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Family assessment using calgary family assessment model
Approaches To Family Nursing
Introduction to basic latino culture
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Over the past two decades nurses have become more aware of the need to include families in nursing care. Family nursing practice is holistic with a goal of creating partnerships between families and nurses so mutual trust, communication and cooperation develops enabling the health care needs of the family to be met (Kaakinen, 2014). A family is viewed as a system where each member is expected to respond according to their role, and changes in the dynamics of the system causes a change in the equilibrium. The purpose of this paper is to demonstrate the application of family health nursing theory to practice through a case study. The Perez family’s culture and environmental factors as they impact the family’s health will be discussed. Using the Calgary Family Assessment Model, the Perez family will be examined for their structure, development and function. Subsequently, Neuman’s System Model will guide the systematic family assessment, planning and selection of appropriate interventions for improving the health of the Perez family who has a child living a chronic health condition.
Culture and Environment
The Hispanic population is the nation’s largest and fastest growing minority group, currently making up about fifteen percent of the U.S. population. This figure is expected to increase to twenty nine percent by 2050 (Livingston, Minushkin, & Cohn, 2008). The growth of the Hispanic population creates a challenge for improving health interventions and reducing medical care disparities. Because of the increase in Spanish-speaking families using health care facilities in the United States, nurses need to acknowledge culturally related practices and beliefs in order to effectively work with Hispanic families (Wilson & Rob...
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....el. Family Health Care Nursing: Theory, Practice, and Research. 2014 Print.
Livingston, G., Minushkin, S., & Cohn, D. (2008). Hispanics and health care in the United States: Access, information and knowledge. Retrieved June 15, 2010 from
http://pewhispanic.org/files/reports/91.pdf
Sanzo, M. (2008). The child with arthritis in the school setting. Journal of School Nursing 24,
190-196. doi:10.1177/1059840508319630
Spector, R. (2008). Cultural diversity in health and illness. Upper Saddle River, NJ: Prentice Hall. ISBN: 9780135035894
Wilson, A., Robledo, L., & Woodring, B. (1999). Role play. Listening to Hispanic mothers:
guidelines for teaching. Journal of the Society of Pediatric Nurses 4(3), 125-137.
Wright, L., & Leahey, M. (2009). Nurses and families: A guide to family assessment and intervention. Philadelphia: F.A Davis Company. ISBN: 0-8036-2130-2
Cobb, Torry Grantham, DHSc, MPH,M.H.S., P.A.-C. (2010). STRATEGIES FOR PROVIDING CULTURAL COMPETENT HEALTH CARE FOR HMONG AMERICANS. Journal of Cultural Diversity, 17(3), 79-83. Retrieved from http://search.proquest.com.ezp-01.lirn.net/docview/750318474?accountid=158556
The main idea behind this discussion board is to plan care for patient with diverse background different from mine, describe components of conducting a comprehensive cultural assessment on Latino Americans, reflection of my own culture and how it impacts my attitude toward providing culturally diverse care, and creating of two nursing diagnosis that reflect cultural
The United States’ population is currently rising exponentially and with growth comes demographic shifts. Some of the demographics shifts include the population growth of Hispanics, increase in senior citizens especially minority elderly, increase in number of residents who do not speak English, increase in foreign-born residents, population trends of people from different sexual orientation, and trends of people with disabilities (Perez & Luquis, 2009). As a public health practitioner, the only way to effectively eliminate health disparities among Americans, one must explore and embrace the demographic shifts of the United States population because differences exist among ethnic groups (Perez, 2009). We must be cognizant of the adverse health conditions for each population and the types of socioeconomic factors that affect them. Culture helps shape an individual’s health related beliefs, values, and behaviors. It is more than ethnicity and race; culture involves economic, political, religious, psychological, and biological aspects (Kleinman & Benson, 2006). All of these conditions take on an emotional tone and moral meaning for participants (Kleinman & Benson, 2006). As a health professional, it is one’s duty to have adequate knowledge and awareness of various cultures to effectively promote health behavior change. Cultural and linguistic competencies through cultural humility are two important aspects of working in the field of public health. Cultural competency is having a sense of understanding and respect for different cultural groups, while linguistic competency is the complete awareness of the language barriers that impact the health of individuals. These concepts are used to then work effectively work with various pop...
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.
Diabetes is a prevalent health disparity among the Latino population. Diabetes is listed as the fifth leading cause of death among the Latino population in the website for Center for Disease Control and Prevention, CDC, in 2009. According to McBean, “the 2001 prevalence among Hispanics was significantly higher than among blacks.” (2317) In other words among the Hispanic or Latino community, there is a higher occurrence of diabetes as compared to other racial/ethnic groups such as Blacks and Native Americans. The prevalence of diabetes among Latinos is attributed to the social determinants of health such as low socioeconomic status and level of education. Further, this becomes an important public health issue when it costs the United States $174 billion in both direct and indirect costs, based on the 2007 The National Diabetes Fact Sheet released by the CDC. In turn, medical expenses are twice as high for a patient that has diabetes as opposed to one without. Finally, this high cost becomes another barrier to receiving care for Latinos when some are in the low socioeconomic status.
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).
Wright, L. M., & Leahey, M. (2013). Nurses and families: A guide to family assessment and intervention (6th ed.). Philadelphia, PA: F. A. Davis
The ten leading causes of death among the Hispanic American population are mostly in line with the ten leading causes of death among all Americans. It is more surprising what causes from the American list are missing from the Hispanic American list – stroke, Alzheimer's Disease, and suicide (Centers For Disease Control And Prevention, 2009, 2010). Considering that sixty percent of deaths in the United States are attributable to behavioral factors, circumstances in one's social system, and what and who a person is exposed to in their environment (Nash, Reifsnyder, Fabius, & Pracilio, 2011), it is evident that health care providers must investigate these aspects in order to provide quality care. Recognizing the importance of providing culturally appropriate care, I attempted to determine if there were reasons for what I knew about the Hispanic culture and to discover what things I did not know. I performed a transcultural assessment on Elizabeth, a young Hispanic American female, keeping in mind that caring for a Hispanic American patient calls for developing a trusting relationship through awareness and understanding. In the clinical setting this can be accomplished by starting conversations with small talk and remembering that because a Hispanic person seems agreeable to a treatment plan does not necessarily mean they understand or will comply (Giger, 2013).
Health Promotion Among the Hispanic Minority Health is determined in the nation by the minority health. "Approximately 36 percent of the population belongs to a racial or ethnic minority group" (CDC, 2015).One of these are the "Hispanics or Latinos are the largest racial/ethnic minority population in the United States" (CDC, 2015). "About 1 in 6 people living in the US are Hispanic" (CDC, 2015). Therefore, this student will make the comparison between the status of the health of Hispanic minority and the nations ,barriers of health behavior This paper will compare the health status of the Hispanic minority with the nations, barriers to health seeking behaviors, and methods of promoting health among this population. Status of Health Among Hispanic Minority "Heart disease and cancer in Hispanics are the two leading causes of death, accounting for about 2 of 5 deaths, which is about the same for whites" (CDC, 2015). "Hispanics have more deaths from diabetes and chronic liver disease than whites, and similar numbers of deaths from kidney disease" (CDC, 2015). Even though the percentage of Hispanics suffering from high blood pressure are17% in comparison to 20% of whites. Hispanics are 68% that suffered poorly controlled high blood pressure compare to whites which are 54%. Even though Health risks may vary among Hispanic subgroup and whether they are US born or not. Lower death rate is suffered by the Hispanic than whites .But Hispanic has about 50% higher death rate from diabetes. Many deaths may be prevented within the Hispanic population with an increase in education and health screening . Barriers to Health Promotion in the Hispanic Minority "Social factors may play a major role in Hispanic health" (CDC, 2015). According to the art...
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...
Kelly, M and Nazroo, J (2008) Ethnicity and health. In Graham, S. ed. Sociology as applied to medicine. 6th ed. London: Saunders, pp. 159 - 175
Spector, R. E. (2009). Cultural Diversity in Health and illness (7th ed.). New Jersey: Pearson Prentice Hall.
Introduction Cultural considerations that impact the Latino in healthcare In our society there are many different cultural groups with varying beliefs when it comes to healthcare. There are many different cultures in our society today and they play an important part with patient compliance in their treatment and beliefs about their health. As a professional nurse we must educate ourselves in how this will affect their time with us and how we can better care for them. In this paper we will examine the Latino culture and answer the following, what is their health culture practices and beliefs, what are their family patters and nutritional patterns, how do they respond to pain and child birth.
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...