Outline Of The Priorities : Jordan 's Mother

Family is something that plays a tremendous role in our life. Even though the structure of families has changed over the years, it is important to acknowledge that there many families out there whether they are traditional families, nuclear family, stepfamilies or others which tend to have different types of problems in their families. Therefore, many families attempt to go to family therapy in order for them to obtain help in solving the different types of issues they might have at home. As stated in the book Family Therapy by Michael P. Nichols (2013), “The power of family therapy derives from bringing parents and children together to transform their interaction… What keeps people stuck in their inability to see their own participation in the problems that plague them. With eyes fixed firmly on what recalcitrant others are doing, it’s hard for most people to see the patterns that bind them together. The family therapist’s job is to give them a wake-up call” (2013).

Situation: Two patients in their 70s present to the office at different times today, each with documented heart failure: one diastolic and the other systolic, and both are hypertensive. First, discuss the difference between systolic and diastolic heart failure, providing appropriate pathophysiology. ACEI/ARBs are the only medications prescribed for CHF that have been found to prolong life and improve the quality of that life. EXPLAIN the mechanism of action of ACEI/ARBs and how they affect morbidity and mortality in CHF. Be specific. Diuretics must be used very carefully in diastolic ventricular dysfunction. EXPLAIN this statement using appropriate physiology. Now considering all of the above, describe an appropriate comprehensive plan of

The Family Systems Stressor-Strength Inventory (FS3I) is an instrument used to evaluate and measure stressful conditions occurring in families and assists nurses and families in developing intervention activities. By using this instrument, strengths and weaknesses of family functioning can be identified. The FS3I involves independent completion of the instrument by each member of the family prior to the interview with the clinician. After completion of the instrument, the clinician assesses the family on each of the stressful conditions from a general and specific perspective. The strengths and coping mechanisms of the family are also evaluated. Both quantitative and qualitative data are used to define the intervention needed to establish equilibrium

Jonathan is a 63-year-old man, born on August 23rd, 1956 and lives with his eldest son. He was married two times and has three children, two children from his first marriage and one from his second. He lives in northern Ontario but originally was from southern Ontario, he moved here shortly following his second divorce. He is of Italian decent and is a practicing Catholic. The patient’s weight is 95 kilograms; he is 178 centimeters tall and has a body mass index (BMI) of 28.3. Jonathan says he smokes around one pack of cigarettes a day, does not exercise enough and eats fast food a few times a week. The patient now has congestive heart failure as a consequence of his myocardial infarction (MI) or heart attack. He was transferred from another hospital in the beginning of November and was waiting for more tests to be completed before he could be discharged. Jonathan has some known comorbidities that can exacerbate his CHF, this includes smoking, obesity, and noncompliance with medications.

What are the short and long-term stressors impinging on this family? What strengths counterbalance these stressors? How is the family reacting to these stressors (identify functional and dysfunctional coping strategies)?

1. Heart-Healthy diet- decreasing sodium intake, increasing fluids, and eating more fruits and vegetables and other high fiber-foods.

Ms. C. is a 57year old single female living with fiance. Using the Family Stressor System inventory (FS3I) she was able to identify multiple highly stressful area in her family. Even though she concerned with many of areas identified as highly stressful, she elected to focus on

The patient described in this paper will be referred to as Jonathan Toews to ensure patients confidentiality. Jonathan Toews, is a sixty three year old man, born on August 23rd 1956, and lives with his eldest son. He was married two times and has three children, two children from his first marriage and one from his second. He lives in northern Ontario but originally was not born here, he moved here shortly following his second divorce. He is of Italian decent and is a practicing catholic. The patient weights 95kgs, is 178cm tall and has a body mas index (BMI) of 28.3. He said he used to play soccer when he was younger but since does not keep active or get the recommended amount of daily activity. Jonathan says he smokes around one pack or cigarettes a day and has a alcoholic drink roughly three to four drinks per week, he also describes that he eats fast food a few times a week. The patient now has congestive heart failure as a consequence of his MI. He was transferred from another hospital at the beginning of November and currently is waiting for more testing before he can be discharged from the hospital or moved to another facility. The patient has some known comorbidities that can exacerbate his CHF, this includes smoking, obesity, and noncompliance with medications.

Patient education is a must in this population, since many have limitations when it comes to lifestyle choices. An area I feel the heart team does an excellent job in addressing. As for their health literacy levels, since these clients have lived with their complex cardiac condition most of their lives, I believe their, or family’s, health literacy is relatively high. Most understand the severity of their disease and how it affects most other aspects of their lives. When it comes to an exercise regimen or planning a family, their cardiac health plays a key factor. Although, there are those minority with secondary mental disabilities that are at higher risk of errors in self-care, but what

HF is progressively more general situation that results in substantial morbidity, mortality, and use of medical resources, particularly amongst elder Americans (American heart association, 2010). Education plays a key role in preventing frequent readmissions to the hospital. More over adequate knowledge about the disease and social support will improve the living status. It is extremely vital for clients to comprehend and distinguish the alterations in their capacity to uphold standard performance and acquire health care support with any deterioration symptoms. Being submissive with treatment plan and diet are the main features of successful management of

Food: The father has a reported condition of high blood pressure and when taken at the assessment it was 190/102. He is on medications but will receive education regarding nutritional importance. He will consume fresh foods and remove as many pre-packaged foods as possible from his daily regime.

Utilizing your support network for guidance, creative ideas, and motivation to manage the stress that life throws at you can reduce family stressors. Ask yourself, where can I go to build a network of support I can depend on? Having friends and family to help cope with bad times and celebrate during the good times is essential to the strength of a family.

Cardiovascular Disease (CVD) is a diagnosis, however, consider the functional aspects of the heart. The heart is vital for our body to function appropriately. When the heart is not operating at 100% other systems can not function properly. The heart is like the public health system, whereas if the system does not operate correctly we see other systems decline. As Turnock stated,” Landmark epidemiological investigations, such as the Framingham Heart Study, established the major risk factors of high blood cholesterol, high blood pressure, and smoking and dietary factors (particularly dietary cholesterol, fat, and sodium” (Turnock,2012). This portion would fall within the assessment portion. Through assessment we gain the knowledge that is necessary to see how the population is functioning. With many other health inequalities,

Both the risk of heart disease and risk factors for heart disease are considered heavily linked to family history. I learned that it is important to share family history with your health care provider as soon as possible. One of the key points that Professor Harvey addressed to the class was recognizing the symptoms of heat stroke. A heat stroke can kill or cause damage to the brain. I believe everyone should know these symptoms. You never know when you might be put in a situation where recognizing the symptoms could possibly save a person’s life. One thing I would like to know is what are some of the key screening tests for monitoring cardiovascular health. I could find the answer by spending numerous hours researching on the internet. There are a lot of reliable sources on the

The program should be applied to different levels of preventions based on short term or long term needs in the community. Primary prevention approach is required to promote and maximize health and wellness in the community before injury or illness occurs (Vollman et al., 2017). Therefore, the program focuses its attention on providing the community with information on cardiovascular health, nutrition, exercise and stress management (Harkness & DeMarco, 2012). The first idea for primary intervention is providing the community with free blood pressuring and heart rate screenings to recognize the population in risk. The information about this part will be provided to the community from different sources such as news, healthcare facilities, schools, community association, and churches. The monitoring will be done through the family physicians, nurses and different stands that will be set up in different locations of the community such as pharmacies, shopping malls, churches and health facilities. All the resident of age forty-five