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The role of the family nurse in health promotion
The role of the family nurse in health promotion
Cancer affects the family
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The quantitative article I have chosen for critical appraisal is titled, “Health Behaviors in Family Members of Patients Completing Cancer Treatment.” This article reviews that unhealthy behaviors are prominent with survivors of cancer, the authors support that the transition point from post-treatment to survivorship may be a beneficial moment for discussion of health promotion and behavior change with cancer survivors and family caregivers of survivors. The article suggests there is limited research concerning the role that family members play in health behaviors and the impact the cancer experience has. I chose this article as I am a Genitourinary Oncology Nurse Navigator and have interest in this topic. I am often in the position to teach …show more content…
Mazanec et al, (2015) discussed that the main purposes of this study were to describe the implications on the health behaviors among family caregivers of cancer survivors and to uncover factors that are associated with the family member’s intent for health-promoting behavior. The researchers also included secondary purposes in which they assessed the feasibility of interviewing family caregivers at the post-cancer treatment transition, tested the appropriateness of a health behavior assessment tool, and described patients’ goals for their health at end of treatment (Mazanec et al, 2015). Although the authors did not clearly state their research questions, I would concur the researchers were aiming to answer the following questions: What impact does the cancer experience have on the health behaviors of survivors of family members? What are the factors that are associated with family members’ intentions for health behavior change? How convenient is conducting the interviews with families at the post-cancer treatment transition? How adequate is the health behavior assessment tool? What are the patients’ goals for their health at the completion of their treatment? (Mazanec et al., …show more content…
“Pragmatic, evidence-based interventions that capitalize on the receptivity of family members and patients towards wellness strategies at the post-treatment transition must be developed and tested (Mazanec et al., 2015, p.61). The authors also noted that additional research is needed to promote optimal behavior change and to explore the best way to integrate communication strategies into clinical
Being diagnosed with a chronic illness is a life-altering event. During this time, life is not only difficult for the patient, but also for their loved ones. Families must learn to cope together and to work out the best options for the patient and the rest of the family. Although it may not be fair at times, things may need to be centered on or around the patient no matter what the circumstance. (Abbott, 2003) Sacrifices may have to be made during difficult times. Many factors are involved when dealing with chronic illnesses. Coping with chronic illnesses alter many different emotions for the patients and the loved ones. Many changes occur that are very different and difficult to get used to. (Abbott, 2003) It is not easy for someone to sympathize with you when they haven’t been in the situation themselves. No matter how many books they read or people they talk to, they cannot come close to understanding.
A critical appraisal was completed to assess the value of the research study conducted by Batch & Windsor (2015). This was completed through the Critical Appraisal Skills Programme (CASP). The CASP tool is used to evaluate different research articles. I assessed that this article has benefit, particularly for the nursing profession. Nevertheless, sections of this article could have been further developed by expanding the topic through a greater variety of hospital settings and more diverse patient populations (add more). Ethnography in the healthcare setting has often been examined in the Nursing 1028 course. This article used an ethnographic framework assess elements such as culture, disparities and gain comprehension of how nurses communicate
Health behaviors of the family directly impact the continued wellbeing of the patient. The exposure to secondhand smoke and smoking in the presence of medical oxygen are the most frequent environmental concerns on discharge. Impacting the culture of an entire family, during one brief hospital stay is difficult. Reliance on community resources is essential to continued well-being for our patients. Equally important is the accessibility of those resources. Often, patients have limited access to resources due to mobility or transportation issues unless family members take an active role in the process.
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).
Maintaining communication with patients, survivors, families, and the health care providers to monitor patient satisfaction with the cancer care experience.
Involvement of the family is a big part of the collaboration and also with patient-centered care. Family at that moment may have in site information that the patient isn’t sharing
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
In spite of what she has been faced with, she has always had a positive attitude and outlook. She is a woman of strong faith, which I believe has played a big part in getting her through the challenges she has faced. Chronic illness not only affects the patient, but all members of the family as well. For her, it has been a challenge with the expense it has incurred for her. She has health insurance, but some of the medications that she is on are very expensive. In the beginning of her illness, it placed more of a financial strain on her. She was divorced and did not have the best health insurance coverage to begin with. She remarried a couple of years ago and now has better health care insurance through her husband. Not being able to pay for your health care during a difficult time is very hard to deal with. As the nurse, we can offer referrals to agencies that may be able to offer some assistance. Psychosocial care should be incorporated into the routine care of patients with cancer (Jacobsen & Wagner, 2012). Dealing with a chronic illness can also have emotional effects on the patient, as well as other family members. Depression is a commonly incurred condition that coincides with cancer, which can lead to other health and social issues. It is of great importance to provide emotional support to the patient and their family members. As the nurse, we can offer support groups to the patient and
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...
Cancer. The word by itself can conjure images of severely ill and frail people attached to IV medications and chemotherapy drugs as they cling to life in a hospital bed. Other illustrations and pictures depict unrecognizable, misshaped organs affected by abnormal cells that grow out of control, spread, and invade other parts of the body. Cancer studies show that close to one-half of all men and one-third of all women in the United States will be diagnosed with cancer during their lives. Today, millions of people are living with cancer or have had cancer. As patients are newly diagnosed with their specific type of cancer, whether it be breast, lung, prostate, skin, or blood cancer, etc., each patient has to consider what will happen with their future health care plan and who will be involved in their long journey from treatment to recovery. Once diagnosed, cancer patients become the focal point and the center of all activity in terms of care but cancer not only physically invades the patient’s body and well-being, it goes beyond the patient and significantly affects the emotional stability and support from from their loved ones and caregivers. Based on the insidious nature of cancer and typically late detection of malignant diseases, family members (either spouses, children, parents, other relatives, and friends) often become the patient's main caregiver. These caregivers, also known as informal caregivers, provide the cancer patient with the majority of the support outside of the medical facility or hospital environment and become the primary person to provide various types of assistance. They provide the physical support with bathing and assisting in activities of daily living, they become emotional ...
Any learning that occurs should focus on treatments, tests, and minimizing pain and discomfort as they improve they can shift their focus of learning (Kitchie, 2014, p.127). I will continue to provide a meeting location that is both comfortable and private. In the emotional aspect of M.M. and her family I will try to identify moments when members feel emotionally supported as it sets the stage for a teachable moment (Miller & Nigolian, 2011, p.56). I will also discuss with each member their previous coping strategies that used that have been successful and to encourage them to find a way to build on and strengthen these qualities. Using teaching methods that are interactive and allow patients equal contributions and participation can help promote health compliance (Habel, 2005,
The Theory of Caregiver Stress was a significant breakthrough for the reasoning of why caregivers are so deeply affected by this job. “The Theory of Caregiver Stress was derived from the Roy Adaptation Model to use as basis in understanding the relationships among caregivers and the stress faced when caring for a chronically ill relative” (Tsai, 2003). The Theory of Caregiver stress is a middle-range theory used to predict the outcome for stress and other various side effects (Dobratz, 2011). These adverse effects are predicted by: Demographic Characteristics, Burden in Caregiving, Stressful life events, Social Support and Social Roles. Also, because of the multitude of different scenarios and background for both the patient and the caregiver, these categories are necessary to compare and effectively use the results. The theory makes four main assumptions regarding adaption: “environmental change; the caregivers’ perceptions will determine how they will respond to the environmental stimuli; the caregivers’ adaptation is a function of their environmental stimuli and adaptation level, and lastly the caregivers’ effectors are results of chronic caregiving such examples include marital satisfaction and self-...
The first category is health perception and health management. This pattern is related to the client’s view of health and well-being. This also includes the client’s knowledge of lifestyle, preventative health practices, and the client’s adherence to medical advice. The data collected is focused on the client’s perceived level of well-being and focuses on maintaining health. Smoking, alcohol use, recreational drug use, and other habits that are detrimental to the client’s health are also included in this category. This category also focuses on the client’s safety and health management in the home that may need modifications or for continued care in the home. An example of a sub category for this patter is risk-prone health behavior. This would include the client’s use of tobacco product, drugs, or alcohol (Koshar, N.D.). A question the nurse might ask is “On average, how many alcoholic beverages do you drink per day?” One nursing intervention for this would be for the nur...
As new therapies being tested, it will be important that patient-reported quality of life be included as an outcome measure in more clinical trials in oncology. The treatment seems efficacious but also carries with it a high price in quality of life. Patients have to make decisions about therapies offered and quality-of-life information is important to help them to choose. Cancer survivors are also subject to have psychological challenges.
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...