Changes occur daily throughout our lives, some seemingly effortless while others requiring predetermined thought and actions to make the transitions more bearable. For patients who have outgrown the services of the pediatric clinic, a major transition must occur, one that involves giving up what is known and secure for an adult world that can be daunting and terrifying to explore. Tierney et al. (2013) explored the types of experiences that young adults with cystic fibrosis (CF) underwent in transferring from the pediatric service to the adult clinic. The importance of this study was supported by the explicitly stated notion that “a better understanding of transfer from the perspective of young people could assist with developing …show more content…
The purpose of this study was to understand what individuals experienced in their transition from the pediatric to adult service in patients with CF (Tierney et al., 2013). This was clearly stated in the research article. Research questions were not identified in this study and therefore it cannot be determined if they are congruent with the qualitative methodology. During the process of analysis, liminality or the transition of a person from one stage or experience to another, was identified to help understand the experience patients undergo when transitioning (Tierney et al., 2013). The authors did not initially question if a parallel existed between the concept of liminality and the experience of transitioning; however, I can only assume that this would later have been a question in their study that they sought answers to as it was it discussed in thorough detail in their results. The review of literature supported the need for the current study evidenced by the fact that the current literature regarding transfer of care and CF were in-depth with a qualitative design (Tierney et al., 2013). Previous studies regarding this topic were quantitative in nature and focused on the type of services that were delivered to the patient (Tierney et al., 2013). Only two studies, aside from the current one, were noted to utilize interviews of patients and families to explore the same experiences that the researchers of
Many patients become such medical experts at managing their condition and they sometimes teach their medical team about the latest information. Some of them also have clear opinions about what they need from a medical treatment and care. Care providers acknowledge patients’ experiential knowledge and promote self-management from their patients; to recognise any health issues and be proactive to seek help from their CF team (Hewer and Tyrrell 2008, Visse et al. 2012).
The Kids Learning Centre is a privately-owned day care facility and non-formal educational institution for children up to 12 years old. It is located at the heart of the City of Downtown, just behind The Business Building, a convenient place where parents and guardians can drop off their children safely. It operates from 6:30 AM to 6:00 PM daily, and closes only during major holidays.
At first, I would provide introduction of child life services and ask some questions to assess the patient and his family. I will encourage the patient and his family to discuss questions or concerns about what they experienced and will experience. Then, I will provide brief explanation of procedures and treatments he will experience during this hospitalization. If the patient will experience the surgery, I will provide preparation. I will chart on the patient after each intervention, evaluate and plan the next
Jordan is adjusting to her first foster care placement. The youth expresses not having a problem following the house and DSS rules. Jordan is struggling with the possible length in time in foster care. She hopes to leave DSS custody before the end of August 2015. Jordan withholds her feelings and does not demonstrate healthy coping skills. The youth allowed to have supervised phone calls with DSS approve family members.
The case managers' role is diverse. It consists of screening, assessing, planning, implementing, following up, and evaluating the situation of the foster child assigned. They are essential in the child's case plan by acting as a liaison that connects the foster parent and the state. Besides bridging the gap, they also make sure to facilitate the appropriate resources.
PFCC provides a theoretical viewpoint that can be useful, especially in the case of pediatric patients. “PFCC seeks to improve the health and well-being of pediatric patients and their families through a respectful patient/family-professional partnership. It honors the strengths, cultures, traditions, and expertise that all members of this partnership bring to the relationship” (Dudley, Ackerman, Brown, and Snow, 2015, p. e256).
There is a dramatic increase in the amount of “aged out foster youth” within the state of Delaware. Programs have been developed with this in mind; one that stands above the rest is the Elizabeth Murphy School. Though the Elizabeth Murphy school has developed a program for the youth who have aged out of foster care changes needs to be made to their program regarding the lack follow up care of aged out foster care youth after completing their Independent Living program. The Elizabeth Murphy’s mission statement follows as “It is my desire that this institution shall be a fostering home where children, who would otherwise be neglected, may have a happy childhood; and where they may have the fullest opportunity to develop toward useful and efficient
The Children’s Hospital of Central California (CHCC) is one of the nation’s largest pediatric hospitals; CCHC not only provides great quality healthcare for pediatrics but also caters and cares for children from pre-birth all the way until their young adulthood stage of life. CHCC is a nonprofit healthcare network that specializes in medical and surgical services to help care for common to rare health conditions. Children’s Hospital provides healthcare services in over forty different types medical services. Services can include from Intensive Care Unit (ICU), Emergency Room (ER) to Cardiology. The department that will be observed and discussed is the social services department
Andrew, a 17-year-old Black-Hispanic male, had been referred for a psychosocial assessment after he was placed in foster care, due to his mother’s inability to provide a stable living situation for Andrew and his brother Alex, and to address the children’s mental health needs. The ADCHS is working on providing a safe and nurturing living environment where there is appropriate and consistent support and supervision for Andrew. The ADCHS has implemented foster case management services and mental health services to address his emotional health and aid in processing his feelings and emotions currently impacting his current level of functioning. Prior to being placed in foster care, Andrew was accused of sexual misconduct by his brother. He denies
I did not know much about the health care field then but in that moment, I felt as if the health care system failed since the day he was born. This experience made me become eager to be a part of making a difference in the health care world. The lack of managed care caused the life of my nephew, and for this my passion for Science and the need of helping others only manifested because of my experience. My aspirations were to become a Registered Nurse and specialize in Neonatal Intensive Care Unit. In my early college years, I also became a part of the UCLA team through an internship program. UCLA Care Extenders allowed me to gain valuable knowledge.As an intern, I did clinical rotations and was able to discover what takes place behind closed doors. However, what lead me into
The second request is for a change in the loan parameters for Wee Little Daycare. As a result of the delay between the original approval and the actual closing date, the aggregate loan amount decreased from $874,000 to $726.200. The decision was made to decrease the loan amortization from 4 years to 3 years resulting in a slight improvement of the DSC and a reduction in the LTV to 74.4%. This resulted in more favorable terms and eliminated the original LTV policy
I couldn’t imagine what it would be like growing up with a life threating condition that has no cure. Amanda Estep is a 21-year-old, college student and also a close friend of mine who has been battling Cystic Fibrosis since she was three years old. Cystic Fibrosis is a genetic condition that causes mucus to build up in the lungs and digestive system, making it hard to breath. “Basically everything in my body is thicker, so the mucus in my lungs is harder to break up and get out which causes frequent lung infections.” Amanda explained to me. Cystic Fibrosis also impacts her ability to digest food, resulting in her being underweight most of her life. While I have known Amanda since kindergarten, we have never talked in depth about how much she has to do to remain as healthy as possible. Hearing her explain her story made me realize how lucky I am to be healthy, and that’s something’s no one should take for granted. There is currently no cure for Cystic Fibrosis, but Amanda shared some of the many things she has to do in order to remain as healthy as possible. Some of those things includes being hospitalized for two weeks four or five times a year, taking many medications, and knowing how hard she can push herself.
Many children are placed into foster care because their situation at home is not satisfactory according to The Department of Family Services. A lot of the situations deal with emotional, physical, and verbal abuse. A young girl named Tiffany was placed into foster care at the age of 8. The lack of a father role model in her life had life changing effects on Tiffany. As an already confused child, she was adopted by a foster home for females. It was run by females only. As a foster child at the time, when Tiffany would go out into public with either her “big sister” or foster parent, she would begin to understand that she wasn’t like most children because all the regular children had their mother and father. She began to develop insecurities
The study consisted of 12 parents who foster children ages 2-8 years old. The high levels of conduct problems among children in the foster care system and the added cost to families, society and services, there is a pressing need to support foster parents. Providing foster care to children with increased emotional, behavioral, and medical needs requires not only time, but patience in dealing with the child’s demands. Foster parents often voice they are unprepared to meet demand of children with increased behavioral and emotional needs and adolescents in their care. This situation can result in placement disruption, which further strains foster care resources and has negative impacts on foster children and youth. The incidence of conduct disorder
During my first semester student clinical rotation, I was introduced to patient, 76 year old AB who was being treated at an assisted living facility. She was a wonderful patient and someone I immediately connected with. AB had been medically diagnosed with COPD and displayed all the classic physical signs of the disease such as wheezing, deliberate breathing, severe shortness of breath and nutritional deficit. She was my first patient as a student nurse and the first person I was able to complete a health assessment and nursing care plan for. I recognized early on that AB was special and someone who would be a great person to communicate with. With the initial assessment she was a little scared, but