I Am Working With A Family - 1487 Words

Question 1: In this scenario, I am working with a family in the hospital setting. The patient is a 7 year-old male who is hospitalized due to complications with cystic fibrosis and also has a diagnosis of Down Syndrome. Present in the family structure is the patient and both biological parents, who are college graduates and have substantial employment. From my previous observations, I am aware that the patient enjoys positive attention, such as praise, nonverbal attention, playing games, or reading books, from adults, but also frequently displays non-compliance with requests from adults. Another important observation to note is that the patient is only able to follow simple 1 and 2-step commands and cannot speak in full sentences. In the healthcare setting, there are many experiences that may lead to problematic behaviors in children, but in a situation where a child also has a developmental disability these problematic behaviors can be more intense and more difficult to tame. An antecedent is what happens immediately before a problematic behavior, such as a demand, transition, time of day, specific request being denied, and so forth. An antecedent that might lead to problematic behavior in the hospital for this particular child could be seen in the following example; the nursing staff entered the patient’s room to start an IV without assessing developmental age/abilities and gave the patient a 3-step command to keep his arm still, not wiggle his body, and listen or talk toShow MoreRelatedI Am Working As A Family Health Nurse And Counseling A Married Couple Essay1054 Words   |  5 PagesWhen caring for families who need genetic counseling, it’s essential that the nurse understands and considers the family’s values, background, beliefs and behaviors. This information is valuable when setting mutual goals, developing care plans and choosing interventions (Andrews and Boyle, 2016). 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