Obtaining a family history can link together past medical problems and can also reveal future problems that may need to be addressed. Identifying a problem before it occurs allows time for changes to be made and gives patients a better understanding of preventative care. In this paper, I am going to identify and three generation pedigree of my family, and provide a brief health history as well as a complete reproductive history of each family member. Next I will describe the ethnic background for each of these individuals and identify any growth and developmental variations they may possess. After this the state to what extent each family member understands the cause of their health problems and any questions may have about potential genetic risk will be addressed, finally I will describe what nursing intervention strategies the family health nurse should relate to my family based on the obtained assessment,
Family Members and Health History
The start of the family tree I am going to discuss begins with my parents Martin and Robin Gosser. Martin is a 52 -year-old male who works full-time for a coal company and Robin is a 50-year-old stay-at-home housewife. They produced two children Kelsey and Brandon Gosser. Kelsey is a 22-year-old female nurse and Brandon is a 25-year-old male who also works for the same cool company. Kelsey does not have any children now though Brandon has a son named Brantley who is three. Martin is very healthy for his age, he does not take any
work with individual families and with families as an aggregate within the population (Clark, 2003). Several areas will be presented such as biophysical, psychological, physical environmental, sociocultural, behavioral and health system considerations. The data obtained during family health assessment enable the nurse to make informed decisions about the health care needs of families (Clark).
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.
The findings of the interviews are identified in the table below (information including but not limited to what is listed). These families of different cultures ascribed their health traditions to different things. The African American family states that their health traditions are passed down by elders (grandparents), of both sexes. The Mexican American family ascribes their traditions to the women of the family, stating that it is a female responsibility to pass down traditions regarding heath. The Caucasian American family states that they received their knowledge of health from what is or has been proved by science, and usually each mother of the household is responsible for the health of the family.
Mrs. Pink, aged 75 was admitted to the orthopaedic ward after suffering a fall at home, resulting in an intracapsular fracture of the hip at the femoral neck. Mrs. Pink has a history of cancer and cardiac diseases and has severe rheumatoid arthritis. Due to ageing patients putting a great deal of strain on the health care system, the incidences of hip fractures in the elderly are a major concern and requires careful consideration regarding treatment. Known as a major cause of disability in the elderly, hip fractures and their subsequent need for surgery result in chronic pain and an altered quality of life (Strike, Sieber, Gottschalk & Mears, 2013). Although important to improve a patient’s quality of life and physical independence, pain related to a total hip replacement (THR), also known as hip arthroplasty (HA) can lead to delays in ambulation, longer hospital stays, poor functional outcomes and quality of life. The purpose of this essay is to identify the rationale behind nursing interventions provided to post-operative THR patients as well as the pathology of a femoral neck hip fracture and their procedure for assessment and diagnosis.
Think back to when you were a child and you became ill. All you wanted was the protection and guidance of your mother to take care of you. If you had older siblings, maybe they were the ones that helped make you feel better. Even as we grow older, we rely on our family for support when we are not well. When a family member is ill, it is not just that one person that suffers. When an illness strikes a family member, it oftentimes includes the whole family to deal with the illness also. There are different approaches that a nurse can utilize when dealing with family nursing. Approaches include family as context, as a client, system and a component of society. In this paper, I will discuss where and how these approaches are utilized.
Family health as a whole is an integral part of the development of healthy individuals. In order for the family to produce healthy individuals they need to function well holistically in all aspects of family life including health and wellness. If even one individual in the family is experiencing health issues which are not being addressed it can have a detrimental effect on the whole family. Therefore, it’s imperative that when performing an assessment on a family the nurse has as complete and thorough
This paper will discuss and complete a genetic and genomic nursing assessment utilizing the information provided. A brief history of three generations of this family will be presented, including a concise reproductive and ethnic background of all relevant members. This history will address all areas of growth and development, along with articulating if individual family member understand causes of health problems and potential genetic risks. Finally, nursing interventions that have been recognized and that will benefit
Family health history is a powerful tool for screening patients. Family nurses tracing the illnesses suffered by a patient’s family members can help predict the disorders patients and their families may be at risk for, and take appropriate action to help them maintain a healthy life. In this report I will complete a Genetic/Genomic Nursing Assessment on my friend and her family. I will discuss three generations of family members, identify health issues, and genetic traits. This report will contain the family’s ethnic background, reproductive history, and any growth and development variations. To further expand on this information I will evaluate my friend’s understanding, as well as her family, of their genetic health risks, identify health risk problems, and include nursing interventions. While most Americans have some degree of awareness regarding the importance of family heath history, most do not have a written profile, that being said, welcome to Patti’s genetic world.
If you are struggling with alcoholism and drug addiction, your disease also affects everyone around you, especially your family. Families function as a system. Think of this system like the parts of a computer. Various parts work together to allow a user to type, scroll down, view images, and listen to sounds. If one part is malfunctioning, the entire system goes down. For example, if the monitor were to stop working, the user would be unable to see any websites or programs on the computer. All parts need to be up and running for the system to work harmoniously. Families are the same. When one family member is suffering, the entire family unit suffers. If you require addiction treatment, your family needs to be included in every step of the
Assessing health needs is a fundamental nursing skill. Unfortunately, many nurses only associate the assessment process to the individual patient they are caring for and fail to assess and address the needs of the entire family. Performing a family assessment is vital, especially when working with high risk individuals and groups. High risk families can be defined as those families with a higher than expected risk for developing a particular disease or injury in association to their lifestyle, environment, habits, or socio-economic
Good evening class, the assessment tool that I was given to learn about was Fulmer SPICES acronym. This is useful for common syndrome of the elderly that will require nursing interventions. As to the article and video that I watch, it was about a 70-year-old female African American. Medical history of sickle cell anemia, congestive heart failure and total hip replacement.
The aim of this essay is to explore evidence based nursing intervention in the care and management of chronic obstructive pulmonary disease (COPD) in an acutely ill patient. The acutely ill patient involved in this essay was admitted to hospital due to cerebrovascular accident and had a past medical history of myocardial Infarction, left Ventricular failure, peripheral vascular disease and duodenal ulcer as well as chronic obstructive pulmonary disease. This essay will provide a rationale for the chosen aspect of care (COPD) and reason will be given why it is a priority. In particular the essay will examine the significance of the underlying pathophysiology of the disease relating to the acutely ill patient other
A family is a very unique social group and they come in all kinds of shapes, sizes, colors, and configurations. Families are unique in the sense that they are one of the only social groupings that despite hardships and falling outs, always manage to stick together and support one another when it is needed the most. The health of each family member is extremely important to the cohesiveness of the unit as a whole, and a family assessment can be a useful tool for an evaluation of the overall health of the group. In looking at the assessment of my family’s health, we are going to look at hypertension, cancer, risk factors, protective factors, and an applied nursing model.
Research by Pharoah, Mari, Rathbone, and Wong (2008), suggest that family psychosocial strategies and interventions can be beneficial for both the individual diagnosed with schizophrenia and their families. According to Pharoah et al. (2008), the main benefits of such interventions are decreasing the risk of relapse, medication compliance, and lessening family burden, along with possibly reducing re-hospitalization or length of hospital stays.
The objective of doing the genogram is to get to know the patient by gaining understanding of his/her family background. Assessing the family using systemic approach enables health care providers to learn about the ways in which family members interact, what are the family expectations and norms, how effective is the members communication, who makes decisions and how the family deals with life time stressors (Hockenberry & Wilson, 2007). This paper outlines the assessment and analysis of the three generation of Wits’ and Smiths’ families, its relationship, health pattern, habits, tradition and structure. It also provides a nursing teaching plan. The interview was conduced with Alina Wit, a second generation mother of three.