The parents of a child on a ventilator tell the nurse that their insurance company wants the child to be discharged. They explain that they do not want the child home "under any circumstances." What principle should the nurse consider when working with th
a. Desire to have the child home is essential to effective home care.
b. Parents should not be expected to care for a technology-dependent child.
c. Having a technology-dependent child at home is better for both the child and the family.
d. Parents are not part of the decision-making process because of the costs of hospitalization.
ANS: A
Home care requires the family to manage the child's illness, including providing daily hands-on care, monitoring the child's medical condition, and educating others to care for the child. The child's home environment with the child's family is perceived as the best place for the child to be cared for. If the family does not want to or is not able to assume these responsibilities, other arrangements need to be investigated. The family is an essential part of the decision-making process. Without family involvement and support, the technology-dependent child will not be well cared for at home.
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