NURS 3122 Chapter Notes - Chapter 16.3: Magical Thinking, Asthma, Neonatal Intensive Care Unit

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Maltreatment of the child with a chronic condition. Children with chronic illnesses are at increased risk for child maltreatment, and the risk for abuse increases with the number of chronic conditions in the child. Factors that increase the risk of abuse in these children include the following: Higher emotional, physical, economic, and social demands on the family. Limited social and community support and the inability of parents to cope with the care and supervision responsibilities. Failure of the child to receive medications, appropriate educational placement, and adequate medical care. Increased stress related to the child"s behavioral characteristics (e. g. , communication problems, aggressiveness) Lack of adequate breaks or respite from caring for the child. Assess the family for ineffective coping and the potential for abuse of the child with a chronic condition. Make appropriate referrals to support services such as mental health counseling, social services, and respite. Even with good insurance coverage, the family still incurs a major financial burden.

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