ECOMAP Assignment The purpose of this project is to allow students to evaluate a
ID: 125309 • Letter: E
Question
ECOMAP Assignment
The purpose of this project is to allow students to evaluate and discuss the influence of culture, social support, and ethnic makeup has on healthcare outcomes and application of critical thinking in communications when differing opinions occur.
Ecomap is a tool designed and often used by psyco-social professionals. However, it has found a place in nursing when considering holistic care for a patient. This is especially important for new mothers. Many parents heavily depend on established relationships for assistance and guidance with care of a newborn rather than the healthcare system.
Assignment:
Interview either a new mother or expecting mother regarding her social support system. Important questions to consider:
Is the mother from a specific ethnic group? Are there any traditions associated with that population which influence nutrition or care of baby?
Are there any religious traditions that must be observed?
Does the mother work? Demanding career? Full-time or part-time?
Who will care for child if mother works?
Any support groups like La Leche League?
Who will the mother ask for assistance ( if she has questions concerning care of baby)
Guidelines
Prepare an ECOMAP showing at least 4 relationships.
Identify any cultural influences which may be of concern or a teaching moment for a nurse.
Identify cultural influences which will increase mom’s success in caring for newborn.
Presentation
Present findings with discussion to class (5-10 minutes).
Identify rituals, traditions, and believes mom may have in regards to care of newborn.
Present at least 2 teaching points for mother.
Explanation / Answer
Consider Mrs. xyz,32-year-old antenatal mother ,physically healthy , work outside the home, her spouse is a businessma , belongs to Indian community :
Q: What is your nationality/ From where you belong/ where do you live?
A: Indian
Q:Are there any traditions associated with your community which influence nutrition or care of baby?
A: yes,many good customs such as prolonged breast feeding , oil bath , massage and exposure to sun are practiced in the care of newborn. But there are some practices which I think are bad like eating some foods ( eg: papaya, eggs, fish) during pregnancy are forbidden,the child is not put to the breast during first 3 days of birth because of the belief that colostrum might be harmful : instead child is put on water and sugar solution in rural areas, there is a belief that application of turmeric and oil will help in early closure of anterior fontanelle.Kajal is applied to the baby partly for beautification purpose and partly for warding effects of "evil eye".
Q: Are there any religious traditions observed during pregnancy period?
A: yes, Garbadhana ;the fetus laying ceremony is performed , wearing of red or green glass bangles from the seventh month of gestation, performing birth ceremony welcomes the child into the family as the father touches and smells the child and whispers religious verses (Mantras) into the ears of the infant. All this is done to promise the baby a safe and comfortable environment.
Q: Are you working women and wants to make career ?then who will care for child if you works?
A: yes i am working mother, working in a private firm, doing full time job of 8 hours from morning to evening.First of all in indian Community many womens are houewifes . Now this concept is changing and womens are working too. If a mother in the family is doing a job and living in joint family as the indian culture promotes joint family system then rest of the family members like elders in the family granfather or mother will look after the child. And if we are living in a nuclear family then go for baby sitting / day care / nursery option or take assistance from relatives/ neighbours who are willing,scheduling our spouse's job time.But as i lived in joint family the elders will look after the child.
Q:What is your attitude towards rthe pregnancy ,Was the pregnancy planned and how do you look on the rest of the pregnancy .
A: The pregnancy was planned. My hussband was interested in the pregnancy, was willing to share my feelings, and spent much time with the family.I feel happy and supported. I have a good relationship with my own family. experienced anxiety during the last months in caring the child as i am new mother, a working women. child needs full attention , love and care for effective growth and development. I feel very difficult, physically and emotionally as i cant take long leave for baby care.I never sought professional help for my problems.
Q: Are you taking any assistance from supporting groups to deal with pregnancy problems?
A: No, But I regularly visit the antenatal clinic held in nearby rural hospital.The nurses and physician are communicating and helping me by providing family and couple counselling , demonstrating breast feeding technique ,encouraging family planning methods,psychological support to reduce anxiety, and giving education and information regarding new born care , ante natal and post natal care through presentation, posters and role play.I feel encouraged and better there as i get lot of information about child care and pregnancy.
Findings: Mother and child health is surrounded by a wide range of customs iand beliefs in India.Socio cultural are deeply involved in all the affairs of man, including health and sickness.Not all customs are bad .Some are based on centuries of trial and error and have positive values.such as practice of good custom like prolonged breast feeding ( improve the immunity power and growth and development), oil bath and massage ( improves circulation) and exposure to sun rays ( improves calcium absorption and hence contributes to the strenghtening of bone and muscles).In this interview the information that the woman is experiencing difficulties both in this pregnancy and later in her relationship with upcoming child care. for most women the perinatal period is a happy, but also a stressful time which implies physical changes as well as changes in the relationship between the woman and her social network. A study find associations between the pregnant woman’s psychosocial conditions and perinatal complications and the child’s development after birth. Support in pregnancy may have positive effects on the woman’s health in the perinatal period and on perinatal complications.
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