Family Reflection Paper

From a pediatric perspective, the family is an integral part of the healthcare team. Parents are the primary ally and resource in providing individualized care for their child. Even in adult patients, who they are is impacted by the relationships that they have. Serious or chronic illnesses and injuries affect the entire family. The family, then, becomes the patient, particularly when it is necessary to make lifestyle changes.

I interviewed three different family member of all different age that have experienced my family culture in their own way. For my interview I interviewed My mother Okala Mundeke. She is originally from the Democratic Republic of Congo but she moved to America when she was 35 years old and she is now 50 years old. She has grown up mostly in Congo so she has a strong knowledge of our heritage and family history since she was around it more.. My sister Emmanuella Kalonda she was born in the congo but has little memory of it since she was less than a year old when she came to america. she is currently sixteen years old. But she was raised with my mother learning about family and our culture. My next candidate is my other sister Jocelyn Fetner

Many people have many different definitions of a family. Some include family as the people they live with, some include their entire extended family, and some include friends, neighbors, coaches, and teachers. According to the Vanier Institute (2013), a family is “a combination of two or more persons who are bound together over time by ties of mutual consent, birth, and/or adoption” (para. 2). Whichever way you look at it, families often play a major role in life. It only makes sense that when a person begins to go through a drastic change in life such as illness, the family will be involved. This is why it is important that nurses learn how to provide suitable client and family centered care. They can do this by following the four

Families always affect one another, even when they feel distanced. The family unit can promote health or it can be a source of stress. It is the nurse's task to use family relationships to act as health facilitators for the patient, and, if necessary, treat the family as part of the patient's social environment. The family creates the patient's environment just as much as a clean room or an accessible place to exercise or access to appropriate medication.

Family as context is the first approach that focuses on the patient while the family is in background. The family

children and families cope and adjust to the challenges of hospital visits. Although a child life

In life many individuals will experience the joys of marital bliss with the pleasure of happiness when they see their spouse, the thought of living their entire lives together, starting and raising a family, the process of buying their first home together as a married couple, and overall embarking on a new and profound journey with the one they love; on the contrary however many of these same couples will encounter times in the relationship and within their immediate family that will include feelings of: being overwhelmed, stressed, annoyed with their spouse, children, stepchildren “as many families are blended due to many first marriages ending in divorce after children have been conceived,” stress from work, bills, as well as the many other

In this view, the healthcare provider may include the family in terms of socioeconomic and functional support, but really focus on the patient as an individual (p.36-37, 2003). Family as Sum of its Members sees each member of the family in the foreground and care is provided to all family members. (p.37, 2003). Family Subsystem looks at the significant relationships in the family; parent-child, marital interactions, caregiving issues, bonding-attachment concerns (p.37, 2003), where Family as Client looks further into family’s internal dynamics, relationships, structure and functions and its relationship with the outer environment (p.37, 2003).

They are on a regular diet with few restrictions on fried foods and fat intake. The children eat school lunch and the parents from outside restaurant choices. Mom tries to cook a meal a day after work or they seldom eat Subway or Pizza Hut. No variation in weight gain or weight loss reported. They try to eat dinner as a family at home on a regular basis. However, this was not feasible all of the time due to dad’s late night work hours and CH basketball practices after school. They generally get 6-7 hours of sleep per night and denied any sleep deprivation. No exercise program has been implemented by this family. CH is the only physically, athletic member. DH stated that he likes to ride his bike. The children are active in Sunday school and participate in summer camp.

The purpose of this paper is to display how such assessment is essential not on an individual basis, but rather on a larger scale in relation to family nursing. Family nursing “centers on the family as a unit of care, addressing family needs in response to a member’s illness or threat to health, rather than focusing on the individual. An understanding of families’ needs at particular developmental stages, how they communicate and function, and an ability to undertake a family assessment is foundational knowledge for family nursing” (St John, 2009, p.6). Often, nurses encounter the families of their individual patients on a daily basis, yet family assessments are not performed. This is because nurses often feel there is little time to engage families effectively, and in fact lack of time, has been identified by nurses as the primary barrier to engaging families (Kaakinen, 2015, p.109). Evidence based practice however, has proven that “a 15 minute, or even shorter, family interview can be purposeful, effective, informative, and even healing” (Wright, 2013, p.264). This 15 minute interview has been adopted in many acute care settings in involves five key components; manners, therapeutic conversation, key questions, commendation, and the genogram. These ideas represent the theoretical underpinning and are a condensed version of the Calgary Family Assessment Model (Wright, 2013). This model is large, but can be customized and adapted to the function of each individual

While my grandfather, Frank Smith, and my great-grandmother, Jeannette Smith, were alive they resided in my home. I never met my grandmother, Georgie Smith, as she passed away when my mother was seven.

For this assignment, I interviewed my wonderful mother Joan. I asked her for her opinion on the topics of marriage, sibling relationships, and grandparent relationships. She provided insightful answers that revealed a great deal about her values.

Kaakinen et a. (2015) states every family has a story about how the potential or actual health event influences its individual members, family functioning, and management of the health event. Nurses are charged with gathering, sifting, organizing, and analyzing the data to craft a clear view of the family’s story. Family assessment begins from the first moment that the family is referred to the nurse. It is important for nurses to filter data gathered in the story through different views or approaches, which affects how we think about the family as a whole and each individual family member.

My family health assessment was conducted using the 11 Gordon functional health pattern. Marjorie Gordon’s functional health pattern is a guide for establishing a comprehensive nursing date base, using the 11 categories enable nurses determines the following aspects of health and human function (Gordon 1987). The Gordon 11 functional health patterns are health perception/health management, nutrition, elimination, activity/exercise, cognitive, sleep/rest, self perception/self concept, roles and relationships, sexuality and reproduction, coping and stress tolerance, values and belief. This paper will summarize the findings of each health pattern as well as the family based nursing

A family health assessment is a significant instrument in conveying a health care plan for a family. This paper will discuss the nurse’s role in family assessment and how this task is performed. By the use of family focused open ended questions, 11 functional health patterns were covered. The health patterns were values and health perception, nutrition, sleep and rest, elimination, activities and exercise, cognitive, sensory-perception, self-perception, role relationship, sexuality, and coping. This principle is known as the Gordon’s functional health patterns. Family health assessment defines the assessment of actual and potential problems of individuals (Gordon, 1994). This assessment tool included 11 systematic principles for data collection of the family, and assists the nurses to develop a nursing diagnosis and appropriate interventions. Using Gordon’s functional health patterns, this paper will summarize the findings of each health pattern as well as the family based nursing diagnosis of each assessment. This paper will also discuss different health promotion strategies along with web-based resources, also including a system based theory guide in family assessment.