Posted: September 30th, 2022

Relate research from Canadian Nursing

Relate research from Canadian Nursing
This week’s household task is the Bono Household.
In preparation for her appointment with the Bono household, within the mom–child clinic, Vicki Assessments the chart notes the nurse midwife wrote concerning the household and the supply of Hannah. Vicki sees that the Bono household is coming in for a well-baby checkup of new child toddler Hannah and a follow-up with Libby, the mom, after her cesarean part (C-section) supply 7 days in the past. The notice from the receptionist signifies that Libby expressed some considerations together with her effectiveness in breastfeeding Hannah. The appointment e-book notes that the entire Bono household is coming for this go to. Vicki notes that the Bonos are a nuclear household that consists of a married couple with two organic kids. Determine Four-Eight exhibits the Bono household genogram.
Understanding that this can be a nuclear household coming in for a well-baby checkup, Vicki decides to make use of a Developmental Household Life Cycle theoretical method to this household with a brand new member. (See Chapter three for particulars about this theoretical mannequin.) Based mostly on this method, Vicki has many questions in her thoughts as she prepares for her appointment with the Bono household. The questions Vicki has about every member of the family and the entire household are offered in bulleted lists after a short description of every member of the family.
Libby Bono is a 35-year-old mom recovering from a cesarean part supply 7 days in the past. She doesn’t have any current well being issues. Libby’s roles within the household are major childrearer, occasions planner, disciplinarian, and well being knowledgeable. Libby is a hairdresser and is independently contracted with a hair salon. She has deliberate to take off three months for maternity depart.
Matt Bono, 36 years outdated, works for Frito Lay Firm in gross sales and distribution. His major roles within the household are determination maker, upkeep particular person, pioneer, and knowledge supplier. He reviews feeling little attachment to his occupation and welcomes this new start as a change in routine and alternative to depart his place of employment. His present medical issues embrace sort 2 diabetes and gentle hypertension; each are nicely managed and managed by oral diabetic and antihypertensive medicines. At the moment, he’s following the Weight Watchers food regimen to scale back his weight and to regulate the symptomatology skilled from his well being situations.
Sabrina Bono is a wholesome 2-year-old lady who’s developmentally acceptable. Developmentally, Sabrina is within the autonomy versus disgrace and doubt developmental stage. Her dad and mom report that she usually makes an attempt to strive new issues on her personal, and so they ceaselessly reward her efforts to advertise independence. She just isn’t but excited by potty coaching. Her immunizations are present. She usually goes to a cay-care heart that’s near her mom’s place of employment through the workweek.
Hannah Bono, 7 days outdated, was delivered after 42 weeks’ gestation and was proved to be sufficient for gestational age (AGA; 10th to 90th percentile), 53.75 cm and three,966 g, with American Pediatric Gross Assessment Document (APGAR) scores of Eight at 1 minute and 9 at 5 minutes.
Household Story
Through the appointment, Vicki confirmed that household life for the Bono household has modified. Hannah was discovered to be wholesome and developmentally acceptable. Libby is therapeutic nicely from the C-section however reported occasional discomfort when she “overdoes it.” Libby’s considerations about breastfeeding had been simply relieved as Vicki validated her breastfeeding approach. An Assessment for postpartum melancholy revealed that Libby just isn’t demonstrating any indicators of melancholy at the moment. All through the examination of Hannah, the dad and mom demonstrated overwhelming indicators of bonding, comparable to speaking with the toddler and bragging about her magnificence and temperament. Through the appointment, Vicki famous that Sabrina was throwing toys and making an attempt to crawl onto her mom’s lap whereas Libby was nursing Hannah. Sabrina would say, “Take again” when she was upset. When Matt tried to coddle or reward the infant, Sabrina grew to become extraordinarily offended together with her father. They weren’t ignoring Sabrina however weren’t centered on her through the appointment. The dad and mom’ nonverbal actions confirmed frustration with Sabrina’s behaviors. When requested, they reported that Sabrina has been very temperamental and inconsolable at day care. They reported that she had begun to point out progress with rest room coaching earlier than Hannah’s start however had now misplaced all curiosity.
The aim of this situation is so that you can study concerning the wants of households adjusting to a brand new child and how one can greatest to fulfill their want; to establish priorities of care and helps and to plan interventions and follow-up actions.
How does household Assessment differ from a person Assessment?
Why is it vital for the household and nurse to agree on what the well being problem is for the household?
What Assessment device, mannequin or instrument would you employ on the Bono Familbciy? Give your rationale in your reply.

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