Nursing position chronically sick and term paper

Hospice Care, Hospice, Advanced Nursing, Community Medical

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#@@#@![Roberta S i9000. Rehm]. Hence, the need for healthcare professionals to update their abilities in handling assistive technological gadgets becomes more obvious. The most frustrating and demanding situation for the patients parents is when school authorities fail to present an active desire for the needs and proper care requirements from the technologically reliant children. Right here again, institution nurses, as health care deliverers in the university, can show a proactive approach. Elevated parent- registered nurse rapport is a sure way to reduce the parental matter for children with special requires. Clearly, rns are central in providing quality medicare health insurance for dependant children and in promoting that in the school setting. They need to play an organized role with parents and school government to ensure that necessary level of treatment is delivered to the centered children. [Roberta H. Rehm]

It needs to get highlighted here that educational institutions nurses may not be always available as in many they are trusted with the obligation of supervising the health treatment needs of several universities. Thus, teachers are often looked upon to learn wellness management expertise that are essential for assisting technology dependant kids. Though educators, in general, agree to provide extra care and monitor the medically delicate and technology dependant children, they are in most cases reluctant to intervene under emergencies intended for lack of knowledge of the types of procedures and for anxiety about the liabilities involved. Nevertheless , surveys with this direction have shown that most educators are willing to learn interventions which have been specific to caring a specific child inside the class, instead of willing to experience general schooling programs. [Roberta T. Rehm] Thus, it rests upon the nurses to train professors in the technical and simple treatment issues certain to a care dependant kid. Nurses likewise train ‘special education aides’ in specific procedures. For example children with tracheotomy may need regular suctioning, tube feeding and sometimes catheterization. So , evidently, nurses include a multifaceted role of trainers, advisors, liaison representatives and most importantly, health care deliverers for medically fragile and technology dependant children in the home and also community settings.


The complexity of caregiving requires a new position for the nurse, like a liaison between parents, college administration and the community. Healthcare professionals need to be extremely sensitive, positive and participative in answering the health treatment needs of technology dependant children. Particularly, children with invasive types of procedures such as tracheotomy and gastrostomy may need immediate attention wherever knowledgeable nursing intervention is indispensable and potentially your life saving. In the house care placing, nurses not simply help the father and mother acquire additional skills that are necessary but also help them cope with the ensuing psychological strain, thus greatly helping in the moving process. You cannot find any question of doubt for the important role from the nurse in care giving and in offering respite companies for parents handling children with chronic circumstances requiring reliance on technological gadgets.


Barbara A Montagnino, Rizalina V Mauricio, “The Child with a Tracheostomy and Gastrostomy: Parental Stress and Coping in your own home – A Pilot Examine, ” Pediatric Nursing, Sept 2004 v30, p373

Roberta S. Rehm, “Creating a Context of Safety and Achievement for School for youngsters who will be Medically Fragile / Technology dependant, inch Advances in Nursing Research, March 2002, v24, p71

3) John Dixon, “Tracheostomy: Easing The Transition Via Hospital to Home, ” Seen on 23rd Oct june 2006, available at

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