You are a nurse doing a late shift in the emergency department of a major metropolitan hospital. A mother and father come in with their 18-month-old daughter, who has had severe diarrhoea and vomiting for the past 4 days. You find out that the mother and daughter are new arrivals and have just flown in from a small African country 4 days ago. The vomiting and diarrhoea started during the flight. The father is a postgraduate student at the local university and it is unclear who is responsible for the cost of the healthcare. Despite that, the baby is rushed in to see the paediatrician. The baby is severely dehydrated and the staff attempt to insert a line for a drip, but the dehydration combined with the baby's dark skin is making it difficult to find a vein. You notice that even though the baby is crying, the mother keeps going to the back of the room to sit in a chair with her head in her hands. You ask if the couple have other children and the father tells you no. After some time, you ask if the baby has been this sick before and the mother tells you that they had another baby who died at 1 year of age from diarrhoea, just before they fell pregnant with this baby. Question: (Consider Bronfenbrenner's model of human development) What would be the socioeconomic issues that you would need to consider as a health professional in this situation?
You are a nurse doing a late shift in the emergency department of a major metropolitan hospital. A mother and father come in with their 18-month-old daughter, who has had severe diarrhoea and vomiting for the past 4 days. You find out that the mother and daughter are new arrivals and have just flown in from a small African country 4 days ago. The vomiting and diarrhoea started during the flight. The father is a postgraduate student at the local university and it is unclear who is responsible for the cost of the healthcare. Despite that, the baby is rushed in to see the paediatrician. The baby is severely dehydrated and the staff attempt to insert a line for a drip, but the dehydration combined with the baby's dark skin is making it difficult to find a vein. You notice that even though the baby is crying, the mother keeps going to the back of the room to sit in a chair with her head in her hands. You ask if the couple have other children and the father tells you no. After some time, you ask if the baby has been this sick before and the mother tells you that they had another baby who died at 1 year of age from diarrhoea, just before they fell pregnant with this baby.
Question: (Consider Bronfenbrenner's model of human development)
What would be the socioeconomic issues that you would need to consider as a health professional in this situation?
Bronfenbrenner’s theory is based on:
- Individual development is related to age, gender, genetics.
- Microsystem that consists of family, peers, neighbors, and cultural groups.
- Mesosystem is related to connections between components of a microsystem for example relationships with family and peer groups.
- Exosystem consists of the social life of an individual related to friends, mass media, health services.
- Macrosystem consists of attitudes and beliefs, religious beliefs, customs, and cultural values.
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