Free «The Contiguous Surrounding» Essay Sample


The contiguous surrounding which is the family plays a central role in maternal and child care.  The functioning of a family influences immensely the health status of its members.  In a family where the functioning level is very low, the physical, emotional and social health of its members is negatively affected (Pillitteri 2009, p. 5).  In such families children who constitute the group of vulnerable members are usually indulged as a result of other family members not interacting properly.  

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On the other hand, a healthy family provides an environment favorable for growth and health promoting behaviors which play a crucial role in sustaining the family during crises.  Moreover, the health of a family member and his or her functioning ability strongly affects the health of the other family members and the overall functioning of the entire family (Pillitteri 2009, p. 5).  Taking these principles into consideration, nurses are provided with an adequate understanding regarding the role of each family members and their effect on others hence are able to provide a holistic care.  

Issues underpinning the behavior of the family members

The behavior of the family members portrays an unhealthy environment.  The level of functioning in the family is extremely low and this is evident from the behavior of the child and his father.  The child is spoilt but the father does not care much about it which implies an act of negligence on his part.  As a result of the parents neglecting their roles in molding their child’s behavior, the society has taken over the role and is shaping it without any moral standards.  During early childhood development, parents are role models to their children hence their behavior especially in front of their children should provide an environment conducive for growth and development of healthy attitudes (Pillitteri 2009, p. 7).

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Moreover, in an abusive family where one partner abuses the other, the other family members are adversely affected.  This could be the case in this family as is observed by the behavior of the mother in presence of the father.  The father does not want to leave the mother alone because she might end up revealing what goes on at home.  In presence of the father, the mother feels intimidated hence could not give the correct answers to questions being asked.  The mother might be trying to safeguard her health by giving answers that please the father. 

Another issue that could be underpinning their behavior is culture.  Different cultures have different norms hence shape behaviors of individuals differently (Andrews & Boyle 2008, p. 66).   In this case, the culture gives the father more power and authority in the family than the mother.  This implies that all individuals within the family look up to the father and hence cannot correct him when he goes astray.  The father could have taken the wrong course in certain issues within the family but the mother could not tell him for fear of being punished. 

Tackling the problem

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In tackling this issues provision of nursing care would have been the best remedy.  Employment of the four phases of health care concerning childbearing and childrearing might solve the problem.  These phases are inclusive of promotion, maintenance, restoration and rehabilitation of health (Pillitteri 2009, p. 4).  Furthermore, it is imperative to take into consideration the culture of the family members and assess its strengths and weaknesses during provision of nursing care.

Home visiting programs can be recommended on the family to assist in bringing the family back to good health.  According to a research done by Roberts, Kramer and Suissa (1996), the study concluded that home visiting reduces cases of child abuse and neglect.  Home visiting will be of much assistance in protecting the child and ensuring his good health.  If an effective home visiting program can be arranged for the family it would be useful in bringing the family back to good health.

In addition, education should be provided to the parents to be wary of good health through teaching and role modeling since their children imitate them.  The parents should be encouraged to intervene and maintain health when risk factors are present and in case of illness, the family should be prompted to seek diagnosis and treatment that brings good health faster.  In addition to that, further complications from an illness should be avoided to ensure a healthy family is sustained (Pillitteri 2009, p. 7).     


Provision of nursing care to a child bearing and rearing family is essential in ensuring the health of the family is restored and adequately maintained.  However, culture and the level of education should be taken into consideration since they strongly influence the behavior of the family members.  In addition to that, the family should be considered as a unit where each member contributes to its well being.  By having an adequate understanding of these principles, provision of a holistic family oriented nursing care is made easier and its chance of success is enhanced.   

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