The Impact of Healthy Families

This assignment requires you to analyze various research papers focusing on the concept of 'healthy families'. Topics covered include factors contributing to healthy family adjustment, government-supported marriage programs, the impact of healthy home environments, and the role of civil unions in supporting families. The papers delve into areas like child maltreatment, service utilization, obesity prevention, and the long-term effects of building strong families. You are expected to critically evaluate these research findings and understand their implications.

Nursing: NMIH203.
Supporting Healthy
Families

TABLE OF CONTENT
3. ASSESSMENT TASK 3.............................................................................................................3
Reflection based on the feedback of assessment 2..........................................................................3
Provisioning family centred support to the person and the family by a Registered Nurse (RN),
based upon Emma's case study........................................................................................................3
Consideration of Lucy and Josh’s physical, cognitive and psychosocial development..............3
A description of the developmental milestones you would expect a 4yr old girl and a 14 yr old
boy to have achieved...................................................................................................................4
A family assessment including consideration of the factors influencing Emma and her family 6
Identified potential problems for Emma and her family.............................................................7
Family-centred nursing care including communication/interviewing strategies that will assist
with relationship building with Emma and her family................................................................7
Meetings and referrals you would arrange with the multidisciplinary team and other
appropriate health care professionals/agencies...........................................................................8
REFERENCES................................................................................................................................9

3. ASSESSMENT TASK 3
Reflection based on the feedback of assessment 2
This is to to reflect upon the feedback comments that are being marked by the assessor
based on the previous assessment number 2 in whose accordance, I am required to carry out the
subsequent assessment number 3. Which is based upon a conferred case scenario of a women
named Emma aged 34 years old and is worried about the growth and development of two of her
children (Wood, Moore, Clarkwest & Killewald, 2014). I am hereby required to support her as a
registered nurse or RN and provide family centred support to Emma and her family members, for
whom she is concerned. I am firstly required to go through the conferred case script of Emma
and refer to the inquired queries.
It is thereby on referring to the given feedback of the tutor on the verification of
assessment 2 where some major spelling mistakes are being made with another leading comment
of the tutor on the list of references. Wherein, there is a missing existence of citations in the
work. On considering the aforesaid remarks of the checker, I have intended to avoid making
these mistakes again and proof read the work once after its completion (Green, Sanders & Tarte,
2017). By which, I will be hereby able to detect any such errors in the spelling and rectify the
same on time. Also, proper citations in the work will be done so as to avoid the previously done
mistake in assessment 2 where there were no references in the carried work.
Provisioning family centred support to the person and the family by a
Registered Nurse (RN), based upon Emma's case study
Consideration of Lucy and Josh’s physical, cognitive and psychosocial development
It is hereby on referring to the physical, cognitive and psychosocial development of Lucy,
she is presently referred to be a picky eater with 105 CMS of height and 15.5 kg of weight where
there together existed a thorough physical assessment of her with no such abnormalities. Physical
growth is referred to be one of the major consideration of a child's parent at the early stage of
development where it has different stages (Sharon, 2016). On considering the same in case of
Lucy, she is presently at the stage of preschooler and is expected to age within the range of 3 to 5
years. As a result to which, Lucy at this stage is required to achieve some prompt physical

abilities like drawing, using fork to eat, standing on a single foot for 10 or more seconds and
playing, etc.
Also, she must be together able to take care of her own lavatory needs in accordance to
the child care National Network. Wherein, the cognitive skills for a preschooler like Lucy lies at
pre-operational stage where she is hereby required to evolve an imaginative memory by being
able to impertinent the symbolic things and differentiate among the opinions of past and future
(Ward, 2016). Lastly, on referring to the psychosocial development of Lucy, initiative versus
guilt is the stage that is applicable for the children aged 3 to 5 years like Lucy. In context to
which, Lucy is hereby required to make vital interaction with other children by together referring
to play with them where such type of interaction among the children's will also lead to develop
their interpersonal skills.
Similarly, on referring to the developmental agenda of Josh who is 14 years old is
predicted to go through the developmental stage of a school aged child with some more graceful
and integrated movements. He is together expected to have a considerable coordination between
the hand and eye by also being able to make an active participation in craft related activities
along with some energetic games such as basketball, swimming, video games and soccer, etc.
Also, on referring to the cognitive development of Josh, he is referred to be at a formal
operational stage (Gonsalves, 2016). The children at this stage are excepted to use pertinent
logics for the purpose of solving a problem where they must be together capable of viewing the
world around them and plan for their future prospectives. Lastly, on referring to the psychosocial
development of Josh, he is foreseen to be at the stage of identity versus role confusion where he
is presently referred to be at an adolescent period. At this particular time period, the children of
this age are more concerned about finding out a sense of individualistic identity by exploring the
accessible choices.
A description of the developmental milestones you would expect a 4yr old girl and a 14 yr old
boy to have achieved
Developmental milestone is basically referred to be a way in which a child is being
developed through some progressive measures undertaken by the parent's. This depicts the
growing period of a child that in turn necessitates the parents to monitor them by together
referring to contribute into their growth with the help of a formulated milestone (Edwards,
Radford, Albertone & Rinker, 2014). It is turn is evident to mark the progressions of the child. It

is hereby in context to the given case of Emma, below specified are the milestones created for
her 1st child named Lucy who is 4 years old-
Cognitive milestones-
Lucy must be able to enumerate 10 or more physical objects.
She must be able to name a minimum of 4 different colours in a correct way.
She should also have a better understanding of time.
She must also know about the things that are regularly being used in their house such as food and
gadgets, etc.
Milestones to interpret their hand and finger abilities-
Lucy at this age range should be able to copy the geometrical patterns such as triangles, etc.
She must together know to draw an individual's body and print letters.
She must be able to dress and undress herself with no prompt support of others (Howe & Scully,
2015).
She should know to make a correct use of fork, etc., for the purpose of eating.
She should together aware of her lavatory needs by herself caring about the same.
Likewise, on referring to the creation of milestones for the 2nd child of Emma named Josh
ageing 14, below are the considerations related to it-
Emotional and social changes-
At this age, the children are more concerned about their looks, clothing and body image, etc.
Wherein, they may together become more moody and lack confidence.
Also, they are apparent to loose interest in studies and may find it to be a challenging task to
complete the school related work (Amato, 2014).
Developing eating disorder is together referred to be yet another common issue at this particular
age where they are together apparent to go through the phase of sorrow and depression, etc.
However, on together scrutinizing the fact of their thinking and learning ability at this
particular stage, they are referred to have below mentioned qualities-
Getting more capable of thinking in a complex manner by expressing their feelings in a more
better way via interacting with others.
They may together develop a strong sense to differentiate among the right and wrong things
(McMillin, 2014).

On considering the above referred facts, Emma is thereby required to undertake some
parenting tips and espouse the same for Josh-
The sensitive subjects should be clearly discussed with Josh by directly talking about it.
Emma should also show a prompt interest in the school life of Josh by together referring to know
his friends and getting along with them in more cordial manner (Cafer, Willis, Beyene &
Mamo, 2015).
Also, she must encourage Josh to make healthy choices and assist him to themselves take some
considerable decisions for his own life by respecting his ideas and emotions, etc.
A family assessment including consideration of the factors influencing Emma and her family
It is on referring to the bestowed case scenario of Emma, she is apparent to deal with a
concerning situation of her two children namely Lucy and Josh. Wherein, Lucy is referred to be a
fussy eater who often make choices for eating and doesn't like to eat everything that is being
offered to her. As a result to which, Emma being her mother is duly concerned about her growth
with a main concern about her physical development (Rogers, 2017). Likewise, her another child
named Josh is together referred to suffer from a mental distress. It is basically due to their
changing locations due to the work profile of her husband where Josh is now required to join
another school at a new place. However, Emma is hereby dealing with an unsure state where
Josh is badly missing his old school friends and is not sure whether he will refer to join the new
school or not.
Beside this, he is also referred to miss his father who is mostly outside for work and is
unable to give a considerable time to the children. This is on considering the issues that are being
faced by Emma in accordance to the given case study where she represented a 34 year old
woman who is pregnant and soon intending to give birth to her third child (Hu, Phillips, Gaydos
& Joski, 2016). However, she is also apparent to stay alone because of her husband's contract
based job that keeps him moving from one place to another. Despite of maintaining good
relationship with her in laws she is concerned about the growth and development of her two
previous child's namely Lucy and Josh. This is mainly due to her in- laws stay at their local place
and for which they are not in direct contact of their son and his family.
It is therefore on assessing the overall situation of Emma and considering the condition of
her family, there are several influential factors such as staying alone with two children in the
state of pregnancy and handling them. Also, despite of maintaining a good relationship with the

in laws, not being able to make a close interaction with them due to the distance between them
(Cowan & Cowan, 2014). Lastly, handling a child with eating disorder and another at teenage is
together referred to be a potent factor influencing her and her family to a great extent where she
has also started feeling helpless which is not a good for her own health. This may together lead
to create a non hospitable environment for the upcoming child and may lead to a more
complicated setting.
Identified potential problems for Emma and her family
It is on the basis of the above identified issues on referring to the presented case of Emma
where she is currently going through a distressing state of mentality despite of being pregnant.
This is however due to some other relative cause where she is away from her close family
members and is lonely responsible for the growth and development of her 2 previous children
where she is together expecting a 3rd child (Hawkins, Rhoades & Daire, 2013). This in turn has
evidenced some potent issues that may tend to make Emma and her family to suffer from and are
as stated below-
Firstly, such a distressing state of Emma with an unpleasant mind may directly impact on her
health where she may go through major complications for the delivery of her 3rd child.
Secondly, the physical growth of her 1st girl child named Lucy is also at risk that is apparent to
be yet another distressful concern of Emma where Lucy is very fussy in eating (Sixsmith, 2016).
This may lead Lucy to suffer from the state of malnutrition in the future by together resulting
into a more complicated health.
Lastly, the mental growth of her another male child named Josh is also referred to be yet another
concerning agenda for Emma where he is at his young age of 14 and often miss his father. Apart
from this, he is together required to change his school on frequent basis with a reluctant sense
and misses his old school friends as well.
Family-centred nursing care including communication/interviewing strategies that will assist
with relationship building with Emma and her family
Family centred nursing care is referred to be a potential measure through which Emma
can be brought out of her situation and may start leading a happy and unstrained life where it is
presently referred to be a fundamental need for her on considering her recent state of pregnancy.
This is with a fundamental consent of building a considerable relationship with Emma and her
family members by undertaking a procedural approach for the same (Anderson, 2015). This will

involve all family members of Emma such as her husband, in laws and 2 children and with
whom, the RN will refer to use some profound strategies of communication to interview them
and know them well. This will be done to acknowledge the views of all family members so as to
take some potential decisions for the betterment of Emma and her entire family members by
together resolving the above identified problems. It will be however based upon some below
stated principles of family centred nursing care-
Sharing of information: It is reflected to be the foremost stage in which, an open exchange of
ideas will be done with no objective and biased clause among one other. Also, all the members
will be given an equal chance of presenting their own set of views and ideas.
Respecting and honouring the differences: It is defined to be yet another prompt step in which,
the relationship between the family members is hereby required to be marked by regarding any
existing diverseness, ethnic and lingual customs along with different care related preferences
(van Tilborg & Eijkemans, 2016). It is with a special context of Emma's condition where she is
not contended with the care preferences of her spouse who is mostly required to stay away from
the family which is detrimental in accordance to her.
Partnership and Cooperation: Herein, on the basis of the above identified facts, some medically
suitable decisions are required to be taken up by involving all participant bodies of the discussion
which best fits into their ascertained needs and demands.
Negotiation: It is yet another stage of this framework where a desirable result is expected with
flexible plans which may not be absolute in nature but fulfils the discovered demands of Emma
and her family (Baumer & Davidson, 2014).
Meetings and referrals you would arrange with the multidisciplinary team and other appropriate
health care professionals/agencies
A multidisciplinary team of individual involves a group of several health care workers
who belongs from distinct disciplines with different profession and are expert in contrary fields
such as, social workers and psychiatrists. Wherein, the team members are then responsible to
create effective plans for the treatment of those who are suffering from any specific illness which
may be either physical or mental (Olson, C.M. & et.al., 2014). It is thus on referring to the above
case of Emma where she is presently referred to go through a mental trauma. As a result to
which, arranging a session with a psychiatrist will be proven to be the best suitable method to
help her come out of such troubling anxiety.

REFERENCES
Books and Journal
Amato, PR, 2014, 'Does social and economic disadvantage moderate the effects of relationship
education on unwed couples? An analysis of data from the 15‐month Building Strong
Families evaluation', Family Relations, vol. 63, no. 3, pp.343-355.
Anderson, S, 2015, 'Sex education programs focused on “Protection” and “Prevention” with little
attention given to supporting people to develop healthy, positive sexual relationships',
Research and Practice in Intellectual and Developmental Disabilities, vol. 2, no. 1,
pp.98-100.
Baumer, N & Davidson, EJ, 2014, 'Supporting a happy, healthy adolescence for young people
with Down syndrome and other intellectual disabilities: recommendations for clinicians'
Current opinion in pediatrics, vol. 26, no. 4, pp.428-434.
Cafer, AM, Willis, MS, Beyene, S & Mamo, M, 2015, 'Growing Healthy Families: Household
Production, Food Security, and Well‐Being in South Wollo, Ethiopia' Culture,
Agriculture, Food and Environment, vol. 37, no. 2, pp.63-73.
Cowan, PA & Cowan, CP, 2014. Controversies in couple relationship education (CRE):
Overlooked evidence and implications for research and policy.
Edwards, LE, Radford, AD, Albertone, DM & Rinker, J, 2014, 'Achieving “A Better State of
Health” Healthy North Carolina 2020 and the Center for Healthy North Carolina', North
Carolina medical journal, vol. 75, no. 6, pp.398-402.
Gonsalves, CR, 2016, The Remembered Experience of Adoption: Factors Supporting Healthy
Adjustment.
Green, BL, Sanders, MB & Tarte, J, 2017, 'Using administrative data to evaluate the
effectiveness of the Healthy Families Oregon home visiting program: 2-year impacts on
child maltreatment & service utilization' Children and Youth Services Review, vol. 75,
pp.77-86.
Hawkins, AJ, Rhoades, GK & Daire, AP, 2013, A more optimistic perspective on government-
supported marriage and relationship education programs for lower income couples.
Howe, WJ & Scully, EP, 2015, 'Redesigning the Family Law System to Promote Healthy
Families' Family Court Review, vol. 53, no. 3, pp.361-370.

Hu, X, Phillips, VL, Gaydos, LM & Joski, P, 2016, 'Association of Healthy Home Environments
and Use of Patient-Centered Medical Homes by Children of Low-Income Families',
Journal of Pediatric Health Care.
McMillin, SE, 2014, 'Healthy Families and Gay Rights: A Multiple Streams Analysis of Civil
Union Legislation in Illinois' Families in Society: The Journal of Contemporary Social
Services, vol. 95, no. 4, pp.277-284.
Olson, CM & et.al., 2014, 'The Healthy Start Partnership: An Approach to Obesity Prevention in
Young Families' Family & community health, vol. 37, no. 1, pp.74-85.
Rogers, KE, 2017, 'Healthy aspirations? Crypto-eugenics and the aim to create healthy families
in Australia, 1946–1970s', The History of the Family, pp.1-21.
Sharon, N, 2016, Psychiatry's Role in Supporting Healthy Development in Gender Diverse
Children.Psychiatric Annals, vol. 46, no. 6, pp.355-360.
Sixsmith, J, 2016. Children’s perspectives on healthy eating.
van Tilborg, TC & Eijkemans, MJ, 2016, 'Serum AMH levels in healthy women from BRCA1/2
mutated families: are they reduced?', Human Reproduction, vol. 31, no. 11, pp.2651-
2659.
Ward, J, 2016, Keeping the family business healthy: How to plan for continuing growth,
profitability, and family leadership, Springer.
Wood, RG, Moore, Q, Clarkwest, A & Killewald, A, 2014, 'The long‐term effects of building
strong families: A program for unmarried parents', Journal of Marriage and Family, vol.
76, no. 2, pp.446-463.