Family Centred Care- Case Study

Over the past fifty (50) years the idea of family-centred has evolved to encompass the entire family. Once, the focus was on the ‘presence’ of a parent when caring for a child, currently the focus is on ‘participation’. The idea behind such a progress was empirical evidence the effects of parental participation have on a child’s emotional, physical and psychological wellbeing. Smith, Coleman and Bradshaw (2002) tell us that nurses now follow an ‘inclusion policy’ when caring for children, due to its steadying influence on their child’s health.

This essay is based on a case study regarding Emma, and her daughter Lucy. Emma is six months pregnant with her second child and has a partner who does contract work away from home. Emma’s family live interstate and Emma’s family relocated two years ago. Emma is worried about Lucy’s weight. Emma asks questions regarding immunisations and what Lucy might need in preparation for school. Emma looks tired and during the nurses interactions she is teary and talks about her fears.

Using the information provided in the case study this essay will consider Lucy’s physical, cognitive and psychosocial development and describe what developmental milestones should be expected of a four year old girl. The essay will consider the factors influencing Emma, and her family, and make an assessment of their needs. An outline of potential problems Emma and her family are experiencing will be delivered. A description of family-centred care will be provided and referrals to appropriate health care professionals. The essay will also discuss a guideline and strategy from the Safe Start Program provided by NSW Families.

Family-centered care is not necessarily a model of care; it is described as an approach to nursing care that encompasses the entire family. The importance of a healthy family plays a role in the successful functioning of the unit (London, Ladwig, Ball & Bindler 2007). Support also comes from the extended family or