Evidence Based Paper for M. Family
Nicholas Gladden
Arkansas Tech University
Introduction
The intention of this family paper was to visit and assess R.M., C.M., and their two sons, J.M. and G.M., and provide them with information to better their health or function as a family. An in home assessment was performed on R.M. and his family to evaluate the objective and subjective needs of the family. R.M., the husband, is 31 years old and is married to C.M., also 31 years old. They are a traditional nuclear family with two sons, J.M., 5 years old, and G.M., 2 years old. C.M. is currently 35 weeks pregnant (upon fourth home visit) with the couple’s first female child. C.M. has had two previous Caesarean sections, the first being an emergency
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and his family on four separate occasions in order to assess and discuss the needs of the family, and later to provide information and education to R.M. and his wife. Upon the first visit, the student took time to inform the family of the purpose of the paper and complete the family agreement form. The confidentiality of the paper was stated to the family, and the student informed the family that there would need to be additional visits in the future. Plans were made to complete the in-home visits before the month of April, as C.M. was scheduled for her C-section that month. R.M. and C.M. both expressed their gladness to have the time to talk about the issues that were a concern to …show more content…
The student met with the family at their home for the third meeting, where they were provided with educational information on esotropia. A conversation ensued about the adaption of children with Esotropia to school and their ability to function normally without any delays. Being a teacher, this was a great concern to R.M., and he expressed the most concern. During the third meeting with the family, the risks of repeated Caesarean sections were also discussed in detail. The student was able to address the concerns and C.M. and provide realistic information to her. The risks with repeat C-sections go up with each additional C-section, and since C.M.’s first delivery was an emergency C-section, the family discussed with the nursing student the concern of having future children. The student nurse and family also discussed transitional changes that a growing family may experience, including issues of having a girl, and proper nutrition techniques. The student provided the family with nutritional information from Gerber, including how to transition to more solid foods when the time comes. The student used the information as a guide to suggest ways that the family could implement these strategies, especially with the upcoming C-section and subsequent birth of their
The health of a family is a vital part of how that family interacts with one another and how each individual of the family will function in society, later teaching their children about a healthy lifestyle or lack thereof. The family health assessment helps to identify risk factors and potential dysfunction (Edelman, 2014) I interviewed a single parent family home about their health and how they perceive it. This family is an all-male family, an athletic seventeen year old boy getting ready for his senior year, a twenty year old young man, and a hardworking, dedicated, overweight father.
They serve as a framework for clinical assessment and can be applied to the individual, family, and community. Through this framework, data is collected and assessed, allowing for the application of nursing diagnoses and interventions that encompass a holistic view of the client. There are 11 patterns, and within each pattern there are four focal areas.
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
The author is a nurse in a level two trauma facility in a community of approximately fifty thousand people in Oregon. The community is a college-town surrounded by a large agricultural area. There is a minimal ethnic diversity within the community. The diversity present occurs mainly from internationally students and faculty from the college. There is a growing population of women who desire low interventional births in the community. The author has worked on the labor and delivery unit of the hospital for the last 14 years. The hospital is the only one in the area to offer trial of labor services to women who have previously undergone a cesarean section. The unit on average experiences around 1000 deliveries annually.
As a health community nurse, I will host a meeting with Mrs. Thomas family including their children, discuss the current situation and possible situation in the future, encourage everyone express their opinions, concern, feeling of frustration, wishes, beliefs and work with them to find out the ways to challenge the problems they already encountered and will face. Communication among the family member is very important to reduce the stress for each other. Let the whole family members, community and society share their emotion affection and stress, this way can also improve the quality of life for Mrs. Thomas and her family.
A family consists of a group of interacting individuals related by blood, marriage, cohabitation, or adoption who interdependently perform relevant functions by fulfilling expected roles. (Edelman, Kudzma, & Mandle, 2014, p. 150)
In order to evaluate the effectiveness of FCF families will go through an initial assessment to assess what they know about keeping safe and healthy homes. The assessment will include family input (self-assessment) as well as FSW observations.
As nurses it is essential to use appropriate tools to assess individuals, families, and communities. Throughout this paper the writer used The Gordon’s 11 Functional Health Patterns as a guide to assess a family. This family included a mother, a father, one son, four daughters, and two grandsons. The writer developed two to three open minded, family focused questions for each of the 11 functional health patterns. In this paper the writer summarizes the findings of each functional health patterns of the family, and identifies three wellness nursing diagnoses based on the family assessment.
Soon to be parents dream of having the perfect pregnancy. A pregnancy that is free of making difficult decisions for mom and baby, no complications with their pregnancy and free from any worries about the health of their newborn baby. All soon to be parents hope that ultimately the will give birth that result in a healthy newborn baby that they will take home to nurture and love. For far too many families this dream is shattered in the delivery room after giving birth. Their awful reality of this situation is suddenly something mommy and daddy have to try and comprehend and accept, because they are going to become a part of Neonatal Intensive Care Unit (NICU) parents.
The patient and the writer spoke earlier as the patient requested a later appointment. Upon meeting with the patient, this writer completed the patient's annual admission form and annual ROI- Emergency contact and medical providers. The writer and the patient discuss his tx plan goals; however, it was not completed for the patient signed as the patient shifted the conversation about his curiousity of having a surrogate mother in the event that his fiancee', who is 39 years old cannot have any children. The writer discuss his feeling about wanting to have children of his own even though he is a step father of 3. The patient view himself as the children step father regardless if he is not married to his fiancee'. The patient discusses a great deal about having an emptiness of not having a child of his own to call his own. The writer validated the patient's feeling greatly, but also address patience. The writer addresses with the patient about his compliance with treatment plan regardless that the patient did in fact
The medical provider and yourself were both mindful of the family roles and organizational rolls that played a part in this young lady decision making. In understanding that her future role as a wife and mother
Adams, Ellise D.Stark, Mary Ann Low, Lisa Kane (2015). A Nurse’s Guide to Supporting Physiologic Birth Nursing for Women’s health, Volume 20, Issue 1. Retrieved from http://awhonnjournals.org November 06 2017.
Family health assessments are an interactive way to gather information regarding family history and dynamics, level of knowledge and interaction. “Families provide the structure for many health-promotion practices; therefore, family assessment informs health-promotion and disease-prevention appraisal”. (Edelman, Kudzma, & Mandle, 2014, p. 150) This paper will review a completed family health assessment that addresses eleven separate topics. After reviewing and analyzing the information, appropriate wellness diagnoses will be identified. Including the whole family is important since “Family health practices, whether effective or ineffective, encompass activities performed by individuals or families as a whole to
This paper is summarizing the health, delivery, and plan of care for a first time mother and her twins while at St. Francis Hospital. The patient had a healthy pregnancy and was scheduled to have a cesarean section on August 16, 2015, but her membranes ruptured nearly two weeks prior to this date. One of the twins was taken to the NICU after delivery due to his small size, but both babies were doing quite well despite their early arrival. Although the patient had a successful, uncomplicated delivery, she faces multiple stressors when it comes to breastfeeding two babies, caring for a baby in the NICU, and facing a short 8-week maternity leave from work.
The subjects that took part in the research were mothers who were asked to take part at after giving birth to their child. The mothers that were chosen were under the ages of 20 years old average 18.53. There were 99 participants that had met the criteria for the study, but only 90 (91%) remained in the entire study after a 24-month visit. The infants of the 90 mothers that took part of the study were at the age of 6 months when the study was first began. Once all of the medical and