High-Risk Family Assessment and Health Promotion Essay

High-Risk FamiliesA high- risk of exposure family is a family building block that is at an increased risk for emotional, intellectual, or checkmental problem beca occasion of the typewrite of environs or circumstances that is occurring within the family unit. Adults and children that ar involved in these high-risk family units are at a higher risk to develop problems, both somatogeneticly and emotionally. There are some indicators for primeval on staining of risk factors neighborhood environment, poverty, in nice kept sign of the zodiacs, characteristics of adults present in the home, marital problems, and child neglect. There are many programs and interventions that tolerate be utilize to try to change the negative effects and ensure a cocksure bug outcome within the family unit.History of Teen PregnancyAccording to Furstenberg, Brooks-Gunn & Chase-Lansdale (1989), in an article titled Teen successiond Pregnancy and Childbearing, teen maternalism did non become p revalent until the 1960s. Two changes occurred contributing to the increase in jejuned pregnancies 1.) an increase in sexual activity of young girls and 2.) a mitigate in the number of teenage marriages. By the 1980s over one-half of white females and three- foursomeths of shocking females were sexually active by the age of 18 (Furstenberg, Brooks-Gunn & Chase-Lansdale, 1989). Contraception was not regularly used when having sexual relations, and many of these females became pregnant during their teen years. Furstenberg, Brooks-Gunn & Chase-Lansdale (1989), in like manner continue to say that compared to the number of unmated teenage females in 1950 the females of 1980s were two-thirds white and almost 97% black wizard females. Also, 40% of these teenage pregnancies would end with abortion, and that the younger teenagers would guard more than(prenominal) abortions. A pregnant teenager has many decisions to make regarding her rising tense 1.) future schooling 2.) relatio nship with thebabys father 3.) familys choke off 4.) peers support.Summary of the wellness Profile of a with child(predicate) TeenThe risk of some teenagers getting pregnant is high in some circumstances. There are many life situations that place teenage girls at a risk of becoming pregnant. These may include poor school performance, sexual abuse, poverty, being raised by a single parent household, having a mother who was an teenager mother, or having a child who has become pregnant at a young age. According to Saewyc, Magee & Pettingell, (2004) the risk of a teenager getting pregnant is increased if that teenager has been sexually abused. The maternal quality is because they render been sexually abused they have a touch perception of power slightness which can lead to impairment when it comes to using a protective (Saewyc, Magee & Pettingell, 2004). Also, if the teenager has been sexually abused then they may have a higher chance of substance abuse and running away from home (Saewyc, Magee & Pettingell, 2004). Substance abuse can lead the risk for multiple partners, naked sex, and turning to sex work in order to support their habit. many an(prenominal) teenagers feel that they are under pressure to have sexual relations. partner pressure, bullying, and teasing by friends can lead to sexual coition at a much earlier age. Also, being al modested to date at an early age can lead to pregnancy, especially if the individual they are dormancy with refuses to use contraceptive method.There are many social and cultural changes that have occurred regarding dating. Getting to know a psyche over a massive period, or courting, is no longer part of dating. Couples now move onto physical relationships much quicker, and sex is part of the relationship.Poor education and low movement levels in school can lead to unwanted pregnancies. juvenilers who drop out of school are more likely to become pregnant and not complete their education. Teens that get pregnant tend to come from more disfavour families than those who do not become pregnant. Being of lower income contributes to a low hope of possible financial success which usually leads to choices of short-term contentment, having ababy while they are young and unmarried.Orems Self-Care ModelDorothea Orem make the Concepts of Nursing in 1971 and the sixth publication in 2001. According to Sitzman & Eichelberger, (2011), Orems Self-Care Model describes a structure where the nurse functions the client, as needed, to maintain an adequate level of self-care. The stagecoach of nursing care and interventions depend on the degree to which the client is able (or unable) to meet self-care needs (p. 96). Orems general guess is in three parts 1.) surmisal of self-care 2.) theory of self-care deficit 3.) theory of nursing constitution (Chitty, 2005, p. 283). The theory of self-care focuses on patients self-care capacities. The theory of self-care deficits specifies when nursing care is needed. Ore m identifies five methods of functioning 1.) acting for and insideng for others 2.) guiding others 3.) supporting others 4.) providing an environment promoting personal development in relations to meeting future demands 5.) nurtureing another (Orem, 2001 as cited in Masters, 2011, p. 183).The theory of nursing system describes the responsibilities and roles of the nurse and patient, the reason for the nurse-patient relationship, and the types of interventions needed to be provided to meet the patients needs. The theoretical framework of Orems theory as it relates to the metaparadigm for nursing is found on the person, a nurse, environment, and health. Nursing is the ability to assist patients to provide and finagle self-care to improve and maintain homophile function at some level. Health is not only taking care of the body but is also how a person performs with daily activities of living and progressing toward higher levels of functioning. Environment includes four features 1 .) physical 2.) chemical 3.) biological 4.) social (Orem, 2001 as cited in Masters, 2011, p. 183).The environment has an impact on the individuals health and well-being. Finally, persons are human beings who are different from other living beings. Human beings can reflect, symbolize, and use symbols. The person is a patient whom the nurse cares for. Orems theory can be employ to all three levels of ginmill primary, secondary, and tertiary. Every person needing nursing care has requirements at the primary level of disallowion. Secondary taproom is required after the onset of illness and is directed toward reducing complications and disability. ordinal care is appropriate when functioning is limited. Dorothea Oremstheory provides a far-flung foundation to the nursing practice and is specific to when nursing care is needed. Orems theory can be applied can be applied to various age groups including teenage mothers of newborns. The self-care deficit theory of nursing is efficacious with teenage mothers of newborns. The theory willing focus on the strengths and/or weaknesses of the individual. Methods of help and interventions include teaching, guiding, and providing for and/or maintaining direction in an environment that supports personal development. intelligent People 2020 ObjectivesAccording to Healthy People 2020 goals are to improve pregnancy planning and spacing, and prevent unintended pregnancy. Reducing pregnancies among adolescent females aged 15 to 17 years, reducing the number of pregnancies conceived within 18 months of a previous birth, change magnitude the number of both males and females who have never had sexual intercourse, increasing the number of sexually active persons who use condoms to both effectively prevent pregnancy and provide barrier protection against disease, and increase the number of adolescents who standard formal instruction on reproductive health topics before they are 18 years old are all applicable objectives tie in to teenage pregnancy (Family planning,).There are many nursing interventions that are applicable for prevention of teen pregnancies. Nursing education that includes teaching well-nigh contraception, abstinence, and having schools administer condoms through the health office. Interventions can also include designing and presenting programs that includes parent-teen communication with their parent(s), while promoting abstinence and the proper use of contraception.According to Furstenberg, Brooks-Gunn & Chase-Lansdale (1989) in that location have been efforts made to prevent teen pregnancies. According to the Panel on Adolescent Pregnancy and Childbearing primary prevention, delaying sexual activity, and using contraception is where all efforts should be focused on for prevention (Furstenberg, Brooks-Gunn & Chase-Lansdale, 1989). Primary prevention programs include 1.) educating teens about sexuality and contraception 2.) changing attitudes about early sexual involvement and 3) providin g contraceptives and family planning (Furstenberg, Brooks-Gunn & Chase-Lansdale, 1989).Role of the Advanced Practice agree as a slip ManagerAdvanced Practice Nurses have the education, training, and skills to perform many of the primary-care duties performed by physicians. Advanced Practice Nurse Case Manager carries out advanced practice functions and develops functions that help to achieve the vanquish results for the client through valuable interactions with clients. The Advanced Practice Nurse will manage and coordinate care for the pregnant teenagers and their families, provide health education, teach self-care behaviors, and offer psychosocial counseling and support, assess the efficacy of the health care system, and assist and monitor improvement ideas of the health care system.ConclusionTeenage pregnancy has been a major problem facing our children since the 1950s. Teen parents are less likely to finish school, more likely to live in poverty, more likely to have babies wi th low-birth weights and more likely to have children who become teenage mothers themselves. The goals of the health educator should include changing the behavior, providing counseling services, primary and obstructive health care, and family educations. For the future, all teens should be aware of the risks involved of sexual intercourse and be educated on the ways to prevent pregnancies.ReferenceChitty, K. K. (2005). professed(prenominal) nursing, concepts & challenges. W B Saunders Co. Family planning. (n.d.). Retrieved from http//www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicId=13 Furstenberg, F. F., Jr., Brooks-Gunn, J., & Chase-Lansdale, L. (1989). Teenaged pregnancy and childbearing. American Psychologist, 44(2), 313-320. doihttp//dx.doi.org/10.1037/0003-066X.44.2.313 Masters, K. (2011). Nursing theories, a framework for professional practice. Sudbury, MA Jones & Bartlett Publishers. Saewyc, E. M., Magee, L. L., & Pettingell, S. E. (2004). Teenage pregn ancy and associated risk behaviors among sexually abused adolescents. Perspectives on Sexual and productive Health, 36(3), Retrieved from https//www.guttmacher.org/pubs/journals/3609804.html Sitzman, K., & Eichelberger, L. W. (2011). Understanding the work of nurse theorists, a creative beginning (2nd ed.). Sudbury, MA Jones & BartlettLearning.