Bureau of the Census 2000 definition of family as a group of two or more persons related by birth, marriage, or adoption and residing together. The transition to a stepfamily is also stressful for the children. The school nurse may also collaborate with social workers and school psychologists to provide services to families after unusual events in a child's life. If these customs are breached, it may prevent the nurse from being able to interact effectively with the child and family. Having a written plan available to assist in emergency situations can be invaluable. The American Journal of Occupational Therapy, 45 6 , 493? Stages begin with marriage followed by childbirth and child rearing.
The number of children diagnosed with asthma has risen in recent years and is estimated at 4. Family theorists have applied these principles to explain how families interact with their members and with society. Assessment Instruments Two of the most commonly used instruments for developing a family database are the genogram and the ecomap. Single mothers are three times as likely to be poor compared with other adults, and almost half of all poor children live in single parent families. Box 4-4 provides guidelines for providing culturally sensitive nursing care for children in the home. It is important that reprimands should refer to the child's behavior rather than him or her as a person.
Children with hearing loss between 70 and 90 dB are considered hard of hearing, and those with hearing loss greater than 90 dB are defined as having a severe or profound hearing loss Copmann, 1996. Firearm and playground safety and car-seat loan programs are other examples of health protection programs. The adults have chosen to make major changes in their lives; the children have had those changes imposed on them. For example, Green, Krueter, and Deeds 1980 described health education as a combination of learning experiences intended to help an individual change behaviors to be more favorable to health. They usually lack social competence and spontaneity, and have low self-esteem.
However, when a nurse identifies a family at risk for dysfunction, such an assessment may be required. All medications should be stored in a locked cabinet, and if the principal or another designated staff member is to administer medications in the nurse's absence, the nurse should train these personnel and provide information on the medication itself and the five rights right patient, right medication, right dose, right route, right time. The family should be contacted by telephone and services briefly discussed. The traditional Snellen chart, which uses letters in various sizes, is also available in tumbling letters and pictures to match the age and ability level of the child being screened. The Jones family have many ways of communicating with one another in the household. When respite time is well planned, it can be therapeutic for the family and the child. The gentleman living with the chronic illness will be named Bob Jones, Bobs mother will be named Sue Jones, Bobs girlfriend will go by Jane, and the 2 year old daughter will be named Anna.
Governmental Influence The government has influenced community health nursing for children and their families through federal programs such as Medicaid, public laws, and the Healthy People documents. Having a low income brought in by only his mother and girlfriend and such high expenses to pay for medication and care, Bob perceived his family as being in a lower socioeconomic class. Family members can teach these behaviors by role modeling since children naturally learn through imitation. The goal is to reverse or reduce the severity of the disease or provide a cure. Gay and Lesbian Families Gay and lesbian families are increasing in numbers. Developmental Theory The developmental or life-cycle theory is based on the premise that families evolve through predictable developmental stages, and experience growth and development in much the same way as individuals.
Figure 3-2 shows a family ecomap. They can be defined by generation, sex, interest, function or history. Individuals considered it their responsibility to marry, have many children, and rear those children within the bounds of marriage. Merely giving advice based on the providers' background and knowledge may fail to address the parents' personal and cultural beliefs. When caretakers begin to think in terms of their need for a break, it is natural for them to turn to the home health care nurse to assist them in making arrangements. The subsequent transitional period is likely to be disorganized and tumultuous until a realignment of roles, schedules, and expectations can permit a new and stabilized family life Tanner, 1995.
The focus of the developmental approach is primarily child rearing; however, today this activity occupies less than half of a woman's adult life span. Too often health care providers talk to parents rather than with them. In this paper the subject to identify is a family assessment using the Friedman Family Assessment Model, including three nursing diagnosis. Same-sex relationships are often denied the legal benefits of marriage. Diabetes Forecast, 60 12 , 28,31.
Single parents who are employed often feel overwhelmed in an attempt to provide adequate time for the family, the job, and the endless details of daily life. Home Care Agencies and Managed Care Home care agencies that provide care for children and their families fall into five categories: official, voluntary, combined, private, and hospital-based agencies. An ecomap - is a visual representation of a family in relation to the community. Children's responses to stepfamilies vary depending on their age. Caregivers provide little input or direction, and seldom punish their children because they are encouraged to develop their own standards of behavior most ol their behavior is considered acceptable by the caregivers.
The home care agency should have standard forms that are sent to families that allow them to routinely evaluate the home care service received. A number of theories of families in nursing and social sciences give insight into understanding its dynamics and processes. The health problems and health care settings are varied, as are the ethnic and racial groups. Families want to be familiar with the person to whom they are entrusting the care of their child. It is a defined period of time in which the child is removed from activities and social interactions. Cystic Fibrosis is a genetic disease that causes mucous to build up and clog organs of the body such as the respiratory system Ruder, 2007.