High-Risk Family Assessment and Health Promotion Essay

High-Risk FamiliesA high- insecurity family is a family unit that is at an increased risk for emotional, intellectual, or developmental problem because of the type of environs or circumstances that is occurring within the family unit. Adults and children that argon involved in these high-risk family units atomic number 18 at a higher(prenominal) risk to develop problems, both(prenominal) physic every(prenominal)y and emotionall(a)y. in that location argon legion(predicate) indicators for early detection of risk factors neighborhood environment, poverty, poor kept homes, characteristics of adults present in the home, marital problems, and child neglect. on that point are many programs and interventions that nominate be implemented to try to limiting the negative effects and ensure a electropositive stunnedcome within the family unit.History of Teen motherhood concord to Furstenberg, Brooks-Gunn & Chase-Lansdale (1989), in an article titled jejune Pregnancy and childbeari ng, teen pregnancy did non plough prevalent until the 1960s. Two changes occurred contributing to the increase in puerile pregnancies 1.) an increase in sexual legal action of young girls and 2.) a decrease in the yield of immature marriages. By the 1980s over half(a) of uncontaminating females and ternary- foursomeths of black females were sexually dynamical 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 heavy(predicate) during their teen years. Furstenberg, Brooks-Gunn & Chase-Lansdale (1989), also continue to say that compared to the bet of unmarried teenage females in 1950 the females of 1980s were two-thirds white and almost 97% black single females. Also, 40% of these teenage pregnancies would end with abortion, and that the younger striplings would seduce to a greater extent abortions. A with child(predicate) teen has many decisions to draw off regarding her future 1.) future shallowing 2.) relationship with the frustrates father 3.) familys support 4.) chums support.Summary of the Health Profile of a Pregnant TeenThe risk of most teenagers acquire pregnant is high in some circumstances. there are many life situations that place teenage girls at a risk of becoming pregnant. These may implicate poor school performance, sexual guy, poverty, world raised by a single advance household, having a mother who was an teenager mother, or having a sister who has execute 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 pregnancy is because they commit been sexually abused they view a feeling of powerlessness which groundwork manoeuvre to impairment when it comes to using a contraceptive (Saewyc, Magee & Pettingell, 2004). Also, if the teenager has been sexually abused then they may have a hig her chance of substance abuse and running away from home (Saewyc, Magee & Pettingell, 2004). Substance abuse coffin nail lead the risk for multiple partners, unprotected sex, and turning to sex work in parliamentary law to support their habit.Many teenagers feel that they are at a lower place pressure to have sexual relations. Peer pressure, bullying, and peevish by friends privy lead to sexual relative at a much earlier age. Also, be allowed to date at an early age can lead to pregnancy, especially if the individualistic they are quiescence with refuses to use contraception.There are many societal and cultural changes that have occurred regarding dating. Getting to know a someone over a long period, or courting, is no longer part of dating. Couples now fail onto physical relationships much quicker, and sex is part of the relationship. worthless education and low carry outment directs in school can lead to unwanted pregnancies. jejuners who drop out of school are mor e credibly to become pregnant and not complete their education. Teens that get pregnant tend to come from more disadvantaged families than those who do not become pregnant. Being of lower income contributes to a low hope of possible financial achievement which usually leads to choices of short-term contentment, having ababy bandage they are young and unmarried.Orems Self-Care ModelDorothea Orem create the Concepts of nursing in 1971 and the sixth publication in 2001. According to Sitzman & Eichelberger, (2011), Orems Self-Care Model describes a bodily structure where the breastfeed assists the client, as needed, to maintain an adequate train of self- safekeeping. The degree of nursing forethought and interventions depend on the degree to which the client is able (or unable) to meet self-care of necessity (p. 96). Orems general conjecture is in three parts 1.) theory of self-care 2.) theory of self-care deficit 3.) theory of nursing system (Chitty, 2005, p. 283). The theor y of self-care focuses on unhurrieds self-care capacities. The theory of self-care deficits specifies when nursing care is needed. Orem identifies louver methods of helping 1.) acting for and doing for others 2.) guiding others 3.) supporting others 4.) providing an environment promoting someoneal development in relations to get together future demands 5.) commandment another (Orem, 2001 as cited in Masters, 2011, p. 183).The theory of nursing system describes the responsibilities and roles of the hold up and patient, the modestness 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 based on the person, a nurse, environment, and health. Nursing is the ability to assist patients to provide and manage self-care to mitigate and maintain human function at some level. Health is not only taking care of the body but is also h ow 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 utilize to all three levels of nixion primary, secondary, and tertiary. Every person needing nursing care has requirements at the primary level of prevention. Secondary prevention is required after the infringement of illness and is directed toward reducing complications and disability.Tertiary care is appropriate when functioning is limited. Dorothea Oremstheory provides a widespread foundation to the nursing practice and is particular(prenominal) to when nursing care is ne eded. Orems theory can be utilize can be applied to various age groups including teenage mothers of newborns. The self-care deficit theory of nursing is useful with teenage mothers of newborns. The theory bequeath focus on the strengths and/or weaknesses of the individual. Methods of help and interventions include seeing, guiding, and providing for and/or maintaining direction in an environment that supports personal development.Healthy batch 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 come up of pregnancies conceived within 18 months of a previous birth, increasing 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 in effect prevent pregnancy and provide barrier security department against disease, and increase the number of adolescents who received formal nurture on reproductive health topics before they are 18 years old are all relevant objectives related to teenage pregnancy (Family planning,).There are many nursing interventions that are applicable for prevention of teen pregnancies. Nursing education that includes teaching about 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), piece promoting abstinence and the proper use of contraception.According to Furstenberg, Brooks-Gunn & Chase-Lansdale (1989) there 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). primal prevention pr ograms include 1.) educating teens about sexuality and contraception 2.) changing attitudes about early sexual contact and 3) providing contraceptives and family planning (Furstenberg, Brooks-Gunn & Chase-Lansdale, 1989).Role of the right Practice harbour as a Case director locomote 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 best results for the client through valuable interactions with clients. The Advanced Practice Nurse will manage and adjust care for the pregnant teenagers and their families, provide health education, teach self-care behaviors, and offer psychosocial commission 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 chil dren since the 1950s. Teen parents are less likely to finish school, more likely to live in poverty, more likely to have babies with 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 preventative 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. generatorChitty, K. K. (2005). Professional 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). teenage 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 pregnancy and associated risk behaviors among sexually abused adolescents. Perspectives on Sexual and Reproductive 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.