OB1 SAS 1 PDF

Care of Mother, Child and Adolescent (Well- Clients) BS NURSING / SECOND YEAR...

Care of Mother, Child and Adolescent (Well- Clients) BS NURSING / SECOND YEAR Session # 1 Materials: Book, paper, pen, notebook, and LCD projector LESSON TITLE: FRAMEWORK FOR MATERNAL AND CHILD HEALTH NURSING AND CONCEPTS OF UNITIVE AND PROCREATIVE HEALTH LEARNING OUTCOMES: At the end of the lesson, the student nurse can: 1. Describe the Framework of Maternal and Child Health References Nursing. Pilliteri, Adele and Silbert-Flagg, JoAnne (2018) 2. Compare the different roles and responsibilities of a Maternal and Child Health Nursing, 8th Edition. maternal and child health nurse. USA: Lippincott Williams and Wilkins 3. Determine the ethico- legal consideration of maternal and Sustainable Developmental Goals launch in 2016. child health practice. (2015, December 30). 4. Illustrate the basic family types and structures. https://www.un.org/sustainabledevelopment/blog/ 5. List the functions, characteristics and task of the family. 2015/12/sustainable-development-goals-kick-off- with-start-of-new-year/ United Nations Millennium Developmental Goals. https://www.un.org/millenniumgoals/ SUBJECT ORIENTATION (10 minutes) MAIN LESSON (40 minutes) Please refer to Chapter 1: A Framework for Maternal and Child Health Nursing p. 3 and Chapter 3: The Childbearing and Childrearing Family p.58 A Framework for Maternal and Child Health Nursing: 1. Primary Goal of Maternal and Child Health Nursing: The promotion and maintenance of optimal family health to ensure cycles of optimal childbearing and childrearing. Maternal and Child Health Nursing Practice Throughout the Childbearing‒Childrearing Continuum ❖ Provision of preconception health care ❖ Provision of nursing care of women throughout pregnancy, birth, and postpartum period ❖ Provision of nursing care of children from birth through adolescence ❖ Provision of nursing care to families in all settings 2. Philosophy of Maternal and Child Health Nursing: o Family-centered o Community-centered o Evidence-based This document and the information thereon is the property of PHINMA Education (Department of Nursing) 1 of 11  3. Maternal and Child Health Goals and Standards GLOBAL HEALTH GOALS: a. The United Nations (UN) and the World Health Organization established Millennium Health Goals in 2000 in an effort to improve health worldwide. b. These concentrate on improving the health of women and children because increasing the health in these two populations can have such long-ranging effects on general health. c. These Global Health Goals are: MILLENIUM DEVELOPMENT GOALS- These eight goals, set by the United Nations back in 2000 to eradicate poverty, hunger, illiteracy and disease, expire at 2015. SUSTAINABLE DEVELOPMENT GOALS: are a collection of 17 global goals set by the United Nations General Assembly in 2015 for the year 2030. part of a wider 2030 Agenda for Sustainable Development built on the Millennium Development Goals (MDGs) as framework In total, 5 million people from across 88 countries in all the world’s regions took part in the consultation, and shared their vision for the world in 2030. It aims to transform our world and to improve people's lives and prosperity on a healthy planet. It applies to all countries through partnerships and peace. Countries, regions, cities, the business sector and civil society are actively engaged in implementing the Agenda and the SDGs. They are mobilizing efforts to end all forms of poverty, fighting inequalities and tackling climate change, while ensuring that no one is left behind. This document and the information thereon is the property of PHINMA Education (Department of Nursing) 2 of 11  4. Theories Related to Maternal and Child Health Nursing Nursing theories that are related in promoting healthy pregnancies and keeping the children well are designed to offer helpful ways to view patient so nursing activities can be created to best meet patients ’ needs. Examples: a. Callista Roy’s Adaptation Theory- nurse’s role is to help patients adapt to change caused by illnesses or other stressors b. Dorothea Orem’s Self-Care Theory- involves examining the patient’s ability for self-care c. Patricia Benner’s Novice-Expert Model- describes nurse’s move from novice to expert 5. Roles and responsibilities of a Maternal-Child nurse. 6 Competencies Necessary for Quality Care: ❖ Patient-Centered Care ❖ Teamwork & Collaboration ❖ Evidence-Based Practice ❖ Quality Improvement ❖ Safety ❖ Informatics 6. Legal Considerations of Maternal-Child Practice ❖ Nurses are legally responsible for protecting the rights of their patients, including confidentiality, and are accountable for the quality of their individual nursing care and that of other healthcare team members ❖ Proper documentation is essential for justifying actions. ❖ Nurses need to be conscientious about obtaining informed consent about invasive procedures in children and determining if pregnant women are aware of any risk to the fetus associated with a procedure or test. ❖ Nurses are legally responsible to report inappropriate or insufficient care provided by another practitioner. 7. Ethical Considerations of Practice ❖ Nurses should provide factual, complete information, supportive listening and helping them in clarifying their values without imposing their own. A. Definitions of Family: D. Family Theory 1. “A group of people related by blood, marriage, a set of perspectives from the family’s point or adoption living together.” (US Census of view Bureau, 2009) ⚫ helps address important issues of 2. “Two or more people who live in the same childbearing and childrearing families. household (usually), share a common ⚫ Modern concept of MCN Nursing is based on a family and community standpoint emotional bond, and perform certain interrelated social tasks. (Allender & Spradley, E. Basic Family Types 2008) 1. Family of orientation: the family one is born B. Influence of Family on Its Members into (e.g., oneself, mother, father, and 1. Provides long-lasting emotional ties siblings, if any) 2. Provides a depth of support - refers to the family in which a person is 3. Determines how members relate to people RAISED. 4. Influences what moral values members follow 2. Family of procreation: the family one 5. Molds the members’ basic perspectives on establishes (e.g., oneself, a spouse or the present and future significant other, and children, if any) This document and the information thereon is the property of PHINMA Education (Department of Nursing) 3 of 11 C. Family Nursing -the family that we CREATE by getting - focus of modern nursing practice married and having children - it is nursing care that considers the family, not the individual F. RECOGNIZED FAMILY STRUCTURES 1. Childfree or childless family 8. Binuclear family -2 people living together without children -A family that is created by divorce or separation when the child is raised in two families -Advantages: Companionship and shared resources 9. Communal Family - group of people who choose to live together as an 2. Cohabitation family extended family -Couples perhaps with children who live together but remain unmarried -motivated by social or religious values rather than kinship 3. Nuclear family -Composed of 2 parents and children. -freedom & free choice rather than those of a traditional family -Advantage: financial and emotional support, genuine affection for each other. -prefer complementary or alternative therapies 4. Extended (multigenerational) family 10. Gay or Lesbian (LGBT) Families -Nuclear family plus grandparents, uncles, aunties, cousins and grandchildren. - individuals of the same sex live together as partners for companionship, financial security and sexual fulfilment -Contains more people to serve as resources during crises and models for behavior and values. -some include children from previous heterosexual relationships, artificial insemination, adoption or surrogate 5. Single-parent family motherhood -PROS: family can offer the child a special parent-child relationship & increased opportunities for self-reliance & -Pros: advantages of a nuclear family independence. -CONS: discrimination -CONS: limited resources 11. Foster Family -foster parents may or may not have children of their own 6. Blended family/Remarriage/Reconstituted Family and receive remuneration for their care of the foster child; -a divorced or widowed person with children marries theoretically temporary until the kids can be returned to someone who also has children; their own parents -PROS: increased security and resources, exposure to -PROS: prevents kids from being raised in large different customs or culture; orphanage settings -CONS: rivalry, each spouse may experience difficulty -CONS: insecurity & inability to establish meaningful helping rear the other’s children, financial problems relationships due to frequent moves 7. Dyad Family 12. Adoptive Family -2 people living together, usually man & woman (e.g. - type of family structure in which a person from newly-married couple) the family assumes the parenting of a child from his/her biological parents through adoption -single, young, same-sex adults who live together as a agencies, international adoption and private dyad for companionship & financial security adoption 13. Polygamous Family -marriage with multiple spouses -polygyny- (1 man with several wives) -polyandry (1 woman with several husbands) G. 5 Universal Characteristics of a Family H. Characteristics of A Healthy Family 1. Small social system- interrelated; actions of 1 Members: affect the other 2. Performs certain basic functions: provides for ⚫ interact with each other repeatedly in many the physical, spiritual, mental health, socialization contexts. of members, provision of economic well-being ⚫ encouraged to grow and develop as This document and the information thereon is the property of PHINMA Education (Department of Nursing) 4 of 11  3. Has structure- who are the members? individuals and members of the family 4. Has its own cultural values and roles ⚫ enhanced and fulfilled by maintaining 5. Moves through stages in the life cycle contacts with a wide range of community groups and organizations ⚫ make efforts to master their lives by becoming members of groups, finding information and options, and making decisions. I. 8 Family Tasks: J. Family Life Cycles a. PHYSICAL MAINTENANCE- food, clothing & shelter Stage 1: Marriage Stage 2: The Early Child-bearing Family b. SOCIALIZATION OF FAMILY MEMBERS Stage 3: The Family with a Pre-school Child Stage 4: The Family with a School-age Child c. ALLOCATION OF RESOURCES Stage 5: The Family with an Adolescent Stage 6: The Launching Stage Family d. MAINTENANCE OF ORDER Stage7: The Family of Middle Years Stage 8: The Family in Retirement or Old Age e. DIVISION OF LABOR *BOOMERANG GENERATION- young adults return f. REPRODUCTION, RECRUITMENT AND RELEASE OF home to live with their family after college or a failed FAMILY MEMBERS relationship until they can afford their own apartment or form a new relationship g. PLACEMENT OF MEMBERS INTO THE LARGER SOCIETY * SANDWICH FAMILY- a family that is squeezed into taking care of both aging parents and a returning young h. MAINTENANCE OF MOTIVATION AND MORALE adult. *EMPTY NEST SYNDROME- is a feeling of boredom or grief and loneliness parents may feel when their children leave home for the first time, such as to live on their own or to form families of their own K. ASSESSMENT OF FAMILY STRUCTURE AND FUNCTION Family assessment is best done when a family is doing well GENOGRAM- diagram that details family structure, provides info about the family’s history and the roles of various family members over time, usually through several generations; provides a basis for discussion and analysis of family interaction. ECOMAP- to document the fit of a family in their community; a diagram of family and community relationships This document and the information thereon is the property of PHINMA Education (Department of Nursing) 5 of 11 FAMILY APGAR- a screening tool of the family environment -a Family APGAR form is administered to each family member and their scores are compared This document and the information thereon is the property of PHINMA Education (Department of Nursing) 6 of 11 CASELET The Garcia family consist of Mr. Garcia 42 years old; Mrs. Garcia 36 years old; Mrs. Garcia’s mother 62 years old ; Jose 14 years old; Anna 12 years old and Carlos 4 years old. Mr. Garcia works as a city bus driver. All six members live in a crowded apartment in the center of the city. Mrs. Garcia recently solved the problem of someone to care for her mother who has Alzheimer disease by quitting her job as a secretary to care for her. 1. What type of family the Garcia represents? 2. Who do you think is the family problem solver? Health supervisor? 3. What is the stage of Garcia family? This document and the information thereon is the property of PHINMA Education (Department of Nursing) 7 of 11  CHECK FOR UNDERSTANDING (30 minutes) You will answer and rationalize this by pair. This will be recorded as your quiz. One (1) point will be given to correct answer and another one (1) point for the correct ratio. Superimpositions or erasures in you answer/ratio is not allowed. Multiple Choice 1. These are primary goals of maternal and child health nursing except: A. Provision of nursing care of women throughout pregnancy, birth, and postpartum period B. Provision of nursing care of children from birth through adolescence C. Provision of quality education D. Provision of nursing care to families in all settings ANSWER: RATIO: 2. Maternal and child health nursing is: A. Patient-centered B. Family-centered C. Evidence-based D. All of the above E. None of the above ANSWER: RATIO: 3. Which of the following is not a Millennium Development Goal? A. Improve maternal health B. Enhance child mortality C. Eradicate extreme poverty and hunger D. Combat HIV, AIDS, malaria and other diseases ANSWER: RATIO: 4. Which of the Millennium Development Goals does this graphic image represent? A. Eradicate extreme poverty and hunger B. Improve maternal health C. Combat HIV, AIDS, malaria and other diseases D. Achieve universal primary education ANSWER: RATIO: _ This document and the information thereon is the property of PHINMA Education (Department of Nursing) 8 of 11 5. Fill in the blank. MDG6 is to combat HIV-AIDS, and other diseases This document and the information thereon is the property of PHINMA Education (Department of Nursing) 9 of 11  A. Tuberculosis B. Malaria C. Diarrhea D. Cholera ANSWER: RATIO: 6. Group of people who choose to live together as an extended family and their relationship is motivated by social or religious rather than kinship A. Nuclear family B. Communal Family C. Adoptive Family D. Multigenerational family ANSWER: RATIO: 7. The family that loosens ties to allow freedom and prepares the children to lead their own lives is in the life cycle stage of: A. Stage 8: The Family in Retirement or Old Age B. Stage 5: The Family with an Adolescent C. Stage 5: The Family of Middle Years D. Stage 6: The Launching Stage Family ANSWER: RATIO: 8. The family task that helps maintain a sense of unity and pride in the family is: A. socialization of family members B. maintenance of order C. division of labor D. motivation and morale ANSWER: RATIO: 9. “Empty Nest Syndrome” is: A. When young adults return home to live with their family after college or a failed relationship until they can afford their own apartment or form a new relationship. B. A family that is squeezed into taking care of both aging parents and a returning young adult. C. A feeling of boredom or grief and loneliness parents may feel when their children leave home for the first time, such as to live on their own or to form families of their own D. All of the above ANSWER: RATIO: 10. The family is: This document and the information thereon is the property of PHINMA Education (Department of Nursing) 10 of 11  A. A group of people related by blood, marriage, or adoption living together. B. Two or more people who live in the same household (usually), share a common emotional bond, and perform certain interrelated social tasks C. A couple perhaps with children who live together but remain unmarried D. A and B E. All of the above ANSWER: RATIO: 11. What type of family does this image represent? A. Multigenerational Family B. Nuclear Family C. Single-Parent Family D. LGBT Family ANSWER: RATIO: 12. The stage in the family life cycle wherein the nurse serves as a counsellor to a family with teenagers, a step in family growth: A. Family with an adolescent B. Family with young adult C. Family in the middle years D. Family with a Preschool child ANSWER: RATIO: __ 13. A Family assessment tool that consists of a Diagram of family history A. EcoMap B. Genogram C. Family APGAR D. A and B E. A and C ANSWER: RATIO: 14. The family task that establishes family rules and regulations: This document and the information thereon is the property of PHINMA Education (Department of Nursing) 11 of 11  A. Physical maintenance B. Reproduction, recruitment and release of family members C. Allocation of resources D. Maintenance of order ANSWER: RATIO: 15. It refers to the family one is born into (e.g., oneself, mother, father, and siblings, if any ) A. Family of Orientation B. Family of Procreation C. Nuclear family D. Adoptive family ANSWER: RATIO: _ _ RATIONALIZATION ACTIVITY (THIS WILL BE DONE DURING THE FACE- TO- FACE INTERACTION) The instructor will now rationalize the answers to the students. You can now ask questions and debate among yourselves. Write the correct answer and correct/additional ratio in the space provided. 1. ANSWER: RATIO: _ 2. ANSWER: RATIO: _ 3. ANSWER: RATIO: _ 4. ANSWER: RATIO: _ 5. ANSWER: RATIO: _ 6. ANSWER: RATIO: _ _ 7. ANSWER: RATIO: _ 8. ANSWER: RATIO: _ 9. ANSWER: This document and the information thereon is the property of PHINMA Education (Department of Nursing) 12 of 11  RATIO: _ 10. ANSWER: RATIO: _ 11. ANSWER: RATIO: _ 12. ANSWER: RATIO: _ _ 13. ANSWER: RATIO: _ 14. ANSWER: RATIO: _ _ 15. ANSWER: RATIO: _ LESSON WRAP-UP (10 minutes) You will now mark (encircle) the session you have finished today in the tracker below. This is simply a visual to help you track how much work you have accomplished and how much work there is left to do. You are done with the session! Let’s track your progress. Period 1 Period 2 Period 3 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 AL Strategy: Minute Paper 1. Please prepare index cards or half-sheets of paper to write feedback to the following questions: a. What was the most useful or the most meaningful thing you have learned this session? b. What question(s) do you have as we end this session? 2. After answering you can pass the paper to your instructor before leaving the room. For next session: Kindly read Chapter 5: The Nursing Role in Reproductive and Sexual Health p.77 This document and the information thereon is the property of PHINMA Education (Department of Nursing) 13 of 11