Child Adolescent and Family Centered Care

Running head: CHILD ADOLESCENT AND FAMILY CENTERED CARE
Child adolescent and family centered care
Name of the Student
Name of the University
Author Note

1
CHILD ADOLESCENT AND FAMILY CENTERED CARE
Introduction:
Many individuals, and communities outside of the major urban region of Australia,
especially the indigenous community is experiencing the severe burden of the chronic illness
(Humphreys, Lyle & Barlow, 2018). With the rising rate of the mental illness as well as family
breakdowns, the health care services are already struggling to assists families across the rural
areas in living a healthy life. As discussed by Morley et al. (2017), people living in rural
communities generally score lower on various aspects of health, displaying higher rates of
disabilities and mortality rate in the urban counterparts. The Australian Bureau of Statistics
reported that 65% of deaths amongst indigenous people occurred before 65 years compared to
19% of non-indigenous individuals (Meiklejohn et al., 2016). The mortality rate is 1.6 times
higher in the individuals who live in remote areas compared to the individuals who live in the
urban counterpart (Gregory, Phillips & Brumby, 2015). The social and economic disadvantages
are the strongest reason behind these health disabilities. The crisis begins to dominate the public
and medical report which further contributed to the mortality rate and global burden of disease.
This paper will illustrate how PHC approach supports nurses to work in partnership with children
and families in rural and remote areas, one health promotion program and one education program
promote wellbeing along with the recommendation in following paragraphs.
Primary care approach:
To promote the well-being of the families and children, the world health organization
adopted the primary-care approach as a basis for providing effective health care services. As
discussed by McGrail and Humphreys (2015), the primary care approach embrace five types of
care such as promotive, curative, rehabilitative supportive. In each type of delivery of care, the
focus is on the prevention and illness and promoting health. As discussed by Thomas,

2
CHILD ADOLESCENT AND FAMILY CENTERED CARE
Wakerman and Humphreys (2015), PHC services in the remote areas are smaller compared to
the rural areas which further highlighted the disadvantages associated with the geographical
location. In individuals in the rural and remote areas are subject to the high level of
psychological distress such as anxiety, depression and other mental health issues because of the
potential social determinants including unemployment, low sociodemographic status, illiteracy,
childhood experiences (Roden et al., 2015). They tend to develop unhealthy habits such as
smoking, drinking, reckless sexual activities which resulted in health issues such as
cardiovascular disease, cancer, obesity, diabetes, kidney, and renal disease. The primary care
approach provided a new direction to the nurses in the both rural and remote communities to
work in partnership with children and families for management of chronic illness and promote
wellbeing (Schmidt & Kirby, 2016). The primary care approach enable nurses to provide
interventions by prioritizing the needs of the children and families, incorporating them in the
treatment procedures, taking account of the social determents of the health while providing care
to close the gap in the healthcare services in between urban and rural areas. The approach also
enables nurses to incorporate to engage the families, children, and communities in the
educational program on emerging health problems and how to prevent them. The approach
enables nurses to create a safe and comfortable environment by integrating cultural values and
beliefs and encourage each family in the community to participate in the health promotional
program which promotes the collaborative practice (Sturgiss et al., 2017). With the help in the
approach, nurses in the rural and remote areas are able to be transparent to the population and
able to promote the shared decision making and share responsibility. Consequently, the families,
children, and communities of the rural and remote areas feel empowered, confident and safe.
The consensus report suggested that after adaptation of the primary care approach, nurses in the