An Amish family in Delaware has brought their newborn baby girl to the hospital after she was born at home and became anoxic. The baby is in the NICU on a ventilator. The family does not have health insurance or transportation. Nurses must provide culturally competent care by understanding the family's beliefs, assessing their needs, and ensuring communication barriers are addressed. Resources for expenses, transportation, and screening for genetic disorders should be discussed. With open communication and respect for cultural differences, nurses can effectively care for the Amish family during this difficult time.
Medical demography is concerned with the consequences of health, sickness, accidents, disability, and death for the size, composition, and structure of the population; and with the economic, social, and policy impacts of those dynamics.
Epidemiological data and methods can be used by medical demographers as part of their population modeling methods.
Medical demography is concerned with the consequences of health, sickness, accidents, disability, and death for the size, composition, and structure of the population; and with the economic, social, and policy impacts of those dynamics.
Epidemiological data and methods can be used by medical demographers as part of their population modeling methods.
Economic Development and Social JusticeAmit Ganguly
Economic development and consequently maintenance of social equilibrium is truly a global issue and is largely based upon how citizens of a particular nation react under a government controlled environment and respond to a market based environment. In this context higher economic growth can only be achieved through implementation of social policies based upon the basic principles of equal participation, proper distribution and objective limitation and exclusion of exploitation.
The Therapeutic RelationshipZachary is a 5-year-old boy admitted t.docxcarmanl5wisc
The Therapeutic Relationship
Zachary is a 5-year-old boy admitted to the pediatric unit with dehydration. His parents work in a small town 90 miles from the hospital, and you are planning his Child Life services as well as looking at his discharge needs. Describe the role and impact of family-centered care in the planning of Zachary’s services.
400 Level Forum Grading Rubric
Possible points
Student points
Met initial post deadline (Wednesday)
10
Initial post is substantive
10
Initial post is at least 400 words
10
Initial post employs at least two citations; one can be text; other must be from an academic source
10
First response to classmate posted by Sunday
10
First response is at least 200 words
10
First response employs at least 2 citations; one can be text; other must be from an academic source
10
Second response to classmate posted by Sunday
10
Second response is at least 200 words
10
Second response employs at least 2 citations; one can be text; other must be from an academic source
10
100
First response:
New!
Week 4 Family Centered Care
Megan Keogh
(Jul 25, 2016 9:13 PM)
- Read by: 2
Reply
When looking at Zachary’s situation both medically and socially it is clear that family-centered care is the best approach to use when planning Zachary’s child life services and considering his discharge plan. Family-centered care is defined as, “an approach to healthcare that is based on mutually beneficial partnerships between patients, families, and healthcare professionals” (Thompson, 2009). I feel this is especially important to utilize because of the distance that Zachary’s family must travel to and from the hospital, due to the location of their jobs. This distance may create a communication barrier between the parents and the healthcare professionals caring for Zachary, because they may be unable to visit the hospital every day. Using family-centered care the child life specialist will be able to reach out to Zachary’s parents via phone or email; finding out what communication form works best for them when they cannot be there in person, to discuss Zachary’s well-being, mood, and give them time to express any concerns they may have for the CCLS. The CCLS should also work with the family to decide what Zachary’s plan while he is in the hospital will look like. They may have useful suggestions that the specialist can use to determine what interventions will work best for their son. “Fostering collaborative dialogue with families, promoting communication throughout the experience, and continuously acknowledging the family as an integral part of the healthcare team are strong foundations in quality child life programs” (Thompson,2009). Some interventions that I might suggest for Zachary would be games and activities with slight or gradual physical activity such as WII games or Charades to begin to rebuild his physical strength and endurance after his dehydration. I would also suggest providing caregiver educ.
Economic Development and Social JusticeAmit Ganguly
Economic development and consequently maintenance of social equilibrium is truly a global issue and is largely based upon how citizens of a particular nation react under a government controlled environment and respond to a market based environment. In this context higher economic growth can only be achieved through implementation of social policies based upon the basic principles of equal participation, proper distribution and objective limitation and exclusion of exploitation.
The Therapeutic RelationshipZachary is a 5-year-old boy admitted t.docxcarmanl5wisc
The Therapeutic Relationship
Zachary is a 5-year-old boy admitted to the pediatric unit with dehydration. His parents work in a small town 90 miles from the hospital, and you are planning his Child Life services as well as looking at his discharge needs. Describe the role and impact of family-centered care in the planning of Zachary’s services.
400 Level Forum Grading Rubric
Possible points
Student points
Met initial post deadline (Wednesday)
10
Initial post is substantive
10
Initial post is at least 400 words
10
Initial post employs at least two citations; one can be text; other must be from an academic source
10
First response to classmate posted by Sunday
10
First response is at least 200 words
10
First response employs at least 2 citations; one can be text; other must be from an academic source
10
Second response to classmate posted by Sunday
10
Second response is at least 200 words
10
Second response employs at least 2 citations; one can be text; other must be from an academic source
10
100
First response:
New!
Week 4 Family Centered Care
Megan Keogh
(Jul 25, 2016 9:13 PM)
- Read by: 2
Reply
When looking at Zachary’s situation both medically and socially it is clear that family-centered care is the best approach to use when planning Zachary’s child life services and considering his discharge plan. Family-centered care is defined as, “an approach to healthcare that is based on mutually beneficial partnerships between patients, families, and healthcare professionals” (Thompson, 2009). I feel this is especially important to utilize because of the distance that Zachary’s family must travel to and from the hospital, due to the location of their jobs. This distance may create a communication barrier between the parents and the healthcare professionals caring for Zachary, because they may be unable to visit the hospital every day. Using family-centered care the child life specialist will be able to reach out to Zachary’s parents via phone or email; finding out what communication form works best for them when they cannot be there in person, to discuss Zachary’s well-being, mood, and give them time to express any concerns they may have for the CCLS. The CCLS should also work with the family to decide what Zachary’s plan while he is in the hospital will look like. They may have useful suggestions that the specialist can use to determine what interventions will work best for their son. “Fostering collaborative dialogue with families, promoting communication throughout the experience, and continuously acknowledging the family as an integral part of the healthcare team are strong foundations in quality child life programs” (Thompson,2009). Some interventions that I might suggest for Zachary would be games and activities with slight or gradual physical activity such as WII games or Charades to begin to rebuild his physical strength and endurance after his dehydration. I would also suggest providing caregiver educ.
Comment 1This situation impacts every individual; Susie, her fam.docxdivinapavey
Comment 1
This situation impacts every individual; Susie, her family and elderly and chronically ill mother. Along with that, nurses should provide information about community resources to Susie and her family to facilitate in providing care. To assist this family in overcoming with changing situation, nurses can use the family structural theory to identify current interaction patterns, behavior, and activities of the family. During the family assessment, the nurse should focus on family roles, capacity to face changes, illness, or crisis. So that nurse can provide family teaching about role changes that need to be made by each family member. For instance, Susie has to look after her three school-aged children and chronically ill elderly mother as well which can be overwhelming.to her mother and keep the family functioning.
Nurses should assist Mrs. Jones in coping with her illness and new family too. Susie’s Children should also encourage to be involved in the family discussion to adapt and face the changing situation.
The developmental theory can be used in this family simultaneously by assessing the new responsibilities in various aspects of progress and success in caring the elderly mother by Susie and her family. As family enters in the new developmental stage, it presents opportunities for health promotion and intervention as the family moves through new stages as a result of the event (Huerta, 2013).
Health education as well is an important factor in helping this family to prepare for the role changes by providing education in caring chronically ill elderly mother with focusing on safety, nutrition, infection, and bedsore. In addition, nurses need to provide education on other resources such as obtaining services required to assist in caring the elderly and provide information to Susie, her family, and mother as the coping mechanism which helps to enhance health promotion.
Comment 2
Basically, such cases of child abuse, domestic violence among other evil things are on the verge of increase in our families all across the world. Research has proved it that majority of families are facing hard times in sorting out their family issues, something which has majorly contributed to increased cases of abuse. Medical practitioners also have brought out the fact behind their worries relating to the same issue (Yawn, Yawn, & Uden, 1992). Most of the cases they handle in the daily operations are related to either child abuse or any kind of domestic violence. Certain known characteristics are utilized by these medical practitioners in the health sector to investigate and come to a conclusion that the client is actually a victim of the same issue in question.
In the case where anyone has been facing any kind of abuse may it be physical or emotional, they will exhibit characteristics which will speak it loud and reveal the abnormality of their situation. To start with, for child abuse, the child will show signs of fear even ...
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2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
The Roman Empire A Historical Colossus.pdfkaushalkr1407
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The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
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Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
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2. SCENARIO:
John, 25 years old, and Rebecca, 23 years old are married and live on the family
farm in Dover, Delaware. They are members of the Old Order Amish Faith. They
have three children: five year old Jacob, three year old Anna, and one year old
Thomas.
Rebecca has given birth at home to a 36 week gestation baby girl which is anoxic
after delivery.
They do not have a vehicle, therefore a neighbor has brought them to the
hospital with the baby.
The baby has been admitted to the NICU and has been placed on a ventilator for
respiratory support.
The baby weighs 7 lbs. 8 oz.
There is no health insurance
3. Nursing Diagnosis
1) Ineffective health maintenance related to
cultural and religious beliefs as evidenced by lack
of prenatal care, lack of transportation, lack of
health insurance, limited knowledge about
available health care and limited resources.
4. Interventions for culturally competent
care
Assess social economic status: Financial stressors related to a baby in the
NICU, transportation cost and the expense of medical treatment. (The family
does not have health insurance).
Assess coping mechanisms. Identify family’s support group. (The family has
three young children that will require supervision and care).
Assess family’s knowledge deficit. Assess the family’s understanding of the
baby’s disease process. (The baby is in NICU on a ventilator.)
Assess cultural practices that may be different when caring for the family and
infant.
5. Specific Interventions by the nurse that
could be implemented to provide
culturally competent care
-Discuss resources available to help with the medical expenses and other
expenses accrued while the infant is hospitalized.
-Provide resources for transportation to and from the hospital.
-Initiate a plan of communication between the family and the medical team.
The Amish community does not have modern technology. They do not have
cell phones, email, texting capabilities or land lines.
-Identify possible special needs for the infant once it is discharged from the
hospital. The Old Order Amish Faith group is a known carrier of genetic
defects and disorders. (Sieren, Grow, GoodSmith, Spicer, Deline & Zaho,
2016). Therefore, it is imperative to do as many newborn screenings as
possible because this infant may not receive further modern health care
upon discharge from the hospital.
6. Specific Family/Community Members
included in the plan of care
Family members that are included in
the plan of care are the Bishops or
leaders (elder men) in the family’s
community.
Families and neighbors are involved in
caring for the family and property of
the sick patient/family.
7. Evaluation of the plan of care
Have open lines of communication that are culturally diverse with the Amish
culture; consistently reassessing the family’s knowledge and understanding of
the baby’s disease process and outcomes.
As the baby progresses, involve the parents and support system in the infant’s
care to assess for accuracy.
Visit the home to assess for readiness to care for the infant.
Ask open ended questions while evaluating their understanding. Allow the
community support to elaborate.
8. CONCLUSION:
In Conclusion, I believe the RN should develop a trusting relationship with
the family by understanding Amish norms regarding technology, social
structure, and socioeconomic barriers. As the nurse you must reflect and
acknowledge the difference between your own beliefs and the culture of the
Amish population. In this case the patient is in the NICU so the nurse will
provide updates and education to the family in a respectful way. The nurse
has to understand that technology and medical equipment may not be
familiar to the family. I have taken care of Amish families in the NICU and
they are respectful of nurses and their cultural differences have never stood
in the way of getting the best treatment for their babies. Ellen Moore
9. CONCLUSION:
In order to acknowledge and incorporate this family’s religious beliefs and
cultural differences, it is imperative to request information from the
family. How do they communicate out side of their normal routine? I
would explain to them why it is important for me to seek information
about their culture and explain that I will do everything possible to
respect their beliefs. I would ask open ended questions and give them the
time to elaborate as well as attempt to identify any barriers of
communication. I would invite the family to help take care of the infant
and observe their interactions. Mostly, I would show kindness, compassion
and caring for the complete family and community.
Terry Bozman
10. CONCLUSION:
In conclusion, I would provide culturally safe care by first identifying the
needs of the Amish family and organizing the appropriate resources such as
translation, social work, and case management. My interactions would help
the family to develop a comfort level and a level of trust. In my role, I will
advocate for the family communicating their needs to support staff. Although
my beliefs and practices may be different, it is my job to respect their
differences. My focus is the patient and family and their beliefs and
practices. I would ensure that I was communicating with the family, in a
respectful manner during this very difficult time. Joan Fultz
11. References
Adams, C.E. & Leverland, M.B. (1986). The effects of religious beliefs on the healthcare practices
of the amish [Abstract]. Nurse Practice, 11(3), 58, 63, 67. abstract retrieved from http:
//www.ncbi.nlm.nib.gov/pubmed/3446212
Ineffective Health Maintenance: Nanda Nursing Diagnosis and Nursing Diagnosis and
Nursing Care Plan. http//dailyrn.com/ineffective-health-maintenance-nursing-diagnosis-care-
plan
Jalil (2017). 5 unconventional amish practices, amish facts, amish America. Daily RN, http://
amishamerica.com/5-unconventional-amish-health-practices/
Sieren, S., Grow, M., GoodSmith, M., Spicer, G., Deline, J., Zhao, Q., … Seroogy, C. (2016).
Cross-sectional survey on newborn screening in Wisconsin Amish and Mennonite
communities. Journal of Community Health, 41, 283-288. doi: http://dx.doi.org.mylibrary.
wilmu.edu/10.1007/s10900-015-0094-1
Editor's Notes
Created by Ellen Moore, Terry Bozman and Joan Fultz
