Quantitative Research Article Critique Essay example

Both physical and emotional hard work of the family got my attention while reading the story about McKinley family. According to the eight theoretical perspectives, some of the ideas have been addressed that caught the attention about the story. These ideas include how social workers are struck by not only by the person they are assigned to but all family member’s inputs and struggles and try to make the growing sense in them with the intention to manage the trajectories of their lives. A system perspective has helped me thinking about how interdependent the family members could be and how they can have competing interests with regard to scarce resources of money and time. Overall well being of McKinley family depends on each of the family member’s lives being interrelated and how they influence one another’s behaviors and roles in the family dynamic. This theoretical perspective showed that roles played by each of the member in McKinley family had faced the result of role transitions from past years. According to the conflict perspective, the hospice social worker knows that communicating with the

Death is inevitable. It is one of the only certainties in life. Regardless, people are often uncomfortable discussing death. Nyatanga (2016) posits that the idea of no longer existing increases anxiety and emotional distress in relation to one’s mortality. Because of the difficulty in level of care for end-of-life patients, the patient and the family often need professional assistance for physical and emotional care. Many family caregivers are not professionally trained in medicine, and this is where hospice comes into play. Hospice aims to meet the holistic needs of both the patient and the patient’s family through treatment plans, education, and advocacy. There is a duality of care to the treatment provided by hospice staff in that they do not attempt to separate the patient’s care from the family’s care. Leming and Dickinson (2011) support that hospice, unlike other clinical fields, focuses on the patient and the family together instead of seeing the patient independent of the family. Many times in hospitals, the medical team focuses solely on the goal of returning the patient back to health in order for them to return to their normal lives. They do not take into account the psychological and spiritual components of the patient’s journey and the journey that the family must take as well. For treatment of the patient, Leming and Dickinson agree that hospice does not attempt to cure patients, and instead concentrates solely

In family system theory, it is believed that the impact of the relation of individuals on their lives is more than on a counselor and the individuals play a very important role in order to recover faster. In this system, changes in a family comes due to the interaction between the family individuals and therefore more emphasis are put on the relationships within a family which plays important role in the well being of a family with regard to psychological health (Titelman, 1998).

Power, dynamics and stress have an effect on family and marriage livelihood. Family and marriage examinations help therapists to identify relational developments, family developments and the stress factors involved. The therapists are able to determine the systemic aspects seen in a family relationship through establishing time for dialogical communications (Harold Goolishian, 1988). The studies can either be based on fictional prospects or scientific research. The relational theories and processes involved help in studying a particular connection among the family members. Through applying psychological hypothesis in the case study, it helps people to understand the different behaviors of people.

Reconstruction and change are essential for the family system to facilitate the homeostatic process, as explained by the fourth principle of the theory (Minuchin, 1985). It includes family questioning current methods, evaluating and developing potential arrangements. While earlier principles analyse the wholeness of the family system, the fifth principle explains that families can be examined in various segments such as the parent-children subsystem, sibling subsystem and spousal subsystem (Minuchin, 1985). Within the family, relationships between members are formed, and the interactions between each subsystem are regulated by unspoken rules and arrangements, and this is the final principle of family systems theory (Minuchin, 1985). Each subsystem operates independently, and it may encounter changes in the relationship due to various determinants.

My perception of palliative and Hospice care has changed slightly when it comes to communication with the family. I walked into the hospice unit mentally preparing myself to talk with patient families about their loved one and the dying process; this was certainly not the case. The family and the patient did not want to be bothered unless comfort interventions needed to be carried out and there was no conversation to be had about the patient and his situation. This shows that each family is different, each patient is different; and we need to respect and accommodate their unique

Acute hospitals play a significant role in end of life care, it is the place where most people die. Evidence suggests that end of life care in hospitals needs improvement. The purpose of this paper was to investigate patient and family experiences of hospital death, the weaknesses within the hospital setting and possible solutions to improve. A literature search identified common themes, these included:

The major variables were labeled in association with the endoscopic photographs from the computer-assisted measurement (CAM) airway analysis at the retropalatal level with calibrator in regards to showing airway dimensions in both pre and postoperative images (Hsu et al., 2007). There was no sign of manipulation of these variables other than from the postoperative images. The research team compiled the data to show the regression data of UPPP surgery were considerably correlated with postoperative improvement. This method of data collection was used to analyze the correlation between modifications in surgical parameters and the postoperative status of OSA patients.

The three articles were most relevant to the topic and explored the implications that family involvement has during end-of-life in long term care from the family perspective. The three recurrent themes that family involvement has during EOL in long term care are: improved caregiver advocacy and improved quality of end-of-life care for patients achieved through improved communication.

What was once believed to be a form of neglect has resulted in a change in practice with the idea that doing less is more. Culture is an important factor in how care is rendered and thus, the limitations of palliative and hospice care lie within the desires of the family and patients. A thorough understanding of our surrounding demographics helps to ensure a seamless approach to providing care without bias or imposition of ones beliefs. However, just as with all things, providing care for the sick and comforting the dying should be rendered in moderation as to prevent the effects of burn out. Likewise, the same effects occur in the caregivers who sacrifice their responsibilities in order to care for their love ones. Finally, and with some closing thoughts, the writer wishes to express with gratitude the benefit of having taken this course to better understand oneself and others in the realm of healthcare. The lessons learned throughout have expanded this writer's knowledge and understanding of the human desire to make a connection through communication, emotion, compassion, and spiritually - the platform from which this writer wishes to continue seeking further knowledge and

The content of this paper is to thoroughly analyze the relationships and functionality of the family chosen to be studied and assessed. By assessing, incorporating the lessons taught throughout the past five weeks in this class and inter-relating the family’s sociocultural background, communication patterns, physical environment setting, values and beliefs, power and role structure, communication patterns, adaptation and level of development as well as their

According to the Journal of Nurse Practitioners (2009), one common nursing diagnosis related to end of life care is ineffective family coping related to prolonged disease/disability progression that exhausts the supportive capacity of significant persons. Some nursing interventions that can be employed towards this diagnosis are 1. Determine the level of impairment of perceptual, cognitive, and/or physical abilities of the patient. 2. Evaluate illness and current behaviors that are interfering with the care of the patient. 3. Establish rapport and acknowledge difficulty of the situation for the family. 4. Involve significant other in information giving, problem solving, and care of patient as feasible. Instruct in medication administration techniques, needed treatments, and ascertain adeptness with required equipment, and 5. Include all family members as appropriate in discussions. Provide and/or reinforce information about terminal illness and/or death and future family needs (p.

As Boyle (2015) pointed out, the presence of family members in the healthcare setting can greatly help to improve the health and clinical outcomes for the patient. The sick individual feels loved when family members are present and this can boost their morale and optimism thus leading to better health outcomes. In addition, family-centered care also increases the peace of mind for and comfort for family members. By involving themselves in the care process for their loved ones, dread of the unknown and fear and anxiety is lessened while family relationships and appreciations are enhanced (Denham, Eggenberger, Krumwiede, & Young, 2016). In addition, the family members also get an opportunity to interact with the patient and probably say their thoughts and final good byes (Denham, Eggenberger, Krumwiede, & Young,

It has been the tradition to train caregivers not to become emotionally involved, but in terminal illness the patient and family need to experience the personal concern of those taking care of them. Profound involvement without loss of objectivity should be allowed and fostered, realizing this may present certain risks to the caregiver. 5. Health care services customarily lack coordination. The organization structure must provide links with existing health care professionals in the community.

Alina’s family has many strengths and weaknesses. An important portion of family dynamics is caring. Wits present with strong bond and the appreciation that every family member has for each other. Alina is the central person that provides a lot of affection to her children as well as her husband. She always wants everyone to be happy. Also, everyone in this family have each other back. For example, when Alina was diagnosed with the breast cancer, everyone was supportive and wanted to provide help. For Alina, it was a devastating situation; she was going through emotional rollercoaster. However her family did not give up on her. Together as a time they helped Alina to go through