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Health Visitors

Health visitors often get a lot of bad press and can be unpopular with new mums and dads. Babyworld invited a brave representative, Ann Girling, to defend their corner.

All in a day's work …

BW: So what exactly does a health visitor do?

AG: A health visitor is a trained nurse who has had a year's further training to degree level to understand the physical, emotional and social development of babies and children. This enables us to work with families to help them identify their health needs and introduce appropriate care where necessary. We give advice and information to enable parents to make informed choices on issues such as infant feeding or immunisations.

Health visitors don't visit families to merely focus on children: they work with the entire family. We want to listen to the experiences of new parents, to hear about the birth experience and to support them in the transition to parenthood. The early relationship between parents and their baby is enormously important for the baby and how he develops. However, the bottom line for a health visitor is safeguarding children and we have to act if we consider a child to be at risk. This need not be viewed negatively: health visitors and their colleagues in social services work to keep children with their families.

Here to help

BW: What help can a health visitor give me?

AG:
1. Infant feeding - we can advise and support you with your choice of feeding. If a mum chooses to breastfeed then we can support her to maintain this for as long as she wants to do so. We can also give information and advice about a child's diet generally.
2. Post-natal depression - many health visitors spend time with new mothers, discussing their feelings. We can offer 'listening' visits which are proven to be helpful in enabling mothers to deal with, and recover from, their depression.
3. Crying - we know how difficult it is for parents whose babies cry a lot and our support gives parents a chance not only to talk about their feelings but also to develop coping strategies.
4. Behaviour difficulties - eg sleep, toilet training, tantrums etc. We all employ different strategies to help parents with these problems and it's always worth approaching your health visitor for advice. We can support parents and, with them, develop a plan for them to put into place to manage the situation.
5. Referrals - We spend much of our time on the phone, trying to help meet the needs of families by referring them to other agencies or finding out who might be able to help them. For example, if a family has a child with special needs we will work on their behalf to find the appropriate support. We do not always know all the answers but we often know 'a man who does'!

Off-limits

BW: Pretty impressive. Is there anything you can't help us with?!

AG: This is difficult to answer. If we cannot help families we will often be able to point them in the right direction. For example, we sometimes can't diagnose or treat complicated childhood illnesses but increasingly we can help with more minor conditions, such as some skin complaints or nappy rash.

Personality clash?

BW: Great. But what (with the best will in the world) if you don't get on with your health visitor?

AG: Ask for another one! A health visitor has no right of entry to your house. It is your house and you can refuse the service but there may be another way. Health visitors are increasingly working in teams and therefore share the workload. There may be other team members, eg nursery nurses and community staff nurses, who will be asked to do specific work with families.

Summing up …

BW: And finally … anything you'd like to say about health visitors?

AG: Health visitors can get a bad name - we all tend to talk more about our bad experiences but there are some excellent health visitors out there!!

More about Ann Girling

Health VisitorAnn Girling has been a health visitor for many years. In that time she has seen the work change from a rather authoritarian role to one in which health visitors now work in partnership with families. She now works independently doing training and consultancy work but maintains strong links with health visiting and is particularly interested in the emotional well-being of mothers and babies. She is currently training in the assessment of the behaviour of newborn babies.

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