Care of Mother, Child and Adolescent (Well Clients) : Glenda G. Unsing, RN, Man

CARE OF MOTHER, CHILD AND
ADOLESCENT (WELL CLIENTS)
GLENDA G. UNSING, RN, MAN

NURSE INSTRUCTOR
INSTRUCTOR’S
PHOTO
NORTHERN LUZON ADVENTIST COLLEGE – SCHOOL OF NURSING

Framework
for Maternal and Child Health Nursing
• Maternal and child health nursing can be visualized within a
framework in which nurses, using nursing process, nursing
theory, and evidence-based practice, care for families during
childbearing and childrearing years through four phases of health
care:
• Health promotion
• Health maintenance
• Health restoration
• Health rehabilitation
Goals and Philosophies
Goal of MCHN
Promotion and maintenance of optimal family health to ensure
cycle of optimal childbearing and childrearing.
Philosophies
• family centered
• community centered
• evidence-based
• MCHN serves as advocate

Philosophies
Includes a high degree of independent nursing functions

Promoting health and disease prevention are important nursing
roles
Serves as important resource during childbearing and rearing
period
Personal, cultural, religious attitudes and beliefs influence the
meaning and impact of childrearing and bearing on families
Challenging role for nurses and a major factor in keeping families
well and optimally functioning
Standards of Professional Performance
• I: Quality of Care: The nurse systematically evaluates the quality and effectiveness of
nursing practice.
• II: Performance Appraisal:The nurse evaluates his/her own nursing practice in relation
to professional practice standards and relevant statutes and regulations.
• III: Education:The nurse acquires and maintains current knowledge in nursing practice.
• IV: Collegiality: The nurse contributes to the professional development of peers,
colleagues, and others.
• V: Ethics: The nurse’s decisions and actions on behalf of patients are determined in an
ethical manner.
Association of Women’s Health, Obstetric, and Neonatal Nurses. (1998). Standards for the
nursing care of women and newborns (5th ed.). Washington, D.C.: Author.

Standards of Professional Performance
(continuation)
• VI: Collaboration
• VII: Research
• VIII: Resource Utilization
(factors related to safety, effectiveness, and cost in planning and delivering patient care).
• IX: Practice Environment
The nurse contributes to the environment of care delivery within the practice settings.
• X: Accountability
The nurse is professionally and legally accountable for his/her practice. The professional
registered nurse may delegate to and supervise qualified personnel who provide patient
care

Theories Related to MCHN
Theories offer helpful ways to view clients so that nursing activities can best
meet clients needs.
APPLICATION OF NURSING THEORIES

Situation:
Terry is a 7- year old girl who is hospitalized because her right arm was
severely injured in an automobile accident. There is a high probability that she
will never have full use of the arm again. Terry’s mother is concerned because
Terry has spent most of every day since the accident sitting in the hospital bed
silently watching television.

Theorist Major Concept of the theory Emphasis of care
Course outcomes:
Florence The role of a nurse is viewed as changing or structuring Turn Terry’s bed into the sunlight;
Nightingale elements of the environment such as ventilation, provide adequate cover for warmth;
temperature, odors, noise, and light to put the patient leave her comfortable with
into the best opportunity for recovery. electronic games to occupy her
Betty Newman A person is an open system that interacts with the

environment; nursing is aimed at reducing stressors
through primary, secondary, and tertiary prevention.
Rosemarie Rizzo Nursing is human science. Health is a lived experience.

Parse Man-living-health as a single unit guides practice.
Hildegard The promotion of Health is viewed as the forward movement
Peplau of the personality; this is accomplished through an
interpersonal process that includes orientation,
identification, exploitation, and resolution.

Theorist Major Concept of the theory Emphasis of care
Patricia Benner Nursing is a caring relationship. Nurses grow from novice to expert as
they practice in clinical setting
Dorothy Johnson A person comprises of subsystem that must remain in balance for
optimum functioning. Any actual or potential threat to the system,
balance is a nursing concern.
Imogene King Nursing is a process of action, reaction, interaction, and

transaction, and transaction needs are identified based on
client’s social system, perceptions and health; the role of
the nurse is to help the client achieve goal attainment
Martha Rogers The role of the nurse is to aid clients to adapt to the
change on the degree of environment change and state of
coping ability; full adaptation includes physiologic
interdependence.

The ROLE AND RESPONSIBILITY MCHN
• Direct service provider
• Manager/ Administrator
• Health Educator
• Researcher
• Advocate

WHO’S 17 Sustainable Development, Envision 2030 Goals
(https: www.un.org/development)
• 1. No Poverty
• 2. Zero Hunger
• 3. Good Health and Well being
• 4. Quality Education
• 5. Gender Equalilty
• 6. Clean Water and Sanitation
• 7. Affordable and Clean Energy
• 8. Decent Work and Economic Growth
WHO’S 17 Sustainable Development, Envision 2030 Goals
(https: www.un.org/development)
• 9. Industry, Innovation and Infrastructure

• 10. Reduce Inequality
• 11. Sustainable Cities and Communities
• 12. Responsible Consumption and Production
• 13. Climate Action
• 14. Life below Water
• 15. Life on Land
• 16. Peace and Justice Strong Institution
• 17. Partnership to Achieve the Goal
3. Good Health and well-being for all at all ages
Targets:
• Reduce the global maternal mortality ratio to less than 70 % per 100,000 live births
• End preventable deaths of newborns and children under 5 years of age, with all
countries aiming to reduce neonatal mortality to at least as low as 12 per 1,00 live births
and under-5 mortality to at least as low as 25 per 1,000 live births
• Reduce by 1/3 premature mortality from non-communicable diseases through

prevention and treatment and promote mental health and well- being
• Ensure universal access to sexual and reproductive health care services, including for
famil planning, information and education, and the integration of reproductive health
into national strategies and programmes

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CARE OF MOTHER, CHILD AND

ADOLESCENT (WELL CLIENTS)

GLENDA G. UNSING, RN, MAN

NORTHERN LUZON ADVENTIST COLLEGE – SCHOOL OF NURSING

NORTHERN LUZON ADVENTIST COLLEGE – SCHOOL OF NURSING

Includes a high degree of independent nursing functions

NORTHERN LUZON ADVENTIST COLLEGE – SCHOOL OF NURSING

NORTHERN LUZON ADVENTIST COLLEGE – SCHOOL OF NURSING

APPLICATION OF NURSING THEORIES

NORTHERN LUZON ADVENTIST COLLEGE – SCHOOL OF NURSING

Betty Newman A person is an open system that interacts with the

Rosemarie Rizzo Nursing is human science. Health is a lived experience.

NORTHERN LUZON ADVENTIST COLLEGE – SCHOOL OF NURSING

Imogene King Nursing is a process of action, reaction, interaction, and

NORTHERN LUZON ADVENTIST COLLEGE – SCHOOL OF NURSING

• Direct service provider

NORTHERN LUZON ADVENTIST COLLEGE – SCHOOL OF NURSING

• 9. Industry, Innovation and Infrastructure

• Reduce by 1/3 premature mortality from non-communicable diseases through

NORTHERN LUZON ADVENTIST COLLEGE – SCHOOL OF NURSING

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