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healthy people 2030 public health initiatives to build a healthier future for
all
goals of healthy people 2030 increase the quality and length of a healthy life,
eliminate health disparities
addresses: population health, community health, and
preventative care
2030 goals - infants decrease infant death (this is often related to
abortion access, diseases, and SIDS)
2030 goals - children and adolescents 4th graders with reading skills at or above the level
Ads with major depressive episodes who received
treatment (and mental health in general)
decrease obesity
minimize tobacco use among adolescents
2030 goals: of all ages the use of the healthcare system (dental health often
reflects a persons overall health)
minimize consumption of calories from all added
sugars
decrease drug overdose deaths, exposure to
unhealthy air, homicides, and suicides
household food insecurity and hunger
increase vaccinations for seasonal flu, those who
know their HIV status, and people with medical
insurance
,what are the roles of the pediatric provide atraumatic care that is developmentally
nurse appropriate
parallel cognitive development with meaning of
illness (cognitive ability, past experiences, and level
or knowledge)
promote sleep
build therapeutic relationships with the patient and
their family
advocate, empower, and educate (they do not
always feel like they have a say, so you have to listen
and advocate for them)
acknowledge and support
family centered care including the family in care and decision making
aspects of family centered care collaboration with families
recognizing that families are part of the healthcare
team
respecting cultural and spiritual differences
differences between acute illness and chronic illness
treating a family as a whole
family composition nuclear family, single-parent family, foster family,
extended family, blended family, same-sex family,
etc.
this can impact the growth and development of the
child
family is... who the patient says it is
what are some factors that can impact family composition, parental past experiences, and
a child's growth and development? parenting style
types of parenting styles authoritarian, permissive, authoritative, and passive
authoritarian parenting control and no choices
the child has no choice and they always have to do
what the parent says
,permissive parenting no control but choices
when the parent tries to be the "cool parent" so they
give the child a lot of choices
authoritative parenting control and choices
ideal
try to give the child safe choices with the ability to
think with good control (teach them how to be a
good human, make them independent but control
their exposure)
passive parenting no control and all choices
absent parent
positive behaviors begin at home: clear and realistic limitations/rules, validation of
feelings, role modeling, and appropriate discipline
structure, reinforcing rules, and meeting the child
where they are
family theories family systems, family stress, and developmental
family systems family is an open system composed of individuals
and relationships (subsystems)
the whole is > than the sum of its parts
change to one member affects the entire system
too much or not enough dysfunction or change and
cause chaos or dysfunction
family stress expected and unexpected
expected stress when a baby starts walking, having a baby
unexpected stress a CA diagnosis, parent seperating
developmental how a family functions at one stage affects the next
stage
how the family functions now compared to when the
kids are grown and have their own families are
different
, stress and hospitalization families and children may experience significant
stress
a child's age, cognitive ability, and stage of
development will influence their response
types of children's responses to stress detachement, protest, despair
detachment response to stress functional, but "blissfully unaware"
the child works well with the healthcare team and
likes to play with the child life specialist
protest response to stress often when the grown up leaves the room the child
kicks, bites, and yells when the parent leaves the
room to take a phone call
despair response to stress withdrawn/shut down
the child appears sad and withdrawn and is not
interested in any activities
methods the healthcare team can use child life specialists, play, family and patient centered
to help children cope with the stress care, and atraumatic care principles
in the hospital, sense of loss of
control, and separation
child life specialists great resource
masters of play
especially when you know the kid is having a difficult
time with the transition to hospitalization
types of familial responses to stress displacement, denial, projection, regression, and
intellectualization
displacement - family stress response transference of emotion from one object or event to
another less threatening one
"why cant the nurses take care of my child? they
always seem more worried about other patients"