Family Health Nursing explores various practice environments including maternal, newborn, child health and school health. The document discusses considerations for supporting diverse family structures and assessing families using nursing theories. It provides an overview of postpartum depression risk factors and screening tools. Maternal health topics covered include vulnerable parent populations, low socioeconomic status, newcomer women, teenage motherhood, and the importance of social support. Infant feeding recommendations promote breastfeeding. Child development is influenced by prenatal and lactation periods.
Maternal Mental Health: CA Department of Public Health Nov 6, 2014Joy Burkhard
Maternal Mental Health is an underground health crisis impacting women, infants and families. This presentation was provided Nov. 6 2014 to the California Department of Public Health and discusses symptoms, risk factors and prevalence; impact on child development, why providers don't routinely screen/diagnose and treat, and what we can do to collectively change this course.
Maternal Mental Health: CA Department of Public Health Nov 6, 2014Joy Burkhard
Maternal Mental Health is an underground health crisis impacting women, infants and families. This presentation was provided Nov. 6 2014 to the California Department of Public Health and discusses symptoms, risk factors and prevalence; impact on child development, why providers don't routinely screen/diagnose and treat, and what we can do to collectively change this course.
1 DQ 1When a baby is born, one of the first concerns is thei.docxcuddietheresa
1 DQ 1
When a baby is born, one of the first concerns is their weight. A baby with an extremely low birth weight (ELBW) alerts the physician to a possible problem. The extremely low birth weight infants are those born with less than 1,500g (James, Wood, Nair, & Williams, 2018). According to Robbins, Hutchings, Dietz, Kuklina, & Callaghan (2014), about 40% of babies born with extremely low birth weight end up with a fairly significant disease. The diseases are cerebral palsy, mental retardation, blindness in both eyes, hearing loss, significant chronic disease that requires special medication, and often frequent hospitalization. Getting prenatal care before and during pregnancy ensures the well-being of the mother and a healthy baby.
Effect of Extremely Low Birth Weight Babies on Family and Community
Babies born with extremely low birth weight have various health and developmental complications. The birth of a baby with ELBW can result in substantial emotional and economic costs to the families. Also, the public sector services can be strained as a result. These services include social support systems, educational, and health insurance services. In the short term, the babies may require life support in the neonatal care unit because readmission risk is high. Often, the babies have immature brains and respiratory distress that will need ventilators.
Premature babies may have long-term impacts like poor health and growth, mental retardation, visual and hearing impairments, and cerebral palsy. The majority of the babies will have issues relating to breathing and feeding. The more premature the baby is, the system in the baby is premature. They will therefore have unique and life-threatening problems with each one of those systems. The babies born premature may exhibit learning difficulties, high risk of Sudden Infant Death Syndrome, high risk of Attention Deficit-Hyperactivity Disorder, socioemotional and behavioral problems. The loss of an infant is a demoralizing experience for a family.
There are significant disparities in premature and low birth weights of infants. Minority groups, the marginalized, and the poor are at a greater risk of premature and extremely low birth weight. An example of the disparities among minority populations is native Americans and African Americans to non-Hispanic white births. According to Martin, Hamilton, Osterman, and Driscoll (2019), the preterm birth rate was 10.23 in 2019. In the same year, the preterm birth rate for non-Hispanic black mothers was 14.39% as compared to 8.72% of non-Hispanic Asian mothers and 11.51% for the Hispanic subgroups. Infants born of mothers of low socioeconomic rank are more likely to be born prematurely. African Americans are at a higher risk due to a higher population of low socioeconomic status.
Prematurity is associated with increased risks for developmental delay, vision problems, hearing problems, and family stress. To assist with the problem of preterm infants in both f.
Lambeth Healthy Weight Project:
Dr Claire Dempster - Project Lead, Family & Systemic Psychotherapist
Dr. Vanessa Impey - Community Paediatric ST8
Ms Hayley Tuffin - Project Family & Systemic Psychotherapist
Adolescent Pregnancy one of the concerns in Pediatric Nursing that is underrated. Included is also the accompanying nutritional issues in this condition.
2Quote Log Health and WealthStudents NameInst.docxrobert345678
2
Quote Log Health and Wealth
Student's Name
Institutional Affiliation
Date
Instructors Name
Social Issue: Health & Wealth
Topic:
Health & Wealth
Thesis:
The stressors of finance can have adverse effects because they can affect the development of children, create an unsafe psychological state and contribute to poor physical health.
Reasons:
1. It has been shown that a family's socioeconomic standing has a substantial bearing on the educational, vocational, and social opportunities that are made accessible to the children of that family. These factors, in turn, influence the children's long-term physical and mental health.
2. Children from families with lower earnings are less likely to be insured or have access to medications and treatments that may assist in managing chronic health conditions. This is particularly true for individuals who reside in households where there is only one parent present.
3. Children who are worse on the socioeconomic ladder are more prone to deal in a destructive way, such as by smoking or drinking excessively when they grow up, which may inflict significant harm to one's health if done to an extreme.
Entry #1
Source:
Sapolsky, R.M. (2018). The health-wealth gap.
Scientific American, 319(5), pp. 62- 67.
http://ezproxy.umgc.edu/login?url=https://search.ebscohost.com/login.aspx? direct=true&db=edb&AN=132271091&site=eds-live&scope=site
Quote:
"One of the consequences of the growing poor is worsening health, and the reasons are not as obvious as you might think. Yes, lower socioeconomic status (SES) means less access to health care and living in more disease-prone neighbourhoods. And, yes, as the SES ladder's lower rungs have become more populated, the number of people with medical problems has climbed. This is not merely an issue of poor health for the poor and some version of better health for everyone else. Starting with Jeff Bezos at the top, every step down the ladder is associated with worse health.” (Sapolsky, 2018, p. 62-67).
Paraphrase:
The welfare of children will deteriorate as a consequence of people falling into poverty. Children from families with lower socioeconomic positions have a lower chance of accessing medical treatment and tend to reside in locations with a higher incidence of disease (Sapolsky, 2018).
Explanation of quote selection and connection:
Children who are not perfect and battling to live in a healthy environment are likely to get ill and have difficulty affording medical treatment due to their low socioeconomic position. This is because their living conditions are not ideal. Children who come from families with a low socioeconomic status, which is often the result of financial disparity, are more likely to have physical and mental health issues.
Entry #2
Source:
Purnell, J. Q. (2015). Financial health is public health. In L. Choi, D. Erickson, K. Griffin, A. Levere, & E. Seidman (Eds.),
What it’s Worth: Strengthening the financial futures .
A presentation by Jennifer Rein, MSW, LICSW, and Victoria Ochoa, LICSW, Clinical Social Workers, Boston Children’s Hospital, at JDRF New England Chapter's 2nd Annual “Living Well with T1D” Symposium on March 9, 2013.
1 DQ 1When a baby is born, one of the first concerns is thei.docxcuddietheresa
1 DQ 1
When a baby is born, one of the first concerns is their weight. A baby with an extremely low birth weight (ELBW) alerts the physician to a possible problem. The extremely low birth weight infants are those born with less than 1,500g (James, Wood, Nair, & Williams, 2018). According to Robbins, Hutchings, Dietz, Kuklina, & Callaghan (2014), about 40% of babies born with extremely low birth weight end up with a fairly significant disease. The diseases are cerebral palsy, mental retardation, blindness in both eyes, hearing loss, significant chronic disease that requires special medication, and often frequent hospitalization. Getting prenatal care before and during pregnancy ensures the well-being of the mother and a healthy baby.
Effect of Extremely Low Birth Weight Babies on Family and Community
Babies born with extremely low birth weight have various health and developmental complications. The birth of a baby with ELBW can result in substantial emotional and economic costs to the families. Also, the public sector services can be strained as a result. These services include social support systems, educational, and health insurance services. In the short term, the babies may require life support in the neonatal care unit because readmission risk is high. Often, the babies have immature brains and respiratory distress that will need ventilators.
Premature babies may have long-term impacts like poor health and growth, mental retardation, visual and hearing impairments, and cerebral palsy. The majority of the babies will have issues relating to breathing and feeding. The more premature the baby is, the system in the baby is premature. They will therefore have unique and life-threatening problems with each one of those systems. The babies born premature may exhibit learning difficulties, high risk of Sudden Infant Death Syndrome, high risk of Attention Deficit-Hyperactivity Disorder, socioemotional and behavioral problems. The loss of an infant is a demoralizing experience for a family.
There are significant disparities in premature and low birth weights of infants. Minority groups, the marginalized, and the poor are at a greater risk of premature and extremely low birth weight. An example of the disparities among minority populations is native Americans and African Americans to non-Hispanic white births. According to Martin, Hamilton, Osterman, and Driscoll (2019), the preterm birth rate was 10.23 in 2019. In the same year, the preterm birth rate for non-Hispanic black mothers was 14.39% as compared to 8.72% of non-Hispanic Asian mothers and 11.51% for the Hispanic subgroups. Infants born of mothers of low socioeconomic rank are more likely to be born prematurely. African Americans are at a higher risk due to a higher population of low socioeconomic status.
Prematurity is associated with increased risks for developmental delay, vision problems, hearing problems, and family stress. To assist with the problem of preterm infants in both f.
Lambeth Healthy Weight Project:
Dr Claire Dempster - Project Lead, Family & Systemic Psychotherapist
Dr. Vanessa Impey - Community Paediatric ST8
Ms Hayley Tuffin - Project Family & Systemic Psychotherapist
Adolescent Pregnancy one of the concerns in Pediatric Nursing that is underrated. Included is also the accompanying nutritional issues in this condition.
2Quote Log Health and WealthStudents NameInst.docxrobert345678
2
Quote Log Health and Wealth
Student's Name
Institutional Affiliation
Date
Instructors Name
Social Issue: Health & Wealth
Topic:
Health & Wealth
Thesis:
The stressors of finance can have adverse effects because they can affect the development of children, create an unsafe psychological state and contribute to poor physical health.
Reasons:
1. It has been shown that a family's socioeconomic standing has a substantial bearing on the educational, vocational, and social opportunities that are made accessible to the children of that family. These factors, in turn, influence the children's long-term physical and mental health.
2. Children from families with lower earnings are less likely to be insured or have access to medications and treatments that may assist in managing chronic health conditions. This is particularly true for individuals who reside in households where there is only one parent present.
3. Children who are worse on the socioeconomic ladder are more prone to deal in a destructive way, such as by smoking or drinking excessively when they grow up, which may inflict significant harm to one's health if done to an extreme.
Entry #1
Source:
Sapolsky, R.M. (2018). The health-wealth gap.
Scientific American, 319(5), pp. 62- 67.
http://ezproxy.umgc.edu/login?url=https://search.ebscohost.com/login.aspx? direct=true&db=edb&AN=132271091&site=eds-live&scope=site
Quote:
"One of the consequences of the growing poor is worsening health, and the reasons are not as obvious as you might think. Yes, lower socioeconomic status (SES) means less access to health care and living in more disease-prone neighbourhoods. And, yes, as the SES ladder's lower rungs have become more populated, the number of people with medical problems has climbed. This is not merely an issue of poor health for the poor and some version of better health for everyone else. Starting with Jeff Bezos at the top, every step down the ladder is associated with worse health.” (Sapolsky, 2018, p. 62-67).
Paraphrase:
The welfare of children will deteriorate as a consequence of people falling into poverty. Children from families with lower socioeconomic positions have a lower chance of accessing medical treatment and tend to reside in locations with a higher incidence of disease (Sapolsky, 2018).
Explanation of quote selection and connection:
Children who are not perfect and battling to live in a healthy environment are likely to get ill and have difficulty affording medical treatment due to their low socioeconomic position. This is because their living conditions are not ideal. Children who come from families with a low socioeconomic status, which is often the result of financial disparity, are more likely to have physical and mental health issues.
Entry #2
Source:
Purnell, J. Q. (2015). Financial health is public health. In L. Choi, D. Erickson, K. Griffin, A. Levere, & E. Seidman (Eds.),
What it’s Worth: Strengthening the financial futures .
A presentation by Jennifer Rein, MSW, LICSW, and Victoria Ochoa, LICSW, Clinical Social Workers, Boston Children’s Hospital, at JDRF New England Chapter's 2nd Annual “Living Well with T1D” Symposium on March 9, 2013.
Ethnobotany and Ethnopharmacology:
Ethnobotany in herbal drug evaluation,
Impact of Ethnobotany in traditional medicine,
New development in herbals,
Bio-prospecting tools for drug discovery,
Role of Ethnopharmacology in drug evaluation,
Reverse Pharmacology.
How to Split Bills in the Odoo 17 POS ModuleCeline George
Bills have a main role in point of sale procedure. It will help to track sales, handling payments and giving receipts to customers. Bill splitting also has an important role in POS. For example, If some friends come together for dinner and if they want to divide the bill then it is possible by POS bill splitting. This slide will show how to split bills in odoo 17 POS.
This is a presentation by Dada Robert in a Your Skill Boost masterclass organised by the Excellence Foundation for South Sudan (EFSS) on Saturday, the 25th and Sunday, the 26th of May 2024.
He discussed the concept of quality improvement, emphasizing its applicability to various aspects of life, including personal, project, and program improvements. He defined quality as doing the right thing at the right time in the right way to achieve the best possible results and discussed the concept of the "gap" between what we know and what we do, and how this gap represents the areas we need to improve. He explained the scientific approach to quality improvement, which involves systematic performance analysis, testing and learning, and implementing change ideas. He also highlighted the importance of client focus and a team approach to quality improvement.
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
How to Make a Field invisible in Odoo 17Celine George
It is possible to hide or invisible some fields in odoo. Commonly using “invisible” attribute in the field definition to invisible the fields. This slide will show how to make a field invisible in odoo 17.
We all have good and bad thoughts from time to time and situation to situation. We are bombarded daily with spiraling thoughts(both negative and positive) creating all-consuming feel , making us difficult to manage with associated suffering. Good thoughts are like our Mob Signal (Positive thought) amidst noise(negative thought) in the atmosphere. Negative thoughts like noise outweigh positive thoughts. These thoughts often create unwanted confusion, trouble, stress and frustration in our mind as well as chaos in our physical world. Negative thoughts are also known as “distorted thinking”.
Instructions for Submissions thorugh G- Classroom.pptxJheel Barad
This presentation provides a briefing on how to upload submissions and documents in Google Classroom. It was prepared as part of an orientation for new Sainik School in-service teacher trainees. As a training officer, my goal is to ensure that you are comfortable and proficient with this essential tool for managing assignments and fostering student engagement.
2. Learning Outcomes
Learners will explore a variety of practice environments:
Maternal, Newborn and Child Health
School Health
Family Health
Who am I now? How is my approach to theoretically informed practice? How am I embodying
my practice?
4. What CHNs need
to consider when
supporting
families
Family units come in a variety of forms
(grand-parent, lone-parent, guardian etc.)
CHNs should respect the client’s definition
of family
Even a pet can be considered family
Not one part of the family should be treated
in isolation, need to utilize the context of the
family in care (Hunt, 2009)
Stamler & Yiu (2012)
5. How to assess
families in CHN
practice?
Although every family is
unique, all families share
some universal
characteristics
Families move through
typical and shared
developmental stages,
experiencing growth and
development in a similar
manner
• Neuman’s Health
System Model
Nursing theories that are
relevant to families inform
and guide nursing practice
Stamler & Yiu (2012)
6. CHNC Standard:
Professional
Relationships and
Professional
Responsibility and
accountability
Nurture family relationships
Establish mutuality and trust, remember you are
in the clients’ home!
Collaborative stance and build on family’s
strengths
Empowerment
Strong interviewing skills are required
Stamler & Yiu (2020)
7.
8.
9. Go Back In Time: Khaled is just born
https://www.peelregion.ca/health/professionals/tools/pdf/healthy-babies-healthy-
children-screening-tool.pdf
10. CHNC Standard:
Health Promotion
and Capacity
Building in Family
Health Nursing
Promoting health, supports family
resilience
Resilience provides family protective
factors
• effective problem solving
• spirituality
• positive outlook
• communication
• role flexibility
• support network
Stamler & Yiu (2020)
11. CHNC standard:
Health Equity
Need to consider spiritual, cultural
and religious context
Families may not seek care because
of these reasons
Family units are structured is an
element that needs to be considered
• i.e. Mother-in-law may control the child
rearing and
• health seeking behaviours in the family unit
12. CHN work with Families
Case management is a collaborative approach used by CHNs to coordinate and
facilitate the delivery of health care services
Two managed care mechanisms to save costs in the 1990s: early discharge and
decreasing homecare service hours
As Canada’s population ages, pressure increases on informal caregivers and on
the CHNs
CHNs are suited for case management roles because of their broad range of
assessment and coordination skills related to health
Stamler & Yiu (2012)
13. CHN future in
Family Health
Nursing
Family nursing is gaining recognition as a critical
environment related to health
Future research to work on the complex issues
related to family interventions.
Gaps in application of theory.
Researchers suggest that serious illness often
creates suffering and precipitates a search for
spiritual meaning
Future research, the role of the family nurse in the
era of genomic health care
Stamler & Yiu (2012)
16. Maternal Health
Many women’s first encounter with the
health care system is related to fertility,
conception, or pregnancy
Since 1960, total fertility rates or number of
children each woman bears on average,
have decreased in Canada and worldwide
The Canadian fertility rate has decreased
by more than 60% from 3.90 per woman in
1960 to 1.6 in 2016
This is below the replacement level of 2.1
children per woman
Stamler & Yiu (2012)
18. Maternal Health
83% of lone-parent families were female
headed
56% of lone parent mothers had incomes
which fell below the low- income cutoffs
Infant mortality has been considered
the single most comprehensive measure
of health in society.
The current infant mortality rate for Canada in 2022
is 4.055 deaths per 1000 live births, a 2.71%
decline from 2021.
Within the context of childbearing,
differences in birth outcomes are
associated with the social determinants
of health incuding lack of social support
and life stress.
Stamler & Yiu (2012)
19. Postpartum depression
Public health concern as both mother and
baby suffer from the mother’s postpartum
depression (PPD) symptoms
Baby is at risk of insecure attachment,
potential long term developmental issues
including temper tantrums, antisocial
behaviour, and decreased emotional control
Mothers at risk because of poor attachment
to their infants, potential for suicide and
homicidal ideation
Sealy et al. (2009), Longsdon et al (2006)
20. What are the risk
factors for PPD?
Previous history of PPD, depression
Limited identified supports
Dysfunctional familial/ marital relationships
Colicky baby, poor sleep routines
Caring for more than 1 child
Adverse pregnancy outcome
Type A personalities/ overly worrisome/ anxious
Geographic location
Newcomer, Refugee
Short hospital stay
Sealy et al (2009), Longsdon et al (2006)
21. Misconceptions of PPD symptoms
Many women perceive lack of sleep and relationship difficulties result of personal
weakness
Romantizing the motherhood role
Many personal/cultural beliefs do not ask for help outside the family matrix to protect
the “family honour” or stigma regarding mental illness
Sealy et al (2009), Howell et al (2009)
22. Low
socioeconomic
status
Women of low socioeconomic status (SES) have poorer health
outcomes
Single mothers and new immigrant women may suffer from low
paying jobs or receive social assistance
These women may also have limited support networks and absent
partners
Women in poverty have twice the prevalence of stressful life events
(i.e. inability to pay bills, food/housing insecurity)
These stressful life events result in heavier demands and
responsibilities, increased expenses in having a baby alone, or by
living in a new country without the buffer of additional financial and
social supports.
Mechakra-Zihiri et al (2007), Surkan et al (2006)
23. Newcomer women and
PPD
PPD hypothesis for minority newcomer
women:
• low self esteem d/t sociocultural
differences around the mothering role
• Newcomers are in poor economic status,
79 % have inadequate incomes compared
to 20 % of Canadian born families
• stress of migration
Newcomer women are more likely to be
existing mothers of small children,
difficulties in caregiving two or more
children at different age groups
Many experience weak spousal support/
social support largely in part to absence of
extended family/ spouse
Mechakra-Tahiri et al (2007)
24. Teenage Motherhood
- Higher risk of obstetric complications
- Anemia, toxemia, eclampsia and
hypertension
- Two times higher risk of low birth weight
and prematurity
- More common in low socioeconomic status,
non- immigrant families experienced abuse,
- Twice as likely to experience ppd
- Tobacco users during pregnancy
25. Social support and
significance and PPD
Women are vulnerable in pp period, need emotional and physical support,
Social support is a two-sided coin, good support promotes physical and
mental well being and parenting confidence
Critical support/ dysfunctional relationships contribute to PPD symptoms,
as these family members are unaware of the effects of criticism can be
devastating to the new mother
Tammentie et al, (2002) Buultjens & Liamputtong (2007)
26. PPD interventions
Physician Diagnosis
Prescribed an antidepressant
Many women are diagnosed by a GP, may or
may not have the expertise and could be
referred to a psychiatrist or a mood disorder
clinic at a local hospital
PPMD clinic referral
27. CHN Practice and Policy
Presently, women are screened for ppd symptoms at:
-OB screen at prenatal appts and at 6 wk pp f/u
-HBHC Public Health Nurse Home Visits
Health Professional Education
- RNAO BPG
- Agency policy on Assessment for PPD using EPDS
- Best Start Coalition http://www.beststart.org
28. PPD Screening Tool Used by PHNs
https://www.fresno.ucsf.edu/pediatrics/downloads/edinburghscale.pdf
In pairs or groups of 3, one person be Khalid’s mom, the other be the Nurse
29. Infant Feeding
Promote breastfeeding-natural, very
healthy way for a baby to access
nutrition
Protects against disease
(immunoglobins found in breast milk)
Promotes maternal healing postpartum
Great way to develop attachment
WHO promotes exclusive breastfeeding
for the first 6 months of life
All babies and mothers should have
breastfeeding support
31. Breastfeeding
• Latch and position important both of baby and mother
• Recommend q2-3 feedings for a minimum of 20 min/side
• Audible swallowing
• Initial nipple pain is normal if initiating breastfeeding, but normally pain
is sign of a poor latch
• Baby’s output should be number of wet diapers in days they are old in
the first week, with 2-3 BM, but after the first week of life, should have
6-8 wet diapers, with 1-2 yellow seedy BM
• Vit D oral supplements
32. Formula Feeding
If breastfeeding is contraindicated
Water used to mix powdered formula must be boiling for minimum of 5
minutes
All bottles and nipples must be sterilized-teach parents asepsis
technique
Can be stored in fridge
Must discard and not sit at room temperature
33. Child development
In utero and during lactation, a mother has a massive
influence on a child's development
The father’s influence on the mother also influences the
child’s development.
(Dr. Jean M. Clinton)
34.
35. CHN Role in Child/parent development
The focus of intervention will differ depending on the risks or problems identified by
screening or assessment.
Child — difficult temperament, prematurity, developmental delay, failure-to-thrive, extreme
sensitivity to sensory experiences, suspected abuse or neglect, loss of a significant
caregiver, withdrawal, extreme activity level, aggressive behaviour and emotional
disregulation/reactivity
Parent — limited parenting knowledge and skills, negative attributions of the child, failure to
protect child, mental illness, chronic health problem, substance abuse, unresolved loss &
trauma, developmental delay, low educational level, history of parenting difficulties, high
stress, developmental stage of parent (e.g. adolescence, midcareer)
IMHPromotion.ca
36. Parenting
Difficulties
Parent-child interaction:
Home/family environment — family dysfunction (e.g.
disorganization, conflict, transience), partner violence,
inadequate family supports, poverty/inadequate financial
resources for food, housing and other basic needs, social
isolation, lack of toys/ play materials/recreational activities
Community — violence, poverty, lack of safety and
supports, inadequate housing
Society — inadequate health & social resources, lack of
employment opportunities, ethnocultural bias
IMHPromotion.ca
37. CHN Role
•CHN benefit from working with a variety of backgrounds
•Awareness and understanding increases cultural sensitivity, cultural
humility
•Name racism, sexism and homophobia as a force determining the
distribution of other social determinants of health
•Routinely monitor for differential exposure, opportunities and outcomes
by race, gender, sexual orientation
•Put racism, sexism, homophobia on the agenda
•Ask “how is racism, sexism and homophobia operating here?”
• Identify structures, policies, practices and norms
• Attend to both what exists and what is lacking
Stamler & Yiu (2012)
38. What will this look like?
Empowerment has a focus:
• on health, wellness, and strengths
• on the mobilization of resources - on aiming strategies primarily at the
collective, rather than the individual level
• on group participatory processes, i.e., critical thinking, action, and
power sharing
• on ensuring dignity & equity through social change
39. CHN Main Focus
Participation and empowerment
Community support and integration
Social justice and access to valued resources
Working with diverse populations keep in mind individual contexts;
utilize tools that help ie. use interpreters, ask for meaning
refer to resources to help the client or community
Stamler & Yiu (2012)
Editor's Notes
Good Morning:
Think about your family
What did it consist of?
Was it only people, pets, different generations?
- open family environment, family could discuss everything
Closed environment, taboo topics
How is your health and wellbeing?
Embodying: physical manifestation, as you enter into practice, as you leave practice, what does your body feel like?
Often physiological and psychological/emotional events like hunger, fatigue, body aches, and sadness can shape your mood. Reflect on how you are feeling in relation to your body and mind and pay attention to your body’s cues.
Khaled Movie is on the final exam – know the main ideas
When a Nurse, only def’n that matters is the client’s def of family
Can’t understand how a New Dad is coping unless we understand what his partner and child means to him in his understanding of family
Family as a system with protective and adaptive factors, known as the lines of defense
We talked about about this model previously’
Within the standards of CHNC
nurture: want them to grow, develop and overcome any barriers to healthy relationships, connections between all family members to unify family
Voluntary service, to visit in their home
Strenght based: What does that family do well and how do we use these sgrenghts in overcoming difficulties
What is Khaled’s family and net work?
Strengths/ Weaknesses?
Synopsis of movie?
Social workers cost less1
What does resilience mean with regards to a family?
Ability to meet challenges that may crop up for the family or individual members
Once I was in a home visit, man kept answering for the woman during the assessment
That was the structure and I had to work with it, although to me it felt that the wife should be answering
Not an indicator of abuse, just the way of that family and that society
Similarly the roles of a mother in law, presideing over what I may consider to be personal questions
My own bias of how I experience relationships and family
Cultural practices must be accepted unless harmful, but there again it is sometimes a matter of perception
Case management is really coordinating all of the services the client may be involved with, and being aware of all of the treatment modalities and supports
It was tried that the woman would be discharged literally the day after she had the baby. OF course rates of readmission were high with complications for example jaundice, or breast feeding,
Defeated the cost savings
Informal caregiving, burden still falls on women in the home
Last point especially in covid as we are seeing contact tracing and case management
- Genomic health refers to the use of DNA to look for variations that may affect health
Ability to parent and raise a healthy child whether physically, mentally and emotionally
We tend to know what Mom’s ought to do, but not how to support them in their role as caregivers
What was Monique’s health when Khaled was born?
Dad ?
Additions?
Impact on family? Khaled?
Why aren’t we reproducing?
Life is becoming harder, harder to manage resources, harder to obtain resources
Infant mortality as an indicator in determining status of healthy countries
Infant mortality is the death of an infant before his or her first birthday.
The infant mortality rate is the number of infant deaths for every 1,000 live births.
In addition to giving us key information about maternal and infant health, the infant mortality rate is an important marker of the overall health of a society.
In 2020, the infant mortality rate in the United States was 5.4 deaths per 1,000 live births.
The rising lone parent
- See the clustering of the SDOH as predictors of health outcomes
- cream soda and parenting group
- anemia from lack of nutrition
- anorexia?
- The expectation to love your child immediately vs over the course of a few months is also a societal pressure
- Overload and shortage of psychiatrists, most family docs handling prescriptions etc
Additional resources on slide
Do sreening tool for 15 minutes
http://www.perinatalservicesbc.ca/health-professionals/professional-resources/public-health/edinburgh-postnatal-depression-scale-(epds)???
- Public health depts have been certified breast friendly as a criterial for providing spaces for bf and other criteria
Last Week:
- families, children, parenting in communities,
Neighbourhood view for all of us to use?
- Key observations?
- how do we raise our famiies in the neighbourhoods
Promote bonding and infant attachement
Parenting groups for peer support and to teach parenting skills
Empowerment is a long term strategy
Again it’s a collective strategy to mobilize commuities