NCM 101 Promotive /Preventive Nursing Care Mgt. 16 units (8 units lecture, 8 units RLE) Course Description: !

!e course is "esigne" to #rovi"e t!e stu"ents t!e "evelo#mental t!eories an" conce#ts, to criticall$ anal$%e !ealt! nee"s an" conce#ts o& t!e in"ivi"ual, &amil$ an" communit$. Classroom an" RLE #rovi"e" t!e stu"ents 'it! activities to "evelo# ()*, an" values on !ealt! #romotion an" i"enti&ication an" management o& ris+ &actors. Terminal Competencies: ,iven a !ealt!$ client/client at ris+s, t!e stu"ents 'ill -e a-le to a##l$ t!e nursing #rocess in meeting t!e #romotion an" #reventive !ealt! nee"s across t!e li&e s#an. Content. /. //. 0uman 1evelo#ment across t!e li&e s#an /nterventions &or 0ealt! Promotive an" Prevention o& /llness

Textbook: Maternal an" C!il" 0ealt! Nursing Care o& t!e C!il"-earing 2 C!il"-earing 3amil$ Co#$rig!t 4556 -$ *"ele Pilliterri 7t! e"ition

Philosophy of Maternal and Child Health Nursin

Maternal an" c!il" !ealt! nursing is &amil$8centere"9 assessment "ata must inclu"e a &amil$ an" in"ivi"ual assessment. Maternal an" c!il" !ealt! nursing is communit$8centere"9 t!e !ealt! o& &amilies "e#en"s on an" in&luences t!e !ealt! o& communities. Maternal an" c!il" !ealt! nursing is researc!8oriente", -ecause researc! is t!e means '!ere-$ critical +no'le"ge increases. :ot! nursing t!eor$ an" evi"ence8-ase" #ractice #rovi"e a &oun"ation &or nursing care. * maternal an" c!il" !ealt! nurse serves as an a"vocate to #rotect t!e rig!ts o& all &amil$ mem-ers, inclu"ing t!e &etus. Maternal an" c!il" !ealt! nursing &unctions, -ecause teac!ing an" counseling are so &re;uentl$ re;uire". Promoting !ealt! is an im#ortant nursing role, -ecause t!is #rotects t!e !ealt! o& t!e ne<t generation. Pregnanc$ or c!il"!oo" illness can -e stress&ul an" can alter &amil$ li&e in -ot! su-tle an" e<tensive 'a$s. Personal, cultural, an" religious attitu"es an" -elie&s in&luence t!e meaning o& illness an" its im#act on t!e &amil$. Circumstances suc! as illness o& a total li&e. Maternal an" c!il" !ealt! nursing is a c!allenging !ig!8level 'ellness in &amilies.

Common Measures to !nsure "amily#Centered Maternal and Child Health Care Principle !e &amil$ is t!e -asic unit o& societ$. 3amilies re#resent racial, et!nic, cultural, an" socioeconomic "iversit$. C!il"ren gro' -ot! in"ivi"uall$ an" as #art o& a &amil$. Nursin $nter%entions Consi"er t!e &amil$ as a '!ole as 'ell as its in"ivi"ual mem-ers. Encourage &amilies to reac! out to t!eir communit$ so t!at &amil$ mem-ers are not isolate" &rom t!eir communit$ or &rom eac! ot!er. Encourage &amil$ -on"ing t!roug! rooming8in in -ot! maternal an" c!il" !ealt! !os#ital settings. Partici#ate in earl$ !os#ital "isc!arge #rograms to reunite &amilies as soon as #ossi-le. Encourage &amil$ an" si-ling visits in t!e !os#ital to #romote &amil$ contacts. *ssess &amilies &or strengt!s as 'ell as s#eci&ic nee"s or c!allenges. Res#ect "iversit$ in &amilies as a uni;ue ;ualit$ o& t!at &amil$. Encourage &amilies to give care to a ne'-orn or ill c!il". /nclu"e "evelo#ment stimulation in nursing care. (!are or initiate in&ormation on !ealt! #lanning 'it! &amil$ mem-ers so t!at care is &amil$8oriente".

&merican Nurses &ssociation'(ociety of Pediatric Nurses (tandards of Care and Professional Performance (tandards of Care Com#re!ensive #e"iatric nursing care &ocuses on !el#ing c!il"ren an" t!eir &amilies an" communities ac!ieve t!eir o#timum !ealt! #otentials. !is is -est ac!ieve" 'it!in t!e &rame'or+ o& &amil$8centere" care an" t!e nursing #rocess, inclu"ing #rimar$, secon"ar$, an" tertiar$ care coor"inate" across !ealt! care an" communit$ settings. (tandard $: &ssessment !e #e"iatric nurse collects #atient !ealt! "ata. (tandard $$: Dia nosis !e #e"iatric nurse anal$%es t!e assessment "ata in "etermining "iagnosis. (tandard $$$: )utcome $dentification !e #e"iatric nurse i"enti&ies e<#ecte" outcomes in"ivi"uali%e" to t!e c!il" an" t!e &amil$. (tandard $*: Plannin !e #e"iatric nurse "evelo#s a #lan o& car t!at #rescri-es interventions to o-tain e<#ecte" outcomes. (tandard *: $mplementation !e #e"iatric nurse im#lements t!e interventions i"enti&ie" in t!e #lan o& care. (tandard *$: !%aluation !e #e"iatric nurse evaluates t!e c!il"=s an" &amil$=s #rogress to'ar" attainment o& outcomes. (tandards of Professional Performance (tandard $: +uality of Care !e #e"iatric nurse s$stematicall$ evaluates t!e ;ualit$ an" e&&ectiveness o& #e"iatric nursing #ractice.

(tandard $$: Performance &ppraisal !e #e"iatric nurse evaluates !is or !er o'n nursing #ractice in relation to #ro&essional #ractice stan"ar"s an" relevant statutes an" regulations. (tandard $$$: !ducation !e #e"iatric nurse ac;uires an" maintains current +no'le"ge an" com#etenc$ in #e"iatric nursing #ractice. (tandard $*: Colle iality !e #e"iatric nurse interacts 'it! an" contri-utes to t!e #ro&essional "evelo#ment o& #eers, colleagues, an" ot!er !ealt! care #rovi"es. (tandard *: !thics !e #e"iatric nurse=s assessment, actions, an" recommen"ations on -e!al& o& c!il"ren an" t!eir &amilies are "etermine" in an et!ical manner. (tandard *$: Collaboration !e #e"iatric nurse colla-orates 'it! t!e c!il", &amil$, an" ot!er !ealt! care #rovi"es in #rovi"ing client care. (tandard *$$: ,esearch !e #e"iatric nurse contri-utes to nursing an" #e"iatric !ealt! care t!roug! t!e use o& researc! met!o"s an" &in"ings. (tandard *$$$: ,esource -tili.ation !e #e"iatric nurse consi"ers &actors relate" to sa&et$, e&&ectiveness, an" cost in #lanning an" "elivering #atient care.

&ssociation of /omen0s )bstetric1 and Neonatal Nurses (tandards and 2uidelines (tandards of Professional Performance (tandard $: +uality of Care !e nurse s$stematicall$ evaluates t!e ;ualit$ an" e&&ectiveness o& nursing #ractice. (tandard $$: Performance &ppraisal !e nurse evaluates !is/!er o'n nursing #ractice in relation to #ro&essional #ractice stan"ar"s an" relevant statutes an" regulations. (tandard $$$: !ducation !e nurse ac;uires an" maintains current +no'le"ge in nursing #ractice. (tandard $*: Colle iality !e nurse contri-utes to t!e #ro&essional "evelo#ment o& #eers, colleagues, an" ot!ers. (tandard *: !thics !e nurse=s "ecision an" actions on -e!al& o& #atients are "etermine" in an et!ical manner. (tandard *$: Collaboration !e nurse colla-orates 'it! t!e #atient, signi&icant ot!ers, an" !ealt! care #rovi"es in #rovi"ing #atient care. (tandard *$$: ,esearch !e nurse uses researc! &in"ings in #ractice. (tandard *$$$: ,esource -tili.ation !e nurse consi"ers &actors relate" to sa&et$, e&&ectiveness, an" cost in #lanning an" "elivering #atient care.

(tandard $3: Practice !n%ironment !e nurse contri-utes to t!e environment o& care "eliver$ 'it!in t!e #ractice settings. (tandard 3: &ccountability !e nurse is #ro&essionall$ an" legall$ accounta-le &or !is/!er #ractice. !e #ro&essional registere" nurse ma$ "elegate to an" su#ervise ;uali&ie" #ersonnel '!o #rovi"e #atient care.

Theorist Patricia :enner

Ma4or

!mphasis of Care

Nursing is a caring relations!i#. Nurses *ssess err$ as a '!ole. *n gro' &rom novice to e<#ert as t!e$ e<#ert nurse is a-le to "o t!is #ractice in clinical settings. intuitivel$ &rom +no'le"ge gaine" &rom #ractice. * #erson com#rises su-s$stems t!at must remain in -alance &or o#timal &unctioning. *n$ actual or #otential t!reat to t!is s$stem -alance is a nursing concern. Nursing is a #rocess o& action, reaction, interaction, an" transaction9 nee"s are i"enti&ie" -ase" on client=s social s$stem, #erce#tions, an" !ealt!9 t!e role o& t!e nurse is to !el# t!e client ac!ieve goal attainment. *ssess t!e e&&ect o& lac+ o& arm &unction on err$ as a '!ole9 mo"i&$ care to maintain &unction to all s$stems, not ?ust musculos+eletal. 1iscuss 'it! err$ t!e 'a$ s!e vie's !ersel& an" illness. (!e vie's !ersel& as a 'ell c!il", active in ,irl (couts an" sc!ool9 structure care to !el# !er meet t!ese #erce#tions.

1orot!$ >o!nson

/mogene )ing

Ma"eleine Leininger

!e essence o& nursing is care. o *ssess err$=s &amil$ &or #rovi"e transcultural care, t!e nurse -elie&s a-out !ealing. &ocuses on t!e stu"$ an" anal$sis o& /ncor#orate t!ese into care. "i&&erent cultures 'it! res#ect to caring -e!aving. !e role o& t!e nurse is vie'e" as c!anging or structuring elements o& t!e environment suc! as ventilation, tem#erature, o"ors, noise, an" lig!t to #ut t!e client into t!e -est o##ortunit$ &or recover$. urn err$=s -e" into t!e sunlig!t9 #rovi"e a"e;uate covers &or 'armt!9 leave !er com&orta-le 'it! electronic games to occu#$ !er time.

3lorence Nig!tingale

:ett$ Neuman

* #erson is an o#en s$stem t!at interacts 'it! t!e environment9 nursing is aime" at re"ucing stressors t!roug! #rimar$, secon"ar$, an" tertiar$ #revention.

*ssess &or stressors suc! as loss o& sel&8esteem an" "erive 'a$s to #revent &urt!er loss suc! as #raising !er &or com-ing !er o'n !air.

1orot!ea @rem

!e &ocus o& nursing is on t!e *rrange over-e" ta-le so in"ivi"ual9 clients are assesse" in terms err$ ca &ee" !ersel&9 urge !er o& a-ilit$ to com#lete sel&8care. Care to #artici#ate in care -$ "oing

given ma$ -e '!oll$ com#ensator$ as muc! &or !ersel& as s!e can. (client !as no role)9 #artl$ com#ensator$ (client #artici#ates in care)9 or su##ortive8e"ucational (client #er&orms o'n care). /"a >ean @rlan"o !e &ocus o& t!e nurse is interaction 'it! t!e client9 e&&ectiveness o& care "e#en"s on t!e client=s -e!avior an" t!e nurse=s reaction to t!at -e!avior. !e client s!oul" "e&ine !is or !er o'n nee"s. *s+ err$ '!at s!e &eels is !er main nee". err$ sa$s t!at returning to sc!ool is '!at s!e 'ants most. (tress activities t!at allo' !er to maintain contact 'it! sc!ool, suc! as "oing !ome'or+ or tele#!oning &rien"s.

Rosemarie Ri%%o

Nursing is a !uman science. 0ealt! is a *s+ err$ '!at -eing sic+ live" e<#erience. Man8living8!ealt! as a means to !er. *llo' !er to single unit gui"es #ractice. #artici#ate in care "ecisions -ase" on !er res#onse. !e #romotion o& !ealt! is vie'e" as t!e &or'ar" movement o& t!e #ersonalit$9 t!is is accom#lis!e" t!roug! an inter#ersonal #rocess t!at inclu"es orientation, i"enti&ication, e<#loitation, an" resolution. !e #ur#ose o& nursing is to move t!e client to'ar" o#timal !ealt!9 t!e nurse s!oul" vie' t!e client as '!ole an" constantl$ c!anging an" !el# #eo#le to interact in t!e -est 'a$ #ossi-le 'it! t!e environment. !e role o& t!e nurse is to ai" clients to a"a#t to t!e c!ange cuase" -$ illness9 levels o& a"a#tation c!ange cause" -$ illness9 levels o& a"a#tation "e#en" on t!e "egree o& environmental c!ange an" state o& co#ing a-ilit$9 &ull a"a#tation inclu"es #!$siologic inter"e#en"ence. Plan care toget!er 'it! err$. Encourage !er to s#ea+ o& sc!ool an" accom#lis!ments in ,irl (couts to retain sel&8 esteem. 0el# err$ to ma+e use o& !er le&t si"e as muc! as #ossi-le so t!at s!e returns to sc!ool an" to !er #revious level o& &unctioning as soon as #ossi-le. *ssess err$=s a-ilit$ to use !er le&t !a"n to re#lace !er rig!t8!an" &unctions, '!ic! are no' lost9 "irect nursing care to'ar" re#lacing "e&icit 'it! ot!er &actors, sel&8 conce#t, role &unction, an" s+ills.

0il"egar" Pe#lau

Mart!a Rogers

(ister Callista Ro$