Tuesday, May 5, 2020

Maternal and Child Health for Scholastic and Needs- myassignmenthelp

Question: Discuss about theMaternal and Child Health for Scholastic and Needs. Answer: Introduction The case study is based on Zac, a 4-year-old kid. It has been mentioned in the case study that Leroy is the father of Zac and he has stated some problems that the kid is facing during his development. Even though Zac was a normal and happy kid and reached all the milestones successfully but there were some concerns about him. This case study was chosen because it will be able to portray the role of maternal and child health (MCH) nurses properly. Leroy visited the community health centre for the first time so he was curious about the role played by the nurses. The maternity and child health (MCH) nurses play variety of roles starting from family planning to child education and health (Dykes Flacking, 2016). The nurses interact with the children and their parents to know about the concern that they are facing. In the given case study of Zack, Leroy was enquired by the nurses at the centre about any family issues that occurred in the recent time. There can be any issue within the family or in the surroundings, which poses negative impact on the kids. Leroy denied of any such occurrence. The nurses at the centre thought of asking Zac individually about any problem that he might have faced. With the improvement in maternal and child health systems, the nurses are paying more attention to the children. Individual care is taken for the childrens emotional, physical, developmental, scholastic and social needs (Haskew et al., 2015). The improved care by the community nurses is also helping the families to overcome their fears and anxiety about their kids. The parents have become more relaxed about their childrens physical and mental condition. Therefore, Leroy had considered bringing his son to the service to share his concern about his sons development. He was anxious because Zac used to be a happy and normal kid and has completed all the milestones successfully. His concern was taken seriously by the nurses and they wanted to interact with both of them individually. However, the challenges that might be faced by the nurses are not getting appropriate response from the 4- year- old kid (Huicho et al., 2016). Kids have a tendency to keep numb in front of outsiders. In that case, the nurses will be unable to extract exact information from the child. The maternal and child health services offer free visits to evaluate the childs growth, health and development at different ages. The parents are recommended to bring their children at specific age to the service for assessment. The nurses are responsible for assessing the milestones, health, growth and development by keeping an appropriate record. It is important for the parents to carry their 4- year- old kids to the MCH nurses because that is the most crucial part in the life of the children. The kids are assessed based on hearing and vision at the age of four (Lu et al., 2015). It is also the time when the children start going to the preparatory school and so they need to be developed properly at this stage. Another purpose of visit for the children at the age of four is to protect them from different hazards and make them aware about family relationships and well- being. The MCH nurses have considered certain milestones for assessment of the children. The primary milestones on which the assessment is based are motor development, language development, problem solving and psychosocial skills. The nurses enquire the parents about the following factors- if the child is not talking clearly; if they are unable to talk in sentences; being affectionate to the parents; showing interest in games; friendly with other children (Mustila et al., 2018). These are some of the factors used by the nurses to gauge the development of the children. If either of these milestones are not functioning then that is considered as a concern. At the age of four, the tendency of the children is to reach out for different objects and use more than three words in their oral sentences. MCH nurses can be a good intervention for the children only if they can provide the appropriate advice to the children and their parents. As per Psaila et al., (2014) a case study review of the Papua New Guinea has described about infant nutrition and family planning education components. In this case, six clinic teams were observed and the interaction between the mothers and the nurses were recorded. In less than ten minutes, the session was over where hardly any advice on family planning was given. Thus, it can be evaluated that the MCH nurses are not always a good intervention as there is lack of supervision sometimes and not much attention is paid to nutrition and family planning (Tuominen et al., 2014). The service would have been more effective if the tasks were more problem oriented and dealt with families rather than individuals. There are modifications taking place in the MCH community service, which has improved the physical and mental health of children. The nurses are playing a major role in the maintenance, promotion and restoration of childrens health and well- being. Psaila et al., (2014) has stated that the maternal and child health service in Hong Kong has undergone a prominent development in the recent days. More maternity homes and centers are emerging due to the increase in population, which has contributed to a significant decrease in infant mortality rate and maternal mortality rate. Thus, the intervention by the MCH has proved to be effective by improving the health condition of mothers and children. Conclusion It can be concluded that the maternity and child health (MCH) nurses have played a role in the case of Zack by pointing out the importance of bringing the 4- year- old kids to the community service. The milestones of assessment by the nurses were mentioned in this paper. A case of Papua new Guinea was discussed to shed light on the ineffectiveness of the nurses in family planning and lack of attention on the children. Reference Dykes, F., Flacking, R. (2016).Ethnographic research in maternal and child health. Haskew, J., R, G., Saito, K., Turner, K., Odhiambo, G., Wamae, A., ... Sugishita, T. (2015). 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Psaila, K., Kruske, S., Fowler, C., Homer, C., Schmied, V. (2014). Smoothing out the transition of care between maternity and child and family health services: perspectives of child and family health nurses and midwives.BMC pregnancy and childbirth,14(1), 151. Psaila, K., Schmied, V., Fowler, C., Kruske, S. (2014). Discontinuities between maternity and child and family health services: health professionals perceptions.BMC health services research,14(1), 4. Tuominen, M., Kaljonen, A., Ahonen, P., Rautava, P. (2014). Relational continuity of care in integrated maternity and child health clinics improve parents service experiences.International journal of integrated care,14(4).

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