Spirituality/religion. Religion plays a large role in J and K’s family’s life as they are self-identifying Christians. K explained that “what we believe dictates the way we live, the decisions we make and the way we parent our kids” (K, personal communication, June 1, 2018). J added, “it is the driving force behind how the family lives” (J, personal communication, June 1, 2018). Their religious beliefs are their sole source of hope and coping with illness. Environment. J and K’s family lives in south Regina. They find their neighborhood safe and have access to school, the doctor, grocery stores and playgrounds, as everything is within walking distance. Their home environment is safe and adequate to meet the needs of this family.
Developmental
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Problem solving is primarily done by J and K. This is where the power and roles come into play. The children are not given the power to make important decisions. Roles. See rank order in the structural assessment. Influence and power. J as the most influence and power in the family with K next. The kids have the least influence and power as they are still quite young. Beliefs. J and K believe that their son still can play soccer with his illness but are unsure of what capacity. They believe this illness is manageable and may disappear in the future. They also believe that his inhalers have been the most beneficial treatment for O thus far. Alliances and coalitions. Through assessment, it is clear this family is very close. J and K have an alliance as parents but generally, see the family as a unit and act as one. O’s illness impacts everyone, and they manage it as a family.
Nursing Diagnoses Through the information collected from the family assessment, two nursing diagnoses have been formulated. The nursing diagnoses are as follows, interrupted family processes related to a new birth as evidenced by potty training regression in M and increased aggression in O and knowledge deficit related to new diagnosis as evidenced by K’s fear to allow O to participate in sports and J and K’s inability to express asthma
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The CFIM is split into the domains, affective, behavioural and cognitive. The cognitive intervention, offering information and opinions will be used to addresses the knowledge deficit related to a new diagnosis. Resources explaining some triggers of asthmas as being pets, (Shugang Luo, Yuexia Sun, Jing Hou, Xiangrui Kong, Pan Wang, Qingnan Zhang, Jan Sundell (2018)) and mold (Polyzoi, E., Polyzois, D., & Koulis, T. (2017)) will be utilized for teaching. Research written by Bhagavatheeswaran, K. S., Kasav, J. B., Singh, A. K., Mohan, S. K., & Joshi, A. (2016), Hughes, D. (2014) and Westergren, T., Fegran, L., Nilsen, T., Haraldstad, K., Kittang, O. B., & Berntsen, S (2016) assist in the explanation of the effects of exercise on asthma and the encouragement of exercise with asthma. This information allows J and K to best care for O’s asthma and helps K to remove her fears of O playing soccer. For the nursing diagnosis interrupted family processes related to a new birth the affective intervention of validating, acknowledging or normalizing emotional responses will be used. The research paper by P Joinson, C., Sullivan, S., von Gontard, A., & Heron, J. (2016) helps to explain and normalize family responses to a new birth and the research done by Volling, B. L. (2013) will help K link and normalize bedwetting and changes in levels of stress. This
A family health assessment is a process by which a nurse evaluates and describes the health status of a given family. It is a framework that helps to identify areas of potential risk for illness, opportunities for health education and actions needed to address these (World Health Organization, 2001). Specifics covered in a nurse led family assessment will include family history, perceptions about health, reports, health records, and any clinic test results. The nurse conducts an interview, compiles data and performs an appropriate
Moxie, 2007. Maureen Leahey & Lorraine Wright. Family Nursing Resources. Retrieved February 3, 2008 from http://www.familynursingresources.com/aboutus.htmPerry, A & Potter, P. ( 2006) Canadian fundamentals of nursing. (J.Ross-Kerr &
My second nursing diagnosis was also connected to my family that I am assessing for this class, they happen to live in the neighborhood also. One family is a part of many that make of the community. Alteration in family coping related to lack of emotional support/family support while family member is going through a stressful time. Interventions; counsel them and have them set aside one day a week to interact together by going to some of the community family night outings at the churches in the area, also seek counseling through local clergy or support groups like emotions anonymous to help them express their perceptions of what is happening to their family.
It also shows that not every family has the same strengths and how the every family’s strengths can differ from each other’s. Which allows the nurse to use this tool to identify their strengths as a family to help them to set a family goal to achieve together and formulate a problem solving plan. It’s an easy tool because the questions are straightforward and it is a child friendly tool, suitable for any age not just the adults. It is a family assessment therefore the children’s feelings shall not be neglected. External family members can take part in this assessment as well, not only will it improve the family members’ relationship with each other and as a family but also help build a trusting relationship with the nurse which will allow the family members to voice out or share anything without feeling uncomfortable. (Smith LM
Regarding the family unit, Friedman, Bowden and Jones (2003) states “This basic unit so strongly influences the development of an individual that it may determine the success or failure of that person’s life.” Due to the this influence it is vital to assess the family during the process of caring for a patient. Their environment, lifestyle and support system all have a tremendous effect on the healing process either good or bad. In this essay, the Hillard family from the movie Mrs. Doubtfire (1993) will be analyzed.
Characteristics of the home: main level living with a dining area, kitchen, family room, two bedrooms, and a bathroom. The home has an unfinished basement that Dad has been slowly remodeling for the past five years. The neighborhood is a vast wooded area with few homes. The family’s geographic mobility consists of the upper northwest part of Wisconsin and the Upper Peninsula of Michigan, where Mom’s family resides. The family is associated with the Lutheran church and transacts with community members at the church, local grocery store, and restaurants. The family’s social support network consists of their family and close friends.
Family health assessment is an integral part of the formula used in creating a customized plan of care for the families’ health care. Family health assessment is also a tool that can be used to identify and evaluate the family’s health concerns, their life style and also helping families make good decisions regarding their family’s health. Family’s perception towards health and health promotion could be very different and unique, which makes the Family health assessment even more challenging for the nurses and health care professionals. Nurse’s have a moral obligation towards the society to help them promote their families health. The
Assessment, the first step in the nursing process, is a concept that must grasped in order for nurses to possess the solid foundation required to develop a plan and provide optimal care to their patients. This assessment is significant not only to individual patients, but their families, who are becoming increasingly recognized for their significance to the health and well being of individual family members. Nurses use a variety of tools in family nursing, and one of the most significant includes the Calgary Family Assessment Model (CFAM), developed by Wright and Leahey. CFAM is an integrated conceptual framework used for interviewing and making
No major events have occurred in their life since the death of AH’s mom 2 years ago. In the event of any crisis, they depend on the extended family and church members for emotional and morale support. After this family assessment, I felt that the nursing wellness diagnosis (2012) for this family would be:
Using the CFAM to conduct a family interview, I identified a nursing diagnoses and interventions for the family I interviewed.
A comprehensive family assessment provides a foundation to promote family health (Edelman & Mandle, 2011). 1987 Marjorie Gordon purposed 11 functional health patterns to use for guidance in order to facilitate nurses to have a frame work for the family assessment in. Gordon’s 11 functional health patterns help organizes basic family assessment information. This standardized format will guide nurses to complete the family assessment using system approaches, which will identify a patient’s
-A succinct philosophy of family nursing is seen in The Association for the Care of Children’s Health standards stating the expectation for healthcare providers to facilitate family/professional collaboration at all levels of care, and to recognizing family as the constant in the patient’s life whereas the healthcare providers will fluctuate (p.40, 2003).
Family nursing is not all about patient centered care, it is focused on the needs of the family as a whole (Nursing theory). The main goal for family nursing is to improve any health concerns by assessing the needs,problems,influences, and strentghs of the family (Journal of nursing). There are four four types of approaches to family nursing. The four types of approaches to family nursing are, family as context, family as client, family as system, and family as component of society (the book). The purpose of this paper is to define, discuss, and give examples of the four types of approaches to family nursing.
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
In this paper the subject to identify is a family assessment using the Friedman Family Assessment Model, including three nursing diagnosis.