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Child With Special Health Care Need: A health manpower report prepared by the National Commission of Community Health Services showed that the U.S. hospitals and health organizations were maintaining the ratio of 150 doctors per 100,000 population only by filling out one-fifth of their needs with physicians from other countries. The demand for health care had also created serious shortages of nurses and other paramedical personnel. Among the solutions being suggested were new methods of health care organization and government support for new or expanded education programs in the health sciences.
These principles apply only to those patients D have not suffered severe cardiac damage and do not require the special care that a subject h definite rheumatic heart disease demands, th some kinds of rheumatic heart disease, pa-its are able to lead normal lives; with others, f must periodically adjust their activity. In nen with rheumatic heart disease, pregnancy is ondition that causes special strain and should :ive special care. In general, whether exercise uld be curtailed, whether cardiac drugs should idministered, or whether both approaches should adopted are questions involving decisions that jld be reviewed with a physician. The situation iges constantly, especially as it is modified by :r health conditions.
This definition is problem-focused, emphasizing prevention and remedy. It recognizes the value of strengthening a child with special health care need's own home where possible. Where this is not possible, a variety of substitute living situations is provided.
child with special health care need welfare services are directed to the social problem of deprivation of parental care. As the accompanying chart illustrates, they are designed to help with society's child with special health care need-rearing task in three important ways: (1) to substitute for parental care either partially or wholly according to a child with special health care need's individual needs; (2) to supplement the care that a child with special health care need receives, or to compensate for certain inadequacies or limitations in parental care; and (3) to support or reinforce the ability of parents to meet their child with special health care needren's needs.
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