Key Issues In Nursing

Improved Essays
Quality of life was identified as a key issue by Ayala and Murphy (2011), it is common for children to feel left out of special occasions such as Halloween and birthday parties due to dietary restrictions, glucose monitoring and medication administration. Children may feel upset when their friends are enjoying sugary treats that they cannot consume. They may feel like an outsider when instead of playing, they must check their blood glucose. The constant injections and finger sticks can make children feel like something is wrong with them, as their peers do not have to follow these routines. Ayala and Murphy (2011) suggest that children with diabetes are at increased risk for depression due to loss of normalcy. The researchers recommend that …show more content…
Nurses are essential members of the healthcare team, and as frontline care providers they are able to assess the family on a deep and personal level. Lowes and Lyne (2000) propose that nurses take the time to thoroughly explain through experience, literature and other resources how certain situations such as playing sports, or age groups such as adolescents going through puberty can affect hypoglycaemic control. Regardless of the age of the child, it is important for nurses to help families plan for emergency situations that could occur in every day situations, or as the child ages. Families can collaborate with nurses to create emergency care plans that can be printed as a physical resource to be distributed to other caregivers; Lowes and Lyne (2000) state that if other caregivers are competent in caring for the diabetic child, that parental stress is most often decreased and positive outcomes occur more …show more content…
Lowes and Lyne (2000) recommend separating coping strategies into emotion and problem-focused. Emotion-focused emphasises on positive emotion such as; not focusing on diabetes, accepting that the child’s health could be worse, gaining confidence and normalization. Nurses are able to help families gain confidence through praise, practice and reward. Problem-focused coping can include; advocating for the child, focusing on the child’s needs or becoming competent with the details of the disease Lowes and Lyne (2000). Nurses are able to identify maladaptive coping strategies early in the therapeutic relationship and can assist families to develop positive coping

Related Documents

  • Improved Essays

    Insulin dependent diabetes mellitus is not preventable and more common in children than adults (Pope, Nizielski, & McCook, 2016, p. 100). Deborah is a thirteen-year-old schoolgirl who was diagnosed with type 1 diabetes when she was two-years-old. She managed to control her diabetes over the years with daily insulin injections to utilize the energy sugars in her body. With the recent change in her bodily process due to puberty, she has been having difficulties managing and controlling her diabetes. She was rushed to the hospital in a very distressed state and experienced sweating, dehydration and was unable to fully comprehend her surrounds and reality.…

    • 713 Words
    • 3 Pages
    Improved Essays
  • Superior Essays

    Betty Neuman System Model

    • 1343 Words
    • 6 Pages

    Introduction Interrelated factors and circumstances influence the health of the patient and the entire families, including their physical and mental well-being. Family Nurse Practitioners (FNP) must understand the impact which these varied circumstances on individual family members and the family as a collective unit. With such knowledge, FNPs can anticipate, reduce, or even eliminate undesirable family stress and better care for all patients in the family Description of Selected Family Theory Berkey, Hanson, and Mischke’s Family Systems Stressor-Strength Inventory (FS3I) tool is an important means of assessing families, including the family examined for the purpose of this paper.…

    • 1343 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    We are Washington State University of Nursing students studying childhood type one diabetes in the Yakima community. Our hope is to make a positive impact on the pediatric type one diabetic population in Yakima Washington, by addressing unmet needs of this population. In 2015, it was estimated that the total annual medical expenditures for a diabetic was $13,700 per year, 7,900 of which was directly attributed to diabetes. During our research we found that Yakima is lacking a pediatric endocrinologist. Though there are multiple clinics that specialize in pediatric health and work to meet the needs of children within the community; we were surprised to find that there was no providers, who could provide adequate healthcare services for pediatrics…

    • 351 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Nursing Case Study

    • 714 Words
    • 3 Pages

    Bianca was referred for counseling by her son’s insistence due to her visible tremor, slow thinking, slurred speech, and sleep problems. She came to the office with her twenty-eight-year-old son, Angel. The client is currently taking various types prescribed medications which might be life threatening. This assessment was requested to identify possible sources of Bianca’s problems and make recommendations for treatment. Section Two Background Information M.Q is a forty-seven-years-old, middle class, heterosexual, Mexican American female who works as a legal assistant.…

    • 714 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    “Element 5: Coping Differences and Supports” is about acknowledging and respecting various methods of coping and providing families with different types of supports to meet their diverse needs (ANA, 2008). Families of children with special healthcare needs having differing abilities to adapt and overcome challenges. Providers and nurses can empower families by using nursing interventions such listening to and accepting all family members, establishing a direct relationship with the chronically ill child, and prioritizing the family’s perceived needs rather than the nurse’s perceived needs of the family. Additionally, nurses can help by providing accurate and complete information regarding the child’s condition, symptom control, and future implications of the chronic condition, guiding the family in assessing its strengths, helping to build a peer support group of families with the same or similar chronic health condition, and acknowledging the family’s good care of the child…

    • 1084 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Nursing Research Critique

    • 2026 Words
    • 9 Pages

    Critique of the Introduction This paper critiques a nursing research study that evaluated the effects of home-based exercise on patient’s perceived self-efficacy (PSE) who underwent a thoracotomy for non-small cell lung cancer (NSCLC). The title of the paper is “Too Sick Not to Exercise: Using a 6-Week, Home-Based Exercise Intervention for Cancer-Related Fatigue Self-management for Postsurgical Non-Small Cell Lung Cancer Patients”. The authors of the paper are Amy J. Hoffman, PhD, RN, Ruth Ann Brintnall, PhD, AOCN, APRN-BC, Jean K. Brown, PhD, RN, FAAN, Alexander von Eye, PhD, Lee W. Jones, PhD, Gordon Alderink, PhD, PT, Debbie Ritz-Holland, BSN, RN, OCN, Mark Enter, RN, OCN, Lawrence H. Patzelt, MD, & Glenn M. VanOtteren, MD.…

    • 2026 Words
    • 9 Pages
    Improved Essays
  • Improved Essays

    Dilemmas In Nursing

    • 897 Words
    • 4 Pages

    Activity 1A Identify 3 issues mentioned in the Code and discuss how you will adhere to them when you are a registered nurse. Issue No. 1 Ensure you gain consent “You must ensure that you gain consent before you begin any treatment or care” NMC Code (2008). For me, this is the most important in my work as a nurse because everything that we do in the hospital revolves around our patient care.…

    • 897 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Cindy Mallon Case Study

    • 320 Words
    • 2 Pages

    Cindy Mallon, an 8-years-old girl became ill and experienced symptoms of a person with type 1 diabetes as explained in journals such as the British Medical Journal (BMJ) and Journal of the American Medical Association (JAMA). These symptoms included excessive thirst, frequent urination, and weight loss. Cindy’s parents became concerned about her symptoms as she begun to eat twice as much food, yet losing weight (approximately 5 pounds in the past months), which followed by vomiting and being nauseated. According to an article published by the American Diabetes Association, children within Cindy age range could experience mild depression and anxiety as a result of being label a diabetic ( ). Children associate with other children and…

    • 320 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Sibling Grief

    • 235 Words
    • 1 Pages

    We can help families with stress by teaching the family about the nature and effects of stress, providing information that might strengthen parenting and decrease feelings of despair. Help the family working through the need to dispense blame for the illness, including self-blame, becoming well informed about the disease and treatment, developing a more realistic assessment of the medical care system and an ability to communicate with professionals, becoming the child’s advocate, and focusing on immediate treatment successes while maintaining a long-range perspective. Sibling grief may involve extreme emotions and “negative behaviors when they are separate from their parents or hospitalized sibling” (Thompson, 2009, p. 225).…

    • 235 Words
    • 1 Pages
    Improved Essays
  • Great Essays

    Type 1 Diabetes Reflection

    • 1679 Words
    • 7 Pages

    Since few people are aware of the impact being diagnosed with Type 1 Diabetes has on a child as well as their family, I choose this topic for my film…

    • 1679 Words
    • 7 Pages
    Great Essays
  • Improved Essays

    Family Centred Care Essay

    • 325 Words
    • 2 Pages

    Before providing a family-centred care plan, it should be acknowledged that when discussing with the family, nurses need to recognise one notion, namely paternalism which can restrict the autonomy of the family (Palladelis et al. 2005, p. 34). From a holistic perspective, support from specialists and her family members is considered as an essential plan. Emma, Josh and Lucy obviously require emotional support from specialists, and Emma needs educational approach as well. Regarding Emma, she, for instance, can require emotional support from a psychologist, and educational support from a midwife, paediatrician and nurse. Lucy may need the intervention from a paediatrician or psychologist because of the risk of ODD, and could need nutrition support from a dietician.…

    • 325 Words
    • 2 Pages
    Improved Essays
  • Great Essays

    July 24, 2002 about two weeks after turning seven years old, I fell ill and got admitted into the hospital. Days later I was approached by a doctor and told that I was diagnosed with diabetes. Like many children with juvenile diabetes, my family had no idea to be on the lookout for the symptoms and there are no regular checkups to determine a child’s diabetic status. If my mother would have been warned earlier about the symptoms and the disease itself, we could have taken preventive measures towards stopping the progress or at least slowing the progress down. Therefore, I believe children should be screened for diabetes every single year, and families with children that are borderline diabetics should get help learning how to live with and raise a child that is diabetic.…

    • 1356 Words
    • 6 Pages
    Great Essays
  • Superior Essays

    Nursing Practice Issue Inadequate staffing can be the downfall for any organization and when inadequate staffing effects the healthcare field, the ramifications can affect patients and the nurses caring for them with negative ramifications. Nurses face dilemmas such as patient safety, patient satisfaction, nurse burnout, as well as a decrease in job satisfaction. These dilemmas can be attributed to inadequate staffing of facilities.…

    • 990 Words
    • 4 Pages
    Superior Essays
  • Improved Essays

    Nursing goes beyond caring for a patient during their illness and managing their disease process. Nursing includes adapting to a patient’s and their family’s physical, social, spiritual, environmental and psychological needs. I believe in treating the whole patient and being supportive of the family’s needs as well. Shelly & Miller (2006) asserts “while critical thinking, decision making, and leadership skills are extremely important, the characteristics nurses need most are compassion, competence, faith, integrity and responsibility” (p. 291).…

    • 767 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    After gathering this information, I will explain how each family member understands the causes of their health problems. I will address the family members’ questions in regards to potential genetic risks. After obtaining all of the above information, I will describe what nursing intervention strategies the family health nurse can…

    • 935 Words
    • 4 Pages
    Improved Essays