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Approaches to Family Nursing
The purpose of this paper is to discuss four different health care approaches used when working with a patient and family based on my clinical experiences. I will also describe the interventions I used in each approach. It is important for the nurse to recognize that there are many issues to take into consideration when deciding an approach to providing family health care. The approaches that will be discussed in this paper include: Family as a Context, Family as a Client, Family as a System, and lastly, Family as a Component of Society. I will use examples from my family and from patients and the family’s I have encountered.
Family as Context
Family as a Context is health care focused on one individual in a family,
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My dad was diagnosed with severe blockage to three cardiac arteries. Unfortunately, he had been sick over the years and barely weighed 100 pounds. Additionally, they thought he might have tuberculosis, and had put him on a plethora of medications for this. We were all very worried he may not live until surgery to repair the arteries. As a result, myself and my siblings all jumped on a plane to go visit him. It was extremely difficult to see how thin he was, and as it turned out, he was not well enough for surgery right away. The inventions we undertook included a visit to our parents’ home to see accommodations were needed when dad was able to return home. We learned that my mother had not been faring well mentally with dad’s condition and her finances were a mess. She was not able to focus and had not been paying bills. Also, her car was falling apart and she had no money to purchase a new one. Her stress level was at maximum and she became grossly agitated as we tried to sort things out. We had to divide and conquer, as a family, to provide help due to mother’s health issue, with my sisters intervened by taking mother to the physician to adjust her medication. My brother and I intervened by getting the bills paid and buying her a new car which she would need to get …show more content…
These approaches were: Family as a Context, Family as a Client, Family as a System, and Family as a Component of Society. In each case the role of the nurse focused on a different person, or persons in a family. The nurse will draw on experiences and use learned communication skills to listen to concerns being expressed and determine the best way to accommodate family needs. In each case, there were different interventions used, with each intervention appropriate to the patient or family member needs. The nurse must recognize that the needs of a family may morph over time with a need to adjust to these changes as they happen. The role of the nurse is ever changing and, as such, the nurse shall be watchful of changes in a family dynamic and identify when to shift the focus of family
I plan to pursue a career in nursing as a Family Nurse Practitioner. This career take many steps to complete. But it is different routes you can take and different programs you can enroll in for this profession. Family Nurse Practitioners can prescribe medication and diagnose patients and give treatment. They can work either in hospitals and or clinics as a primary healthcare provider. They can also order specific x-rays and test that need to be done for a patient. The nurse practitioners interact with less patients in a clinic than in a hospital. Np’s have privileges to prescribe medications in every state.
This week we were assigned to assess the Perez Family, this assessment was tailored towards exploring the family’s dynamic and our thoughts on how we as nurses could improve their developmental outcomes. The Perez’s have a three- generational family form, which consist of married twenty somethings, a young and growing family, and grandmother all living under one roof. This family is in multiple stages of development that further the stresses in their daily lives. Although the case study does not mention how long the “main characters” Maria and her husband Jamie have been married, because of their age it is safe to assume that they are newly married. Maria and Jamie have yet to lay a stable foundation (marriage) for themselves, yet alone their
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.
“all patients have similar needs and experience these needs across wide ranges or continuums from health to illness. Logically, the more compromised patients are, the more severe or complex are their needs. The dimensions of a nurse 's practice are driven by the needs of a patient and family” (Basic Information section, para. 2).
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).
Also, the whole family needs to come to term with the health condition, make change in priorities and schedule, and keep the family. For example, it can be much more stressful for a young or a newly married couple because they may have more experience to overcome life's difficulties. As a result, as with individual maturation, family development can be delayed or even revert to a previous level of functioning (Hockenberry, p 762.) Therefore, health care providers need to apply family development theory while planning care for a child and family with chronic health condition. Indeed, family centered care should be a part of that intervention. Parents and family members have huge and comprehensive caregiving responsibilities for their chronically ill child at home or at hospital. Moreover, the main goal taking care of chronic ill child is to “minimize the progression of the disease and maximize the child’s physical, cognitive, psychological potential” (Hockenberry, p 763). Therefore, it is essential to family being part of the child care to give highest quality of care. On the other hand, we are as a part of the health care provider need to give attention to all
Treating the patient and family as one, can have improved outcomes, decrease hospital stays, increased patient satisfaction, and improved reimbursements for the hospital. Developing a relationship with not only the patient, but family as well, can pay off in the long run by providing better communication, better quality of care, and trust. The patient and family can be strong advocates for improved performance improvement efforts. Including family in the treatment of the patient treats the “whole” patient through their hospitalization. Involving the family can enhance the patients care.
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...
Family Nurse Practitioners have the ability to provide primary and/or preventative care across the life span. This gain in autonomy has been the driving force behind my decision to become a nurse practitioner. Specifically, I would like to provide this type of care to immigrants living in the United Sates. I am a second-generation immigrant. My parents are from Nigeria and came to the United States to pursue their education. Although I was born in and have lived in the United States my whole life, Nigerian culture has had a very strong presence in my household. My decision to become a Registered Nurse was highly influenced by my family and Nigerian culture.
Like any family, certain issues and forms of stress are constantly occurring within a family. Every family is unique in its ability to adjust and overcome challenges. The ongoing interactions of the family members influence its functioning ability and overall structure (Kaakinen, Gedaly-Duff, Padgett-Coehlo, & Harmon-Hanson, 2010). A family nurse has the power to promote wellness by ensuring the affective functions of the family are being met among the members of the Goldsmith family and family communication is strong for effective decision-making. Affective function is the relationships shared between the members within the family...
These changes pertain to every position held in the medical field, including nurses. As doctors’ duty is to become well informed of the constant changes, it is just as important for nursing staff to evolve as well. Most people do not realize the very valuable role a nurse plays in the process of treating a patient. Actually, some would say that nurses are more valuable than the doctors’. It is the nurse that gives the direct patient care by working with patients to monitor, evaluate, and implement their best judgment regarding the patients care.
This helps ensure an open line of communication between patient, family, and medical staff which allows for efficient information passing between interdisciplinary teams (Bamm & Rosenbaum, 2008). This communication allows the nursing staff an opportunity to also educate and counsel the family members as needed to prepare them for caring for the patient (Bamm & Rosenbaum, 2008). The value of viewing the patient in context of family from the nursing perspective is the fact that the whole patient is treated by taking into consideration the family environment and it 's affect on the
In health care, there are many different approaches throughout the field of nursing. When considering the field of family nursing, there are four different approaches to caring for patients. This paper will discuss the different approaches along with a scenario that covers that approach. The approaches that will be discussed include family as a context, family as a client, family as a system, and family as a component to society. Each of these scenarios are approach differently within the field of nursing.
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...
The main motive of this paper is to demonstrate how the nurse completes a health assessment of this family by using Gordon’s 11 identified functional health patterns approach in a holistic view of the family (GCU NRS-429V Lecture Note, 2011). Through open end questions, the nurse predicts potential problems in health perception, nutrition, sleep/rest, elimination, activity/exercise, cognitive, sensory-perception, self-perception, role relationship, sexuality, coping, and evaluates the behavioral pattern within the family. Nursing diagnoses are formulated which will assist the nurse to design a care plan according to the family’s needs.