nursing. Routledge.

Wingard, R. (2012). Patient education and the nursing process: meeting the patient’s needs. Nephrology Nursing Journal, 32(2), 211.

Yildirim, B., & Ozkahraman, S. (2011). Critical thinking in nursing process and education. International journal of humanities and social science, 1(13), 257-262.