Discussion response 4

Please read the discussions and respond to them with a reference

Post a thoughtful response to at least two (2) other colleagues’ initial postings. Responses to colleagues should be supportive and helpful (examples of an acceptable comment are: “This is interesting – in my practice, we treated or resolved (diagnosis or issue) with (x, y, z meds, theory, management principle) and according to the literature…” and add supportive reference. Avoid comments such as “I agree” or “good comment.”

References:

• Response posts: Minimum of one (1) total reference: one (1) from peer-reviewed or course materials reference per response.

Words Limits

• Response posts: Minimum 100 words excluding references.

Discussion 1

Assuming Mutual Responsibility for Child Care and Nurturing

According to the article Ten Changes New Parents Face by Diana Divecha, the new parents are faced with a lot of challenges, such as physical changes, finance, new roles, and depression (greatergood.berkeley.edu, 2016). Based on Family Health Care Nursing, the authors discuss one of the nine tasks for a childbearing family: assuming mutual responsibility for child care and nurturing. This task is practical for a first pregnancy. The pressure of having a first child reduces the relaxing time for new parents. Also, they need to be educated on the advantages and disadvantages of breastfeeding and bottle feeding. Nurses should emphasize the father’s role in taking care for a newborn and supporting the post-partum mother (Kaakinen, Coehlo, Steele, Tabacco, & Hanson, 2015, pp. 360). As a family nurse, the nurse should assess and provide the effective interventions based on the new parents’ needs.

I met Ally and her husband when she was 30 week pregnant. She was a 19 year-old college student and lived with her two-year boyfriend who works for an IT company. She was stressed out because of her pregnancy. Also, she didn’t know what she was supposed to do for her baby after birth, and she felt like her boyfriend didn’t care enough for her. Moreover, she asked information about bottle feeding which was convenient for her to go back to school. After listening to Ally’s questions, I suggested her to bring her boyfriend in her next visit. In the next visit, I explained to Ally and her boyfriend about the importance of breastfeeding over bottle feeding. Also I had a private conversation with her boyfriend about Ally’s problems, the father’s role, and the significance of a pregnant woman’s health for the baby. Ally’s boyfriend admitted his stresses of being a father, and he promised to spend more time to take care of Ally and attend the parenthood classes. After discussion, I offered them to visit the parenthood classes and WIC office, so they could learn how to take care of their baby, talk to a lactation consultant, and receive financial support. So, I had my schedule to see Ally every other week to evaluate my care plan for her.

In conclusion, childbearing family nursing care concentrates on providing parenting knowledge, emotional support, and health care for each member in the family. Assuming mutual responsibility for child care and nurturing requires nurses to interact with the new parents effectively in order to choose the right way to take care of their babies.

References

Divecha, Diane, Ten Changes New Parents Face. (2018). Greater Good. Retrieved 17 April 2018, from https://greatergood.berkeley.edu/article/item/ten_…

Kaakinen, J., Coehlo, D.,Steele, R., Tabacco, A. & Hanson, S., 2015. Family Health Care Nursing: Theory, Practice, and Research pp. 360

Discussion 2

The family development and life cycle theory are universal around the world and follows a sequence, but nurses need to recognize that in a childbearing family there is a wide variation in timing and family life cycle phases (Berk, 2007).Being at tentative to subtle keys from family members can shed light on the inner dynamics of a family allowing the nurse for some inner perspective of the family dynamics. Have some common knowledge of expected patterns can guide the nurse to formulate a plan to best serve a family and provide helpful progress to a positive parenting atmosphere. Providing the information, key facts, support sources and other family examples can guide the parents with a starting point. The parent’s primary responsibility to secure, within their abilities and financial capabilities, the conditions of living necessary for the child’s development. Parenting is seven days a week with no time off or vacations. A child is dependent on parents to make sense of the world, create social bonds, and how to learn basic emotions so they can transition well to society. The child’s first relationships with parents set the tone for all the child’s later social relationships. Caring for infants can cause sleep deprivation, demands on time and physical and emotional energy, additional household chores, and personal discomfort to parents (Kaakinen, Coelho, Steele, Tabacco, & Hanson, 2015).

I cannot speak specifically to any childcare in my nursing practice, but I have had mothers in the ICU who have just had a child and because of complications end up in an ICU setting on a ventilator and sedated. We make accommodations for the baby to lay with the mother at intervals, as the father supervises. Fathers usually have both grandparents to help with care and everyone looks tired. This is a variation in life cycle timing that the family must prepare to overcome. Certain developmental tasks must be accomplished for transitioning successfully from one stage of development to the next in the family life cycle, families who fail to accomplish these tasks often become “stuck” and unable to move forward. (Ballard 2012). Sometimes patients have died, and the remainder of the family will adjust, and the child will thrive. As a nurse educate the family on the changing roles that the family must endure the nurse should assist the family with changing roles and assist with the development of new skills that enhance bonding (Kaakinen, Coelho, Steele, Tabacco, & Hanson, 2015).

References

Kaakinen, J. R., Coehlo, D. P., Steele, R., Tabacco, A., & Hanson, S. H. (2015). Family Health Care Nursing (5th ed.). Philadelphia, PA: F. A. Davis Company.

Berk, L. (2007) Development through the lifespan (4^th ed.). Boston Ma; Allyn &Bacon.

Mary B. Ballard (2012) The Family Life Cycle and Critical Transitions: Utilizing Cinematherapy to Facilitate Understanding and Increase Communication, Journal of Creativity in Mental Health, 7:2, 141-152, DOI: 10.1080/15401383.2012.685004

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