Please respond to 2 peers. At least one evidenced based reference is required
At five years, Joshua is between preschool age and school age of development so he may have some mixed perceptions. I lean toward preschool development for him. According to Stanford Childrenâ€™s Health (2022), at the preschool stage Joshua may not see death yet as being permanent and may perceive his illness as a punishment for something he has done or thought. This would explain the behavior he is exhibiting. His parents should understand this and help Joshua understand that the illness is something that happened to him, not something that was brought onto him for anything he had any control of, that he is a good boy, and to be loving and supportive.
Sally, at seven years of age, may understand that death is permanent, be very curious about the process, and subsequently fear her own death (Stanford Childrenâ€™s Health, 2022). The various developmental levels among the children, their perceptions or fears, make the family discourse that is happening a normal response to their siblings impending death. A great resource for adolescents can often be found within the school system, namely from friends, peers, and teachers (Howard et. al., 2018). Reaching out to the school counselor would be beneficial, in particular for the two older children. Health professionals who provide support during or after the death of a child need to be cognizant of practice differences culture, religion, economics, family tradition, and individual preference and provide as much support and resource as possible (Booten et. al., 2016). This appears to be a blended family, making it more difficult to assume what the cultural preferences in death will be in this scenario, if any.
https://www.bjchospice.org/Wings (Links to an external site.) is the link for one of several of the pediatric hospice groups in the community. As with the others, support is offered for the patient, family members, and caregivers of the child. Supportive staff includes Social Worker, Chaplain, Expressive Therapists, Music Therapist, and medical staff trained in pediatric hospice care.
Sandra Monica Delgado
Joshua is a young kid who has been diagnosed with myeloid leukemia. This patientâ€™s developmental age is 5years of age. During this developmental stage 5-7 years of age children in general start understanding that death is permanent and irreversible and that if the person dies, they will not return. When proving grief to a child and his family like this case I think we should be able to understand the family dynamics and the parents. Children increasingly become aware that death is an inevitable part of life that happens to all living things. As a result, they can become anxious about their own, and othersâ€™, health, and safety as is seen in this case. Children at this age need honest answers to their questions that can be built on over time, and opportunities to express their feelings. Joshua needs reassurance that nothing they said or thought caused the death or disease he is suffering now. Some of the questions and information I will need to ask regarding Joshuaâ€™s development include the following. Primarily, it is important to ask the parents if they have discussed the illness with their Joshua. It is crucial to give a piece of advice the parents on the necessity of letting Joshua know concerning his illness at a level in which he will understand. Consequently, Joshua will be able to build trust in his parents and the medical practitioners. As a psychiatric Nurse Practitioner, I will let Joshua know that it is normal to express strong feelings concerning the diagnosis for instance anger and sadness.
Joshuaâ€™s siblings are a very important point to look at. His sister Janey she is 15 years old. Teenagers will have an adult understanding of the concept of death but often have their own beliefs and strongly held views and may challenge the beliefs and explanations offered by others. Some young people, like Janey may respond to a death by becoming more withdrawn, some may â€˜act outâ€™ their distress while others cope with the awareness of their own mortality through risk-taking behavior to get back some control where life feels out of control for them. Others may take on adult responsibilities and become â€˜the careâ€™ for those around them. Keeping to the usual boundaries of acceptable behavior can be reassuring for bereaved young people. One identified phone line resource for teenagers that have a sibling suffering with cancer is INOVA line with cancer. This is a phone line where teenagers can call and get with grief and loss, and they have a website where teenagers can go in and read information on how to grieve and what to do if your sibling is suffering from cancer or die of cancer.
When working with the Jones family I need to take into consideration that cultural traits these family has. I am considering using person-centered therapy, motivational interviewing, behavioral therapies. This will address this patient, Joshua, and every individual within the family.