Реферат: Paediatric Nursing Essay Research Paper Child HealthFor

Children in isolation, such as Josh, have particular difficulties. They are not only away from home, but also in an unnatural, lonely and alarming situation with no opportunity to play with the other children. Play programmes are essential to compensate for the loss of independence and companionship. Play is also one of the ways in which a child may develop the capacity to deal with the stresses and strains of life as they press upon him. It acts also as a safety valve, allowing him to re-live and often come to terms with fears and anxieties that become overwhelming.

This failed Josh whilst he was on the ward. The onuses on the ward were either the very young children or the adolescents. So I believe this didn?t benefit Josh at all. The activity specialists were only part time, and they didn?t work weekends. Maybe employing them as full time and over the weekend with better funding would help provide a suitable care programme for children Josh?s age.

Spiritual

One of the noticeable problems with Josh was that he always behaved when with the nurses, however as soon as his mum arrived he would throw tantrums.

One of the factors the nursing staff and all other agencies working on the ward should have ensured was Josh?s self-esteem. Being isolated, Josh could have easily felt rejected by his mum and by the ward. Children who experience repeated rejection and other negative emotions ?will eventually develop low self esteem and a poor self image? (Hull 1990). Children with low self-esteem often behave badly in front of the person they need reassurance from; in order to have it confirmed that they really are bad. Perhaps this was the reason why he only behaved badly with his mum, because he felt guilty and blamed himself for his mum?s anxieties.

Conclusion

There were many agendas raised in the care of Josh, the main aspect I believe to have been ignored was the communication between the nursing staff and his mum. She showed a keen interest in his care yet was not properly explained the facts by the nurses. If more care had been given in explaining and listening to his mums worries and concerns, then a lot of Josh?s emotional problems could have been helped and eased. There was enough interaction between the nurses and Josh, but very limited interaction between nurse and mother. There were also enough signs within his behaviour to indicate him not being happy, and worried, which were never noticed. Fighting against the physiotherapy, going over the top crashing the fire engine.

I believe family centred care to be extremely important in the care of paediatrics; however there is a fear that the nursing profession can take for granted the role of the family in the hospital. It is true that the parents are the best managers of their child?s care, but it must be remembered that, the parents are not professional nurses, and need the information from the professionals, who have had the training, knowledge and the experience in dealing with diseases such as Cystic fibrosis.

BIBLIOGRAPHY

Doe, John B. Conceptual Planning: A Guide to a Better Planet, 3d ed. Reading, MA: SmithJones, 1996.

Smith, Chris. Theory and the Art of Communications Design. State of the University Press, 1997.

Bibliography

Beck CM, Rawlins RP, Williams SR (1993) Mental health psychiatric nursing, an holistic life cycle approach ,CV Mosby

Brunner LS, Suddarth DS (1991) Manual of Paediatric nursing, Lippincott nursing series

Department of health, white paper, welfare of children and young people in hospital, (1991)

Harvey S, Tucker A (1990) Play in hospital, Faber and Faber

Hull D, (1990) Community Paediatrics, Churchhill livingstone

Johnston DI (1989) Essential Paediatrics, Churchhill lvingstone

UKCC (1996) Guidelines for professional practice.

Yura H (1988) the nursing process, Appleton & Lange Con, Aaron.