Worst Of Family Dynamics

This ethical scenario presents an 86 year old female with numerous health issues and chronic illnesses. Mrs. Boswell’s advancing Alzheimer’s disease makes it extremely difficult to initiate dialysis, leading her physician to conclude a poor quality of life. The ethical dilemma portrayed in this case is between nonmaleficence and autonomy. Health care workers should focus on promoting the patient’s overall wellbeing and weigh the benefits and risks of the course of action, while also considering what the family declares they want done. Since the patient is deemed unable to make decisions, the goal is to collaborate with family, assess patient quality of life, address prognosis, and establish realistic care goals.

Many people have many different definitions of a family. Some include family as the people they live with, some include their entire extended family, and some include friends, neighbors, coaches, and teachers. According to the Vanier Institute (2013), a family is “a combination of two or more persons who are bound together over time by ties of mutual consent, birth, and/or adoption” (para. 2). Whichever way you look at it, families often play a major role in life. It only makes sense that when a person begins to go through a drastic change in life such as illness, the family will be involved. This is why it is important that nurses learn how to provide suitable client and family centered care. They can do this by following the four

Any situation that erupts which can disturb the other residents is something that must be diffused immediately, as a healthcare administrator I would have to address this state of affairs with empathy and genuine concern for the opinions of the family members not in agreement with the do not resuscitate (DNR) order. First, I would ask that we move to a private location where we could speak and if voices are elevated it would not interfere with the day to day operation of the nursing home. Second, I would ask to see the Power of Attorney if it is available to speak to the legality of the document. Provided that, all the previous terms set in place are up to par, I would directly talk about the statement made about the family member making me aware of her position with the Department of Health and Human Services. Moreover, going through the document to point out the date signed, to make note if the new resident signed it before here memory was too far gone and if the Power of Attorney would not be substantial. Then I’d call attention to the difference between a Power of Attorney and Durable Power of Attorney. Grammarly states, “The biggest difference is in when the power ends. A general power of attorney ends when a person becomes mentally incapable because of sickness or injury to handle his or her own affairs… To get a durable power of attorney, you must show in the

Last year 23 September 2012. I had a resident called “Mrs X” she was a 72year-old widowed living at ---, a Nursing Care Home. She’s not a religious type of person as she was Atheist. She has lived in the home for the past two years, and during that time I was assigned as her key worker. Mrs X had One Son and 3 grand daughters they are all regular visitors to the home. She has recently been diagnosed with renal failure, and her life expectancy is only a couple of months without dialysis. In the past Mrs X has made it clear that when her “time comes” she wants to be able to stay at Belmont House, and “go quietly”. She has stated that she does not want any treatment that will prolong her life. This means

The film, Precious, is a powerfully charged story that delves into the family dynamics of a 16-year-old girl and her struggles to survive an onslaught of treacherous experiences. Throughout the film, the viewer is enveloped in a dramatic web of extreme situations, experienced by the main character, and those to whom she is close. The themes of domestic violence, rape, incest, drug addiction, gambling, poverty, social justice, social services, housing and education are laced together throughout the story. Particularly poignant attention is paid to various systems that help shape the experiences of the characters. The social services industry, and its associated workers, educators and administrators, set the foundation for the social themes that are highlighted by this film.

Depending on the patient's level of self-care, the nurse must work with the family to enhance such self-care. The family may view an elderly, disabled, or otherwise incapacitated patient as a child and unable to adequately perform tasks of self-care. According to Orem,

The patient has not taken his prescribe medication and his eating habits are also noncompliant. The patient is dealing with the death of his wife and the patient’s daughter believes he is acting this way on purpose and is unable to care for him properly. The daughter does not want to tell the doctor about the patient seeing a Curandero,but wants her father to be admitted into a nursing home in order for him to receive the proper care he needs.The nurse would need to consult with the Code of ethics book on the nursing floor to proceed with the best possible solution to the problem.The code of Ethic for Nurses is a guide for carrying out nursing responsibilities in a consistent manner with a certain quality in nursing care(American Nursing Association, 2001).There are ethical principles that a nurse should learn to apply to each situation that they feel an ethical decision will need to be made.

It can be very frustrating at times dealing with the family members of the older patient that I see in the emergency room. I have such limited time to take care of everyone’s needs before the next patient comes in by ambulance that I often forget how the family feels seeing their parent on an emergency room cart in pain and confused. My definition of the comfort I can provide in the emergency room are often very different from the family’s expectations. According to Gerontological Nursing (Tabloski, 2014), the attending nurse needs to understand the patient and family’s goals, wishes and values to attend to their

Married with Children aired between 1987 and 1997. The comedy television show was based on a dysfunctional American family featuring Ed O’Neill, as Al Bundy, and Katey Sagal as Peggy. In the episode, Married without Children, Al and Peggy enjoy a weekend getaway while their neighbors babysit their children, Kelly and Bud. The episode displayed some communication technologies available at the time. The Bundy’s and their neighbors had rotary phones, but cable was not available to them. A 21st century version of Married with Children would be very different than the original because of changes in technology and the way in which people communicate.

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.

With medical and technological advances, the United State’s life expectancy continues to increase, leading to an improved number of elderly individuals. As a nursing student, who worked at a nursing home for three years in high school, I am quite familiar with elderly abuse, especially institutional abuse. Prior to this discussion post, I persisted more familiar with the types of elderly abuse, rather than the incidence rates within the United States. To clarify this discussion post, elderly abuse stands defined as, “an intentional act, or failure to act, by a caregiver or another person in a relationship involving an expectation of trust that causes or creates a risk of harm to an older adult” (Centers for Disease Control and Prevention, 2016). The risk of harm to an older adult subsisted evident in an institutional setting, from my work experience. While I cannot disclose that the nurses physically, sexually, or financially abused the residents, I am aware of the neglect and emotional abuse the occurred in this setting. The abuse that occurs to elderly individuals stems for two triggers – caregiver stress and the vulnerability of the elder. According to the textbook, “Exhaustion and anger can reach a boiling point and can create intergenerational conflicts” (Olson, DeFrain, & Skogrand, 2014, p. 383). When caregivers acquire stress, they tend to take out their aggression on the elder, intentionally or unintentionally, as they remain overwhelmed with emotions. Personally, I

Discuss the nursing interventions to be utilized with a family member who is in crisis in the care setting and interfering with the healthcare team’s performance.

Given the aging of the population, elder abuse has become more a prevalent and a more serious issue in recent years. "Every year, an estimated 4 million older Americans are victims of physical, psychological or other forms of abuse and neglect. Those statistics may not tell the whole story. For every case of elder abuse and neglect reported to authorities, experts estimate as many as 23 cases go undetected" (Elder abuse and neglect, 2013, APA report: 1). Elder abuse is both against the law and an ethical issue for the nurse. The nurse must find a way to ensure that the needs of the patient are taken care of, and the stress of the caregiver of the elderly person is managed appropriately. This paper will apply the five steps of ethical decision-making to dealing with the issue (Swinton 2007). The ethics of elder abuse deal with a number of issues that can be extremely sensitive subjects for the nurse; including parent-child relationships; past relationships amongst different members of the family; the responsibilities of caregiving; and the autonomy of the patient.

The role and definition of family can vary from one culture to another. Generally speaking, the culture in the United States places a lot of emphasis on individuality and personal freedom. In many cultures, the family unit has a very strict and defined hierarchy. Often the Father is seen as the head of the household and is responsible for much of the decision making. This can include decisions concerning the health care of a family member. It could also result in reluctance for the head of the family to place himself in a position of relying on others for care, a perceived position of weakness. In many cultures, the family goes beyond the nuclear family, and extends to the community, friends and neighbors. These are strongly held beliefs, and we must refrain from judging them as right or wrong based on our own culture. Rather, weneed to find ways to work within the framework of the family structure of the patient. ( Falvo, pp.186-187)

Have you ever had a time of in your life where everything goes your way? That you can get anything you want in your wildest dreams? That’s my entire life, sounds wonderful don’t it? Well at first yes , you’d be right but not anymore not after learning the truth of my family and the reason why we have so much. My family turns out to be the head family in a criminal organization called Luna , this sudden realization came from when I turned 10, many of the people that surrounded started to change , they started to fear me like I was some kind of monster and they were right as eldest son of the current boss i was next in line for the throne which granted me lot’s of power within the organization, but also it gained lot’s of respect but this respect was mostly based on fear,I could never tell if people were being generously nice to me or were they just out to get on my good side for their own benefit. My parents are not much better i barely spend time with my mother or father and mostly hear about their achievements through my uncle’s monologues when we study about history. Did i mention that i’m homeschooled? Yeah with my parents reputation having the cops or rival organizations find out about their son could lead to complications to say the least, but even so my father doesn’t like to take chances and i was beaten , trained ,and