While it is important for
nurses to be familiar with the family system framework and apply it their practice,
families are not static entities. They are, rather, developing and dynamic units.
The needs and resources of the family unit, as well as individuals within the
unit, change over time. Services to the child with disabilities and his family,
therefore, must be flexible and adaptable. Nurses working with the family should
expect these changes, respond gracefully and promptly, and reassure family members
that this fluidity is normal (and healthy!).
Its reasonable to expect that families will have intermittent crisis periods, particularly at transition times. Families are often taken aback, for example, when the child with disabilities reaches his third birthday and transitions from the early intervention system to the school system.