Supporting family’s coping methods

Supporting family’s coping methods
- Parents
  - - Developing successful parent-professional partnerships
      - Promote primary nursing; in nonhospital settings, designate a case manager.
      - Acknowledge parents’ overall competence and their unique expertise with their child.
      - Respect parents’ time as having value equal to that of other members of child’s health care team.
      - Explain or define any medical, technical, or discipline-specific terms.
      - Tell families, “I am not sure” or “I don’t know” when appropriate.
      - Facilitate family’s effectiveness in team meetings (e.g., provide parents with same information as other participants).
    - Parents can be encouraged to discuss their feelings toward the child, the impact of this event on their marriage, and associated stresses such as financial burdens.
    - For most families, regardless of their income or insurance coverage, financial concerns exist.
    - The costs of caring for a child with special needs can be overwhelming.
    - One or both parents may have to sacrifice job opportunities to remain close to a medical facility or to avoid losing insurance benefits.
    - Numerous volunteer and community resources are available that provide assistance, rehabilitation, equipment, and funding for a variety of health problems.
    - National and local disease-oriented organizations may provide needed assistance and support to families that qualify.
  - Parent-to-parent support
    - Just being with another parent who has shared similar experiences is helpful.
      - It may not need to be a parent of a child with the same diagnosis, because parents in the process of adjusting to a child with special needs—or finding respite services, educational or rehabilitative services, special equipment vendors, and financial counseling—tread a common path.
    - Another strategy is to ask another parent to talk to the parents.
      - The nurse should seek out a parent who is a good listener, has a nonjudgmental approach to differences in families, and possesses good advocacy and problem-solving skills.
    - Parent groups are rich resources for information.
      - Nurses can assist in starting a group by identifying one or two parents as leaders; sharing with them the names, telephone numbers, and addresses of other families who have expressed both an interest and a willingness to release their phone number and address; and guiding them in how to initiate a first meeting.
  - Advocate for empowerment
    - Nurses can advocate for methods that foster opportunities for parent empowerment.
      - Nurses can suggest reimbursement for travel and child care plus stipends to enable parents’ voices to be heard at meetings and conferences.

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