RESUMO
Even under the most favorable conditions, pregnancy and childbirth may tax the family's ability to cope. If there are problems with the pregnancy, these coping capacities may be further stressed. This article examines the common high risk obstetrical problems, frequently seen emotional reactions to the treatment of those problems, and social work assessment and intervention with families.
Assuntos
Cuidado Pós-Natal/métodos , Complicações na Gravidez/psicologia , Gravidez de Alto Risco/psicologia , Cuidado Pré-Natal/métodos , Serviço Social , Adaptação Psicológica , Feminino , Humanos , GravidezRESUMO
The birth of a premature and/or sick infant challenges even the most stable, intact families. If the baby is admitted to the Newborn Intensive Care Unit (NICU), the family is further challenged by the environment in which the infant is being treated. This article examines the most frequent causes for admission to NICU, common family reactions to such a birth and admission, social work assessment and intervention used in work with families of such patients.
Assuntos
Família/psicologia , Recém-Nascido Prematuro , Terapia Intensiva Neonatal , Serviço Social/métodos , Anormalidades Congênitas/psicologia , Feminino , Humanos , Recém-Nascido , Doenças do Recém-Nascido/psicologia , GravidezRESUMO
The motives for the selection of primary patients in a neonatal intensive care unit were identified by 34 participants in a series of staff development programs on primary nursing. Motives were identified and ranked in order of importance. These included: (1) medical problems; (2) continuity of care; (3) impression of parents; (4) impression of the infant; (5) altruism; (6) nurses' self-esteem; and (7) impression of other staff. This paper considers the potential impact of these motives on the ability of the nurse to fulfill the expectations of primary nursing practice.
Assuntos
Atitude do Pessoal de Saúde , Unidades de Terapia Intensiva Neonatal , Terapia Intensiva Neonatal , Enfermeiras e Enfermeiros/psicologia , Enfermagem Primária , Humanos , Recém-Nascido , Motivação , Relações Enfermeiro-Paciente , Relações Profissional-Família , Desenvolvimento de PessoalRESUMO
Having a newborn child admitted to a newborn intensive care unit can be a traumatic experience for parents; however, parents who previously have been infertile face unique problems in coping with this situation. The authors discuss the difficulties parents must overcome in resolving their crises and in developing a good relationship with their child, or, in some cases, coming to terms with the child's death or ongoing disability. In addition, the authors offer suggestions for effective social work intervention.
