Play behaviors and toy preferences of preschoolers with Down syndrome.
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Biomedical subjects
Publications and source records attributed to W M Nehring.
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Specialization in pediatric nursing continues to expand as nurses meet the needs of children with special health care needs. The nurse whose specialty is developmental disabilities works with a unique population to assist them in both obtaining their maximal level of functioning and health, and obtaining the resources necessary to lead a quality life. This article describes the roles of this nurse.
The purpose of this exploratory study was to examine issues reported by natural and foster parents when caring for a child 3 years of age or younger with vertically transmitted HIV-disease. Issues common to both groups, and specific to the natural and foster parents were explored. The issues discussed by the natural mothers included guilt, their relationship with their infected child, and the effects of their HIV infection on their family. Issues discussed by foster mothers included their decision to foster a HIV-positive child, characteristics of their HIV- positive foster children, fears of transmission, and the effect of the HIV-positive foster child(ren) on their natural family. Issues common to both sets of mothers include disclosure, support, preparation for the HIV-positive child's death, and life in general. The experiences of these families are important to describe in order for pediatric nurses to give accurate, sensitive, and culturally appropriate care.
A national study regarding the foster care of children identified as human immunodeficiency virus-positive (HIV-positive) was conducted in 1991. A survey form was sent to the administrators of the State agency responsible for foster care in each State, the District of Columbia, and U.S. Territories for a total sample size of 55. After followup, all 55 responded for a response rate of 100 percent. The number of children in foster care was ascertained for the current year and cumulatively. In 1991, 1,149 HIV-positive children were reported to be in foster care. Most States (49) had a general foster care policy and 21 had specific policies regarding care of a foster child who is HIV-positive. Measures and criteria used for recruitment were examined. In regard to recruitment policies, only seven States mandated recruitment of families specifically for children with HIV and acquired immunodeficiency syndrome. The major topics covered in training for HIV foster families included confidentiality, behavioral management, working with natural families, emotional factors, separation and loss, and others. Other issues discussed are foster parent training, supplemental services, later adoption possibilities, payments, and the expressed fears and doubts of foster parents caring for HIV-positive children. It is recommended that a national conference address the issues.
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