Response to Yaima Rodriguez
In terms of working on the presented issue, I have analyzed the basics of the childrenâ€™s developmental psychology. As a psychiatric nursing practitioner, I am aware of the potential necessity to intervene in this situation and provide comprehensive feedback on the parentsâ€™ inquiry. However, as an experienced clinician, I am also expected to have a meaningful conversation, namely with a seven-year-old boy who has some problems with bedwetting. At the same time, it is worth considering a particular vulnerability of this little patient, his physical and mental health (Maragakis & O’Donohue, 2018). Close attention is to be paid to his interactions with peers and relatives, as this problem might create certain issues within his socialization. First, it is worth informing this boy that bedwetting is a normal condition of his age. Around 6 children from the group of 30 may also have the same problems due to evident reasons. Secondly, I would rather ask him about his physical health: it is to understand whether this patient has some physical deviations or issues with the urinary system (Baskin et al., 2019). If it is a case, a healthcare observation with a physician or his pediatrician is required. Analyzing other potential problems, including a psychological trauma or a noticeable mental illness, it is worth informing the patient that he should not feel guilty, embarrassed or blamed for something. Instead of this, a psychiatric nursing practitioner is to propose individual or family therapy. This technique would allow us to understand the nature of bedwetting and manage the organismâ€™s reactions to the external unfavorable factors properly. To conclude, it is essential to highlight that both clinical observation and relevant psychological assistance may assist a little boy to overcome this period. Without a doubt, his healthcare condition would be improved in the nearest perspective due to the proposed medical intervention. Meanwhile, it is recommended to maintain his socialization and minimize the level of the patientâ€™s anxiety and embarrassment.
Response to Darryl Barallon
Bedwetting or Primary Nocturnal Enuresis (PNE) is a common problem in children and adolescents. Statistics place bedwetting at approximately 5 million children wake up each night. Though a common problem, it presents both the child and parents with distress and concerns (Ucuz & Cicek, 2021). For the child, the act gives embarrassment that affects self-esteem and feelings of guilt and possible social isolation. It is essential that not only the therapist understands and approaches the matter with sensitivity but also the parents. Therapy will require the parents to understand that bedwetting is an occurrence that occurs in many households. As such, they are to be made aware that their reactions can reinforce and influence negative feelings that their child is experiencing with the bedwetting issue at hand.
Therapy will involve parents and their child to participate in treatment actively. I would use a behavioral therapy approach. First, actively incorporate the childâ€™s participation and encourage support for the parents. The intake schedule of fluids should be limited to 2 hours before sleep with bathroom use 1 hour and immediately before bedtime. Parents should be encouraged to wake the child to escort them to the bathroom at increasing increments throughout the week. Children should be positively encouraged to seek the use of the toilet if needed at night and alert parents upon success where the parent is encouraged to praise positive success but remain understanding upon setbacks. Behavioral therapy can then be modified to include an enuresis alarm upon additional consults but will still require greater parental involvement (Tai et al., 2021).