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Pediatric Psychosocial Health

‌‌‌‍‌‍‌‌‍‌‌‍‍‌‍‌‍‌‍follow this scenario and write an essay about the role of a registered nurse regarding child awareness in nursing using Australian references and current health guidelines please Scenario: You are a Registered nurse (RN) working in a community clinic. Today, four-year-old Ava Chalmers presented to the community clinic, with her mother, for Diphtheria, Tetanus, Pertussis and Polio immunization. Ava attends kindergarten three days a week. You ask Ava how she feels, and Ava states she is very worried about getting sick. She is sad because she could not see her friends and misses them. She does not understand why the grown-ups are wearing masks and why her teacher said not to hug her friends. The last time Ava went to kindergarten, the teacher noted she could not sit still and refused to share the toys with the other children. Ava’s mother reports that Ava has recently been refusing to attend kindergarten and cries uncontrollably when a family member leaves the house. This is making it increasingly difficult to take Ava to kindergarten. Ava’s mother is concerned about Ava’s wellbeing and asks you for assi‌‌‌‍‌‍‌‌‍‌‌‍‍‌‍‌‍‌‍stance. The essay must be presented using the headings provided below. Essay: The essay must include the following: Introduction (150 words) Introduce the purpose and structure of the essay. Introduce the scenario. Outline how you will address the essay topic. Psychosocial development theory (240 words) Using psychosocial development theory, outline the impact COVID-19 may be having on Ava’s current stage of development. Mental health assessment tool (240 words) Locate an appropriate mental health assessment tool and describe how the RN would assess the impact COVID-19 may be having on Ava’s mental health. Person and Family Centred Care (240 words) Discuss how the RN can integrate Person and Family Centred Care principles during the immunisation episode of care. Caregiver education (240 words) Discuss strategies Ava’s mother can implement to support Ava. Professional support services (240 words) Provide information on appropriate professional support services that are available for Ava and her family. Conclusion (150 words) Summarise your main points and reinforce the significance and implications o‌‌‌‍‌‍‌‌‍‌‌‍‍‌‍‌‍‌‍f your essay

Expert Solution

The onset of the epidemic across the world signaled the start of the 20s of the 21st century. The five phases of development were expanded by Freud, and here is where the psychosocial development theory got its start. Tools for assessing mental health are crucial for determining any person's mental condition at any given time. The child's mental health can be accurately estimated by looking at their self-esteem, anxiety, and evaluative beliefs. family and self-centered caring.There is no denying the importance of providing the kid with individualized, family-centered care. Unquestionably crucial to Ava's eventual recovery is the maternal role. The first important tactic is to comprehend why events are taking place the way they are. To ensure the success of the result, the maternal effort should be appropriately reinforced by the best professional services. Therefore, the proper comprehension of psychosocial development theory in explaining the turbulence due to Covid-19 is extremely important to this discourse.

Psychosocial Development Theory

The pandemic's existence on the planet marked the beginning of the twenties of the twenty-first century. The connotation that the pandemic had on the population was undeniably negative, and the progressive implications have affected the status quo of the social structure of society, especially for young formative minds like Ava (Carter and Kulgren, 2020). The word psychosocial is the amalgamation of two words which are psycho, which is associated with the mental domain of the human, and social, which indicates the relationship with other individuals (Erb et al., 2018). Therefore, the psychosocial theory is associated with how the individual's social environment is integrated with the individual's mental state, this case being the kindergarten child. The psychosocial development theory traces its origin to Freud's expansion of the five stages of development. The consequent eight-cycle theory developed in 1959 on the hypothesis of environmental importance to psychological development (Erb et al., 2018). Therefore, the psychosocial development theory postulated by Eriksen explains individual development through society. The theory explains that individuals progress societally based on their social adjustment to crises and outcomes. The pandemic shocked the society, and the normal functioning of the existent societal cues was left deplorable. Ava is in her formative years, and her kindergarten friendships are significantly pertinent to her long-term growth and development (Forster and Fraser, 2018). The psychological understanding of her environment is significantly dependent on her friends from Kindergarten, and shifts in the relationships formed would result in Ava's deviated perception of society.

 Mental health assessment tools

Mental health assessment tools are important for gauging any individual's state of mind at any point in time. Therefore, Ava has a fragile mind being only four years old and the certain and appropriate form of her formative years is essential to her healthy growth and development as a child (Forster and Fraser, 2018). Psychologists have developed several tools pertinent to assessing the state of the mind of any child, especially Ava. Moreover, appropriate assessment tis tantamount to the diagnosis and appropriate treatment of the child to ensure that their health and state of mind of Ava is redeemable. The mental health assessment tools will therefore be instrumental in this function.

Self-esteem, Anxiety, and evaluative belief are pertinent estimators of the child's mental health. Therefore, the appropriate scales capable of assessing this state should be employed (Carter and Kulgren, 2020). The Rosenberg self-esteem scale is instrumental in assessing their self-esteem of Ava and her health of the same (Forster and Fraser, 2018). The American scale by Rosenberg Moriss in 1965 is the popular measure of self-esteem. The assessor will tweak the questions to fit the state of mind of the four-year-old while still obtaining meaningful inferences regarding the child's self-esteem. The evaluative beef scale would also be important to assess how the psychosocial dynamics of the child's lifestyle have been influenced negatively or positively by the pandemic's shock (Forster and Fraser, 2018). Finally, the anxiety rating scale will assess the state of Anxiety of the child and the redeemability of the same due to the volatility induced by the pandemic.

Integration of personal and family-centered care

The utility of personal and family-centered care for the child cannot be gainsaid. Since the child is experiencing an emotional rollercoaster due to the withdrawal symptoms from the social environment that the child has been used to, turbulence is expected. It ought to be mitigated by intentional personal and family-centered care. The Resident nurse should therefore advise the family to have designated times for individuals to spend time with Ava to offset the moodiness and turbulent emotions that the child experiences when an individual leaves the premises suddenly (Carter and Kulgren, 2020). The family should be intelligent in this organization such that every family member is engaging enough with Ava in a peculiar way so that one individual can hold her attention long enough for the child to fail to realize anyone is leaving the family. The arrangement will have to be properly executed to ensure that Ava can personalize her relationships with her family members deeply and critically enough not to feel any emotional vacuum whenever another leaves (Forster and Fraser, 2018). Therefore, this strategy will be instrumental in ensuring a proper state of affairs for the person-centered care and the family-centered care for Ava.

Strategies that Ava's mother could use

 The maternal role in the eventual healing of Ava is undeniably important. Therefore, Ava's mother could integrate several strategies to facilitate the healing process for her beloved daughter in the long run. First and foremost, the recognition of the Anxiety, fear, and grief experienced by the child should be understood comprehensively by the mother to facilitate the proper administration of remedy by the child in the long run (Forster and Fraser, 2018). The mother should therefore promote effective dialogue with the child to ensure they understand the ongoing of the planet at the moment. Fear is the central determinant of a depressive and degenerative state in the child (Carter and Kulgren, 2020). The mother should constantly reassure the child concerning the looming loneliness imposed by the social distancing policies. The child should understand that the loneliness is not a result of no one caring about them; instead, it is due to the prevalent state of affairs. 

Therefore, the first fundamental strategy is understanding why affairs are occurring as they are.

The second most important strategy is connectivity with friends. The mother could therefore ensure that Ava daily communicates with her friends through the internet-enabled means that dominate society today (Forster and Fraser, 2018). A video call a day would go a long way in ensuring that the child gets to keep in touch with the majority of her friends, and this state of affairs would ensure that the child is appropriately catered for emotionally and the vacuum imposed by the lack of physical proximity with her social circle is offset (Forster and Fraser, 2018). Therefore, technological integration to influence the child's social circles is an appropriate strategy for the mother.

Professional Support Services

The maternal effort ought to be supplemented accordingly with the ideal professional services to ascertain the effectiveness of the outcome of managing mental health of Ava. The susceptibility of such children renders the setup of numerous helpline services, which are instrumental in mitigating any shortcomings resultant from the pandemic (Forster and Fraser, 2018). The child line 1098 is a toll-free avenue for the external support of the children due to the concern of extreme risk fo the child, whether mental health-wise or security-wise. Furthermore, numerous nongovernment organizations avail the same utility for professional services for children's mental health (Carter and Kulgren, 2020). These include the child mind institute organization, the national alliance on mental health, and even the center for diseases control, the principal government agency for the mitigation and control of existent diseases. A simple google search on mental health care providers within a particular locality would go a long way in determining the individual's health state and ensuring that the child receives the ideal remedy for any disease that arises. Therefore, the availability of professional care services for the child Ava is not short in supply as numerous government and nongovernment organizations are on the frontline of disease mitigation, especially mental health episodes.

It is crucial to this discourse that the psychosocial development theory be properly understood in order to understand the instability brought on by Covid-19. In this instance, the kindergarten student, the psychosocial theory focuses on how an individual's social environment interacts with their mental state. Ava relies heavily on her kindergarten friends for her psychological understanding of the world, thus if those friendships change, Ava will perceive the world differently. The evaluation of her mental health is consequently aided by the use of the mental health assessment instruments. The child's anxiety level and its potential for recovery from the volatility brought on by the pandemic will be evaluated using the anxiety rating scale. The monitoring through the scales as well as the strategies by caregiver and the professional services will ensure that the child is able to recuperate psychosocially accordingly.

References

Carter and Kulgren (2020). Clinical handbook of psychological consultation in pediatric medical settings. Cham: Springer.

Erb, G.L., Kozier, B., Berman, A., Snyder, S.J., Levett-Jones, T., Dwyer, T., Hales, M., Harvey, N., Langtree, T., Moxham, L., Parker, B., Reid-Searl, K., Stanley, D. and Coe, M. (2018). Kozier and Erb’s fundamentals of nursing : concepts, process and practice. 4th ed. Melbourne, Vic: Pearson Australia.

Forster, E. and Fraser, J. (2018). Paediatric nursing skills for Australian nurses. Cambridge, United Kingdom ; New York, Ny: Cambridge University Press.

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