Responses to the physiological and psychological for pediatric
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Case study
Jawaher. 5-year-old, medical history was presented 6 months ago with bedwetting that persisted
every night since toilet training began before her third birthday. She has been advised to limit
evening drinks
1. What are the predisposing and causative factors for this condition?
The complex condition known as nocturnal enuresis may have hereditary or environmental causes. Children that develop bedwetting are likely to come from families whose children also have the condition, as bedwetting may also be inherited. The central nervous system, which controls bladder functions, is still developing slowly, which could be another factor. Jawaher may have experienced a delay in her control mechanism due to pressure from her prior toilet training experience when she was three years old (Joinson et al., 2016). These include a small functional bladder capacity and insufficient ADH hormone secretion at night. Bedwetting would worsen due to a number of psychological variables, including stress, worry, and disruption of routine. Jawaher’s toilet tension may exacerbate the anticipated environmental shift and bedwetting.
2. Write a plan for intervention on family level and community level
a) Family Level Intervention
– Education: Bedwetting in young children is common, and parents should be made aware of this and given supporting environments.
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– Fluid Management: Stress the need to cut back on drinks at night, particularly those high in caffeine, to minimize the production of urine at this time of day (Baird & Atchison, 2021).
* Positive Reinforcement: Establish positive incentives to help her feel better about herself. For example, give her a prize for a successful night without having any problems, and offer emotional support when she has a setback. Responses to the physiological and psychological for pediatric.
b) Community Level Intervention
– Awareness Programs: Educate parents, caregivers, and educators throughout the community about the normalcy of bedwetting and the need to stop seeing it negatively.
– Peer Support: Give parents the chance to discuss their experiences with bedwetting and various management strategies in support groups.
– Cooperation with Schools: Assist schools in fostering a compassionate atmosphere for nighttime wetters that is also tolerant of other students and teachers (Baird & Atchison, 2021).
3. Write a 3-nursing care plan for this condition
a) Behavioral Modification: Assist the family in creating a regimen that includes urinating before bed, alarm therapy, and nightly dry praise (Baird & Atchison, 2021).
b) Tracking Fluid Intake: Establish a regular routine where Jawaher consumes the majority of his fluids during the day to avoid urinating at night.
c) Pharmacological Intervention: To treat nocturnal enuresis caused by an endocrine imbalance, desmopressin, an artificial version of ADH, is administered.
4. The psychiatric home care nurse must have knowledge and skills to meet both the physical and psychosocial needs of the homebound client. Serving health care consumers in their home environment charges the nurse with the responsibility of providing holistic care. What are the factors associated with an increase in psychiatric home care? Responses to the physiological and psychological for pediatric
– Psychiatric home care needs have significantly increased as a result of the rise in mental health disorders among youngsters. These issues have become more severe as a result of the COVID-19 pandemic, and about 17% of youngsters suffer from at least one psychiatric disorder at the moment (Bettencourt et al., 2022). The rising incidence underscores the need for mental health services and support tailored to the home environment.
– Furthermore, a major contributing cause to the growing reliance on psychiatric home care is the restricted availability of mental health treatments. It is important to address the gap between the demand and supply for treatment, as around half of teenagers with mental health diagnoses do not receive enough therapy (Machailo et al., 2023). Enhancing access to healthcare is critical, particularly in light of the persistent stigma associated with mental illness, which restricts public understanding and upholds disparities in mental health services (Bettencourt et al. 2022).
– Moreover, cultural barriers that families and caregivers face include a lack of social resources, social stigma, the burden of caring obligations, and ignorance about mental health issues (Lebrun-Harris et al., 2022). These challenges make it more difficult to provide children and adolescents with mental health issues with all-encompassing therapy and support. Responses to the physiological and psychological for pediatric.
– Children and adolescents are becoming more anxious, depressed, and thinking about suicide as a result of the COVID-19 pandemic’s increased demand for mental health services (Bettencourt et al., 2022). In order to address these problems, more funding, increased public awareness, and targeted programs are required to increase the provision of mental health care and support for children and adolescents who require it. In this paradigm, the role of pediatric home care nurses is critical in advocating for comprehensive and conveniently accessible mental health therapies in the home environment.
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References
In 2021, Baird, D., and Atchison, R. Alarm therapy’s effectiveness in treating children’s nocturnal enuresis. 103(1), online-online; American Family Physician. obtained on December 10, 2023. from https://www.aafp.org/pubs/afp/issues/2021/0101/od1.html
In 2022, Bettencourt, A. F., Sarver, D. E., Hibbert, T., Allen, C., and Coble, K. Trends in mental health issues during the COVID-19 pandemic that were reported to two pediatric mental health care access initiatives. 73(6) Psychiatric Services, 670-673. https://doi.org/10.1176/appi.ps.202100479
Ozkan, B., Molu, N. G., and Icel, S. (2016). quality of life with home care and long-term mental diseases. Journal of Medical Sciences in Pakistan, 32(2), 511. https://doi.org/10.12669%2Fpjms.322.8794