Research-Based Practice with Families in Stress...
Research Based Practice with Families in Stress Pediatric nurse practitioners in primary health care play a very important role in
the care of children with chronic health conditions. Many times, primary health care providers are the first to assess, recognize,
and diagnose a child with a chronic health condition. Children with chronic conditions, along with their families, face multiple
challenges that should be of concern to the health care providers in which they interact (Allen, Vessey, Schapiro, 2010). For the
purpose of this paper, focus will be on JD, a 10 year old African American male who was recently diagnosed with asthma after an
acute exacerbation. He lives in a basement bedroom of his family s home. His mother is single ... Show more content on
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More familial involvement in disease management is associated with healthier family functioning (Gavin Wysocki, 2005). The
context in which assessment takes place includes not only specific characteristics of the illness, but also a patient s individual
traits and daily activities (Corbin, 1991). Before, during, and after the clinic visit, it is the responsibility of the PNP to recognize
traits in JD such as his age, race, gender, hobbies, and personality characteristics that may help in the diagnosis and management
of the projected condition.
Health
Health is defined as neither the absence nor the cure of the disease, but rather management of the condition that will produce the
best quality of life for the patient (George, 2011). A person s health and its outcomes can be measured at a number of levels, the
most prominent being mortality, morbidity, functional status and handicaps, and economic values (Koot Wallander, 2013). Health
in the assessment of JD will be tailored to the management of the chronic illness of focus, asthma. This calls for the PNP to do a
thorough respiratory assessment of the lungs and chest using a systematic approach. This includes inspection, palpitation,
percussion, and most importantly auscultation (Duderstadt, 2006). With a baseline respiratory assessment, the PNP can utilize
data in future assessments and follow up visits to manage disease progression.
Environment
In the nursing metaparadigm, the
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