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N336 - Nursing Practice with Communities and Populations

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Jessica Prairie

on 21 July 2014

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Transcript of N336 - Nursing Practice with Communities and Populations

Group Reflection
Danielle, Katelyn, Jessica, Rachelle, Razia, Sarah & Tanya
Population of
Interest

N336 - Nursing Practice with Communities & Populations
Kitsilano
Musqueam First Nation
University Endowment Lands
Kerrisdale
Arbutus Ridge
Dunbar-Southlands
Shaughnessy
West Point Grey
Community Overview
Community Overview

However…
Significant pockets of isolation and vulnerability
One of the highest percentages of seniors over 65
Increasing number of recent immigrants with families who have children aged 0-6 years (particularly in Arbutus Ridge and UBC)
Food insecurity is a growing problem
Limited data available for Musqueam Reserve
Due to overall positive health indicators, it can be difficult to access services and there is an increased stigma for those needing support

Demographic Data
CHA4 is the largest, and most populated of all the CHAs.
Demographic Composition

Aboriginal Population
The Musqueam Reserve is located
within CHA4
67.1 % of visible minorities within CHA4 are Chinese - higher than that of Vancouver as a whole
Median Family Income
Education Level
Birth Rate
A greater percentage of mothers within CHA 4 are giving birth at a later age (35 years or older) as compared to the other CHAs.

CHA 4 has the lowest percentage of mothers giving birth under the age of 20 and between the ages of 20-34 years
Live births by age of mother
Baby Massage
Mom and Baby Fitness
Overview of Parent-Infant Groups
Wheel of Intervention
Health Teaching
Clinical Activity
Helps parents understand baby’s nonverbal cues
Promotes feelings of confidence in parenting ability
Increases parents’ ability to help their child relax during times of stress
Cues for sleep/relaxation may be used through adolescence
Helps parents relax, too



Swedish milking
Wringing

Less frustrated
Fewer crying outbursts
Fewer temper tantrums
Empowers baby to communicate early in life
Increases self esteem
Communicate at an earlier stage
Enhances bonding
Enriches parent child interactions
Let's learn some Baby Signs & sing a song!
Parent-Infant Groups are weekly groups for parents, grandparents, and caregivers with infants 0-8 months of age that provide a setting for social connection, health education, healthy child development and health promotion.

Groups are led by PHNs and take place at 4 different locations throughout CHA4. During the summer Parent-Infant groups were held at Pacific Spirit and UBC
CLASS ACTIVITY
Benefits for Baby
Benefits for Parents

Baby sign language is a way to communicate with your hearing infant before they are able to talk. Speech is a fine motor skill and hand movements is a gross motor skill. Because gross motor skills develop first, babies can learn to sign before they can speak.

Baby sign language is not just for children with hearing impairments and is a great way for all infants to tell parents what they need.

Babies who use baby sign language go on to develop larger vocabularies and learn to speak and read more readily.

Baby sign language is fun and everyone in the family can participate!

Baby Sign Language
Katelyn
Danielle
Tanya
I love health education and promotion! It is so important for overall public health. In this community rotation, I especially enjoyed working with babies. Parent infant drop-in groups, breastfeeding clinics and baby home visits are all important services offered in community nursing. These connections with parents give PHNs a chance to assess and provide education to ensure babies have the best chance at healthy development and a healthy home.
I look forward to incorporating the teaching skills I learned in
this community rotation into my future nursing career.
The parent-infant groups allowed me to connect with moms and babies from different backgrounds and ethnicities. I was able to gain a sense of social support they had in their countries of origin and how it differs in their lives in Canada. As an immigrant myself, I can relate to them and in practice, wish to model the work of PHNs who promote health, build individual and community capacity, help form relationships, and facilitate access and equity for new immigrants.
Simba's
I'm Simba!

This nut better NOT drop me!
Benefits of Exercise for
Mum and Baby
Exercising with baby provides a bonding opportunity
Strengthens muscles that were weakened by pregnancy and are needed to cope with demands of motherhood in postpartum
Improves cardio fitness, regain healthy weight
Meet other new moms and babes and develop social networks
Simple and fun!
Let's try some fun exercises!
With mums and babes at
Fit4two Stroller fitness class!

Baby Squats
While standing hold by with stretched out arms
Make sure your back is straight
Shoulder pulled back, legs wide apart
Bend your knees and squat!
Knees should not come further than toes
Don't
use baby as substitute for dumbbells!
Don't

drop your baby!
Repeat for 15 secs

Communicates facts, ideas and skills that change knowledge, attitudes, values, beliefs, behaviors, and practices of individuals, families, systems, and/or communities.

In
Parent-Infant Group
:
Health Teaching was the main focus
Taught families new skills and knowledge (baby massage, baby sign language & mom and baby fitness)
Parents were also able to teach each other during group sessions
Counseling
Establishes an interpersonal relationship with a community, a system, family or individual intended to increase or enhance their capacity for self-care and coping. Counseling engages the community, a system, family or individual at an emotional level.

In
Parent-Infant Group
:
Developed interpersonal relationships with group participants
Would often have discussion and/or answer questions around coping either before or after group
Parents would also share their own experiences of coping and techniques which would help others in the group
Community Data
Immigrant Population
Highest Across CHAs
Community Health Area 4
-
Westside
Community Overview
Overall positive social and health indicators
Highly educated population
High incomes
Low usage of income assistance
High life expectancy
Low rates of illness and disease
Diverse population across ages and ethnicity
CLASS DEMO
Nurturing touch/ baby massage promotes bonding and communication between parents/caregivers and children. Both parties should be enjoying the activity!

Touch is baby’s first form of communication; touching is talking.

It’s also a wonderful way for fathers, brothers, sisters and grandparents to bond with a new addition to the family!

Massage when both parent and child are warm, relaxed, and safe; use food-grade, cold pressed oils such as grapeseed oil, and remove sharp jewellery.

Massage as much or as little as your baby likes; there are different strokes for different folks (ages)!
Rachelle
New Parents and Infants
Jessica
Teaching the parent-infant groups was a lot of fun! I really liked seeing how a lot of the parents connected and developed supportive relationships with each other. I learned that connection and support is an important component of these groups that PHNs can help facilitate.
I look forward to learning more about developmental milestones and incorporating this into health teaching.
Razia
Sarah

The CHA4 Health and Social Profile 2013 highlighted social isolation as a growing concern, especially amongst new immigrant families
Challenges of being new parents makes them susceptible to being socially isolated
Research shows that 42% of Canadian women who experience postpartum depression are immigrants
Postnatal depression is one of the most diagnosed mental health disorder with rates up to 16% in Canada (BCRMH, 2014)
Increased focus on and outreach for immigrant families
Collaboration and community partnership with Success and Mosaic for new parent programming
Social Marketing in various cultural media to increase awareness of parent infant programs and services
Benefits for Baby
Benefits for Parents
I have really enjoyed connecting with the community during this rotation. PHNs play a variety of roles that significantly contribute to the health of a community; this was illustrated whenever I attended a clinic, parent-infant group or home visit. I would like to continue learning about outreach and harm reduction amongst different populations.
Parental attachment is critical for a child's social and emotional development and well being
Areas for further consideration
Social Isolation
Postpartum Depression
Attachment
It has been great to be on the giving end after having been a very happy end-user when I had Eli. I strive to continue to be aware of my personal biases through my experiences.
This photo shows Eli and I modeling sun safety!
THANK YOU!
Baby Massage Pamphlet
I appreciate the breadth of experiences we were granted through working with such a diverse team at PSCHC and out in the community; this really helped tie course concepts together for me.

I don't yet feel comfortable teaching from the "expert" role in front of large groups; but forward to continuing health education with families in our Maternity rotation.
I love the community rotation because of the opportunity to connect with people. Parent-infant groups provided health education and promotion. I learned that it's important to look at the client's perspective for successful health education. I also liked the home visits because I can assess the overall situation of the patient. The area I like to improve i to communicate more effectively during health education and promotion activities.
Enhances neurological development
Helps regulate digestive, respiratory, and circulatory systems
Helps relieve discomfort from gas, colic, congestion and teething
Helps baby learn how to relax
Improves bonding and communication
Decreases production of stress hormones
Full transcript