In today’s society, a family can be defined as “a group of individuals who are connected by kinship, affection, dependency, or trust” (Saskatoon Health Region, 2013). With the increasing population and diversity of families in current clinical settings, family centered care has become an essential component of nursing care. The idea of family centered care involves collaboration and communication between health care professionals and the family to provide mutual decision making around the patients’ health. (Wright & Leahey, 2009). To aid in family centered care, Wright and Leahey (2009) suggest a 15-minute interview as a structured and efficient assessment tool to collect detailed information from a family. The 15-minute interview is based on the Calgary Family Assessment Model (CFAM) and the Calgary Family Intervention Model (CFIM), which allows for an in-depth assessment and formulation of nursing interventions for a family. Using these two methods, I interviewed a family with one member living with fibromyalgia. The Graf family interview took place in a community setting. The 15 minute interview Wright and Leahey (2009) developed the 15 minute interview as a tool to identify the family’s needs, concerns, and strengths. There are five key components included in the interview, including manners, therapeutic conversation, a genogram and ecomap, therapeutic questions, and commendations (Wright and Leahey, 2009). The conversation that is developed within the family interview is time-limited yet purposeful, as it brings out important information to be discussed. The interview is performed through the Calgary Family Assessment Model (CFAM), which includes functional, affective, and behavioural aspects to develop a decision makin... ... middle of paper ... ...f aquatic physical therapy in the treatment of fibromyalgia: A systematic review with meta-analysis. Clinical Rehabilitation, 27(10), 892-908. doi:10.1177/0269215513484772 Marcus, D. A., Richards, K., Chambers, J. F., & Bhowmick, A. (2013). Fibromyalgia Family and Relationship Impact Exploratory Survey. Musculoskeletal Care, 11(3), 125-134. doi:10.1002/msc.1039 Potter, P., Perry, A. (2010). Developmental theories. In J. Ross-Kerr & M. Wood (Eds.), Canadian Fundamentals of Nursing (p. 277-291). Toronto: Elsevier Canada. Saskatoon Health Region. (2013). Saskatoon health region client & family centered care. Retrieved from: http://www.saskatoonhealthregion.ca/about_us/client_and_family _centred_care.htm#About Wright, L.M., & Leahey, M. (2009). Nurses and families: A guide to family assessment and intervention (5th ed). Philadelphia, PA: F.A. Davis.
The Calgary Family Assessment Model (CFAM) is a well-known comprehensive and multidimensional template used by nurses to assess families. CFAM begins by having the nurse visit with the family and gain insight on the family’s functioning at a particular point in time. Interviewing the family allows the nurse to assess and identify potential issues. Furthermore, the CFAM consists of three main assessment categories, known as structural, developmental, and functional. Each of these categories contains several subcategories that allow the nurse to examine all aspects of a family’s functioning. The goal of the CFAM is for the nurse to openly discuss family issues, provide insight to families from an outside perspective and guide them towards their own problem solving tactics. CFAM allows families and nurse to develop a plan of care that is mutually agreed upon. The following paper illustrates a family assessment completed using the CFAM and applies nursing diagnoses and interventions relevant to the family’s current issues (Wright & Leahey, 2013).
Patients often have complex care needs, and often present with multiple co-morbidities or problems. The process of conducting a comprehensive nursing assessment, and the coordination of care based on these findings is central to the role of the Registered Nurse (NMBA 2006). Evidence-based interventions must then be planned and implemented in a patient-centred approach in order to achieve agreed treatment goals and optimise health (Brown & Edwards 2012).
Two potential barriers to the Patient-Family Centered Care model are time and patient/family expectations. Nursing is a demanding job that is known for it's fast paced and often hectic environment. While caring for several patients at a time, it might be difficult to make time to discuss and involve patients and their family in all aspects of their care. This could lead to the patient/family feeling left out or even lead to fear about why information if being kept from them. To address this barrier I will set aside time to spend with each of my patients solely dedicated to discussion about the care they are receiving as well as provide an opportunity to voice questions and concerns.
Using nursing strategies that are unique for each family based on their individual genetic and genomic variations is fairly new in the area of nursing (Munro, 2014) and interventions for this family should be tailored to helping them keep up on current information about heart disease, diabetes, and cancer, which are the main medical issues in their family medical history, and having a plan that ensures they continue getting regular health checkups.
Mattila, E., Leino, K., Paavilainen, E., & Åstedt-Kurki, P. (2009). Nursing intervention studies on patients and family members: a systematic literature review. Scandinavian Journal Of Caring Sciences, 23(3), 611-622
The intent of this interview was discussed with the family, namely, how the data would be used to discuss family experiences for an assignment in Family and Societal Nursing for RNs at State University. Most importantly, I mentioned to the family that I hoped to provide them with interventions and support to...
Once upon a time, my best friend, Bryan Martinez, often heard his mother’s medical conversations with friends. One day at school, our teacher confronted Mrs. Martinez and told her that she was able tell that Bryan was a son from a nurse. Apparently there was an incident at school where a little boy was acting out and Bryan told our teacher that the little boy was agitated, and to give him some medication to calm him down. As demonstrated by Bryan, nursing is ongoing profession that promotes the health and well-being of individuals.
Family health is receiving substantial attention in the contemporary decades, following a growing number of unpredicted health issues. Family health assessments have become common techniques within the health care systems across the world to promote good health. Nursing Family assessment and intervention models have been developed in to assists nurses and families to identify the family issues and develop the best.
Experiential Family Therapy is a therapy that encourages patients to address subconscious issues through actions, and role playing. It is a treatment that is used for a group of people in order to determine the source of problem in the family (Gurman and Kniskern, 2014). Experiential Family Therapy has its strengths and weaknesses. One of the strengths of this therapy is that, it focuses on the present and patients are able to express their emotions on what is happening to them presently. The client will have time to share everything about his/her life experiences one on one without any fears. As a result, it helps the client in the healing process because, he/she is able to express their feelings freely and come out of the problem. Therefore, in this type of therapy, the clients are deeply involved in solving their issues. It helps clients to scrutinize their individual connections and to initiate a self-discovery through therapy, on how their relationships influence their current behaviors (Gurman and Kniskern, 2014). By examining their personal relationships through experiential family therapy, family members are able to
Client centered care is what creates the foundation for the therapeutic nurse-client relationships. The Registered Nursing Association of Ontario (RNAO) recommends that nurses embrace the values of respect, human dignity, client as expert, and clients as leaders, to foster patient centered care (RNAO, 2002). A study done at Coventry University found that there were serious implications to care that was not family-center. Effective communication plays a large role in how the care is perceived by families and patients. It is extremely important for clients to receive constant and continual information from their healthcare professionals (Beckwitt, 2014). Relaying critical, sensitive information is difficult, but when t...
Wright, L. M., & Leahey, M. (2009). Nurse and Families: A Guide to Family Assessment and Intervention (5th ed.). Philadelphia, PA: F. A. Davis Company.
With my academic, professional and volunteer experience, I have reached a point in my career where I am fully equipped to enter the advanced curriculum of the Doctor of Nursing practice, Family Nurse Practitioner program. Working in the nursing profession for the past three years has shown me that there is an increasing need for research to improve health care delivery and access to vulnerable populations. It is rewarding to be a nurse; however there are limitations in my current scope of practice that prevents me to go beyond my job requirements. Through advanced education, my aim is to provide quality patient-family
intervention. Families in Society. Vol. 88, pg. 42. Proquest Direct database. Retrieved February 25, 2015.
The profession of nursing has both positive and negative effects on the well-being of nurses, which can lead to learning opportunities for those that are new to the profession. To receive an accurate depiction of the nursing profession, an interview with a currently practicing nurse is conducted and the challenges that they face will be analyzed with the intent of exploring different strategies that can be used when coping with these issues. The nurse that was interviewed stated that she has been in the nursing field for the past seventeen years; with the past ten being in the role of a nurse practitioner (Personal Communication, October 26, 2016). The nurse has experience in a variety of settings, as well as holding several degrees and certificates
Family health assessment is a process of getting information from the family about health promotion and disease-prevention activities. Family assessment includes nurse’s perceptions about family constitution, norms, standards, theoretical knowledge, and communication abilities. Marjorie Gordon (1987) proposed eleven functional health patterns as a guide for establishing a comprehensive nursing data base. These functional health patterns (2007) help organize basic family assessment information (Friedman et al., 2003) (Edelman & Mandle, 2010, p. 173-177).Eleven health functions are as follows. Health perception and / or health management pattern, nutritional pattern, elimination pattern, activity/exercise pattern, cognitive/perceptual pattern, sleep/rest pattern, self-perception and self-concept pattern, role/relationship pattern, sexuality/reproductive pattern, coping/stress tolerance pattern, and value/belief...