Health Needs Of A Child Case Study Social Work Essay

easyness Needs Of A Child fortune Study well-disposed Work EssayFor the purpose of this essay I will write a critical analysis of a crusade study valuateing the health carrys of a child within a family. The lawsuit study is of a cardinal p atomic number 18nt family of a two family old girl. The family had transferred from another argona. Their girl was born prematurely at thirty one weeks. She didnt offer eye contact and had no willful speech. Full permission has been obtained to use the information in the case study. I used introductoryly Orems nursing sign up to assess the familys needs. Then a more remove framework Family health Needs appraisal.The model is a behavioural model. Behavioural models are based on the hierarchy of tender needs by Maslow (1993). The hierarchy starts at the bottom of a gain with essential needs, when these are met the person progresses up the pyramid until serious authorisation is arrive atd (Maslow, 1993). Orems model is based on societies need for the invitee to be ego caring (Henderson, 1990).Orems (2001) model has a continuum of ego look at abilities, the choose creation to move along this continuum to self aid or adapt to a diminishing self care in terminal or degenerative ill cases.Orem (2001) states that the family and significant others in a persons life must be involved in their self care. It is a model which values several(prenominal) responsibility, prevention and health education as key aspects of nursing intervention (Aggleton and Chalmers 2000).Orem lists the wining key factors that crook health1. Adequate intake of give vent water and food.2, Adequate excretion of waste.3. A balance between military action and rest both mentally and physically.4. Social interaction and solitude should be optimised.5. The prevention or avoidance of hazards and danger.6. The feeling of macrocosm and behaving normally leading(p) to stress reduction.By creation able to carry out self care in thes e areas the person fulfils what Orem (2001) calls their Universal Self Care Demands. If at that place is illness injury or disease the individual has self care demands in common chord extra areas (Orem, 2001). These are known as the Health Deviation Self Care Demands.i Structure.ii. Functioning.iii. Behaviour.Orem uses the Nursing Process showtime with assessment of the family in order to disc all over their individual lines which are define in terms of self care shortfalls (Orem, 2001). The first full stop of Orems model identifies both the demands for and the ability to progress to, self care in an individual (Aggleton and Chalmers, 2000). I assessed the family the parents both worked dad is a chef and mum is a carer in a nursing home they are both supported by grandparents who lived crosswise the street. Both were fit and well. The two socio-economic class old daughter was do her mother concern in that she was not speaking it was difficult to get her attention with very little eye contact. Using Orems list I asked questions almost each of the sise activities. The problems determine were related to the two class olds behaviour of pacing around the room not speaking no eye contact and slapping her hands one on top of the other. subsequently gathering information I had to decide why there was a self care deficit. This was difficult using Orems which states the self care deficit should be linked to a deficiency of knowledge or of skills to a lack of motivation to achieve self care (Aggleton and Chalmers, 2000). These dont come out to break to a two year old cared for by her parents. But clear her behaviour was a cause for concern.I had now completed a good deal of paperwork a fault recognised by Fawcett et al (2004) in many instances it has led to nursing models being a bureaucratic chore (Fawcett et al,2004). A checklist method and standard care formulates would have allowed for a quick assessment of the Universal self care demands (Kitson, 2 001).The next stage is to excogitation and set goals (Salvage and Kershaw, 1990). The long term goal for each client would be the restoration of a balance between self care ability and self care needs (Salvage and Kershaw, 1990).The implementation of the care political program may involve activities to meet self care demands (Pearson et al, 2004). In appendix members of the family, or significant others, may provide roughly care. Orem (2001) has identified six broad ways in which assistance can be wedded to implement a care plan.1.Doing for or acting for another2.Guiding and directive another.3.Providing physical support.4.Providing psychological support.5.Providing an environment which supports development.6.Teaching another.However each of these methods of processing requires conformity (Pearson et al 2004). Orems model demands that clients and their families are willing and able to adopt plastered roles achieve self care (Aggleton and Chalmers 2000).3) EvaluationOrem (2 001) has suggested that the evaluation of care given should be measured in terms of the clients or families performance of self care.Using Orem we should set out goals in terms of what the family will achieve (Pearson et al, 2004). It was difficult to set goals babies who are born prematurely can underpin from learning difficulties and to investigate the two year olds behaviour was the goal.Orems model didnt seem to fit well with this families care.The major problem with nursing models concerns the relationship with the clients of the service. These are of two kinds. The employer for most nurses in the UK, the employer is the Government. The Government has aims and objectives for its health care system which is to use evidence based practice which may conflict with a particular nursing model or philosophy (Mckenna et al, 2008). Orems model is over fifty years old and is not evidence based.The problems mainly being centered on the daughters behavior the following framework was mo re appropriate for this family.An evidence based framework The Family Health Needs Assessment was introduced into the health visiting service in 2003 and is based on the Framework for the Assessment of children in need and their families (Department of Health et al, 2000). The Assessment Framework was intended to help practitioners to become child-centered (Horwath, 2010). The aim being to do an assessment of the familys health and parenting needs. A triangle is used as an illustration of the Framework the child being in the centre (Rose, 2009).The three sides of the triangle represent the key factors that influence the Childs health child developmental needs, parenting capacity and family health and environmental factors. apiece one has sub headings specific to the main heading.Childs Development NeedsHealthEducation turned on(p) Behavioral DevelopmentIdentityFamily Social RelationshipsSocial PresentationSelf Care SkillsParenting CapacityBasic CareEnsuring safeEmotional WarmthS timulationGuidance BoundariesStabilityFamily healthFamily bill functioningWider familyHousingEmploymentIncomeFamilys Social IntegrationCommunity ResourcesThe aim of the initial Family Health Needs Assessment (FHNA) is to undertake a fullassessment of the familys health and parenting needs. The impact of parentingcapacity, family health and environmental factors on the childs health and social welfareis assessed to identify children and families who may require additional support toachieve the 5 outcomes identified in Every Child Matters (2004).Being legalStaying SafeEnjoying and achievingMaking a positive ContributionAchieving Economic well-beingThere is research evidence to suggest that low birth system of weights and prematurity indicates a greater risk of not achieving the 5 outcomes identified in Every Child Matters (2004).Then a family health plan can be developed to embroil the familys needs as hold in partnership with the parent/carer. How the family wishes to addres s these needsAn action plan which identifies specific interventions/support and who this willbe provided by as well as the date for review and a review of progress do against the action plan.The assessment took some time I had to reword some of the questions for fear of giving offence. The assessment forms were lengthy and there was some duplication. Emotional warmth under parenting Capacity and Emotional and behavioral development under the heading Childs developmental Needs. I found it difficult to know what to include under some of the headings. In Calders study (2003) the practitioners found the heading for the childs developmental needs the most dispute of the three headings. A number got muzzy between social presentation and self-care skills and the majority struggled with assessing identity.The task for practitioners is to specify what, in relation to health and development, the child is at risk of and how significant they adopt this risk to be (Horwath, 2010).The origina l Framework for the assessment of children in need and their Families has guidance and support materials which explain the risk of harm, reducing the Framework to the trilateral and a set of descriptions separates the needs from the risk of harm. Which could lead to a deprivation of focus on the child and their needs (Platt, 2006).Both parents in this case were happy to carry out the assessment some parents can be unco-operative or even hostile Brandon et al, (2009). This could also cause a lack of focus on the needs of children. Brandon et al, (2009) found that good parental enfolding can also disguise risk of harm to a child.It is burning(prenominal) hear what children have to say (Archard and Skivenes, 2009). I did engage the two year old with my identity badge which she recognized the picture but in this case I wasnt able to interview the child because of her understanding and exceptional speech. I was able to observe her though and record my observations. Brandon et al. (2 009) describe the motley ways in which professionals dont include children in the assessment. These include young great deal and siblings and a failure to address the needs of children who chose not to or are unable to speak because of disability, trauma and fear (Brandon et al 2009).Groups of children in need that are hard to assess included disabled children adolescents children of different cultures and faiths and children in asylum-seekingand refugee families (Brandon et al, 2009). Another group of children that alsohas been found to be difficult to assess are children in need from higher socioeconomic groups. These cases were found challenging by social workers becausethe parents were more aware of their rights (Brandon et al, 2009). Care must be given to recording accurately what the child says and managing that information,especially if it is negative about the parents so not to expose the child to any more riskPractitioners are responsible for gathering information and the y also have to bundle the findings of the assessment with family members.From the assessment I identified a problem under the heading Child Developmental Needs Health the two year old daughter was growing physically but was not growing speech and had limited eye contact. The family had just travel from another area. Their daughter had been born premature at 31 weeks and she had had follow up appointments at hospital now that they had moved the hospital was too far away.The follow up at hospital was important for her developmental reviews. So the first identified need was to register at the Doctors and explain that she needs a referral to the hospital for a full pediatric review.Speech was a problem in that she was making the occasional sound and not forming her words properly. I made the speech therapy referral and gained assurances that her parents would take her. We discussed taking her to a nursery to melt with other children. After talking it was decided so that mum could go too to join a mother and toddler group. So things moved swiftly we put a time scale on these three major things of three weeks. I arranged to visit again in two weeks.