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Family system theory
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Approaches to Family Nursing
For the purpose of this paper I will be discussing different experiences I have had as a nurse when using different approaches to family nursing. The four different approaches to family nursing are: family as context, family as client, family as a system, and family as a component of society. Each approach has foundations rooted in different nursing specialties such as family as context is rooted in maternal/child nursing, family as client is used in primary care nursing, family as a system is seen in mental health nursing and family as a component of society is used in community health nursing. With that being said, all approaches can be used in different settings and one approach is not set in stone for a certain
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When I was a nursing student I saw a lot of family dynamics and the nurses would have to respond to all family members if they were in visiting the patient. One day during clinical I was working alongside a nurse and we had a patient who was going to be discharged to home with hospice care. The patient was widowed, had three daughters and one son, all who were very involved. When it came time to discharge the patient, the nurse and I went into the room to explain that hospice home care would be coming to the house, double check they had the home set up for hospice et cetera. It was at this point that the son finally broke down and cried and started to deny that the patient would eventually pass away once they brought the patient home. One of the daughters also started to cry, the nurse I was with immediately stopped giving discharge instructions to attend to the family members who were breaking down. The other siblings also gathered to comfort the two siblings who were extremely emotional. The nurse remained calm, allowed the family to grieve and to express their emotions for as long as it took. The nurse took the time to explain hospice in simple terms and why hospice is a wonderful option for their loved one. As nurses, we have to take into consideration that not all family members react to illness the same. Grief is one emotion that people will react differently to, grief may or may not be expressed the same among family members, just because all four siblings shared the same parent does not mean that all four are going to break down and grieve the same (Hayslip & Page, 2013). We need to respect the was not only the patient may grieve for their illness, but also for the way a family may or may not react to a family members
As a nursing student, I have had some exposure to death during patient care. My first encounter with direct death was witnessing a patient after attempted resuscitation efforts die in the emergency department. As I observed others reactions, I noticed I was the only one who seemed fazed by the preceding events and the end result, although I didn’t show it outwardly. During my Aging and End of life clinical rotation, I have been exposed to a near death experience with a family and I had the rewarding experience of forming a relationship with the patient’s wife during the short hour I was in their home. From reading the accounts in this book, it confirmed to me the importance of catering to the needs of the family and the dying as an important issue to address as they are critical to overall care.
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.
Family health care nursing is defined as “the process of providing for health care needs of families that are within the scope of nursing practise and are concerned with the experience of the family over time, is considerate of community and cultural context of the group and is directed at families whose members are both healthy and ill. ”(). The principles of family health care assessment are that family health nursing is family focused and that a good working relationship with the family needs to be established. Other significant principles include family health nursing services should be realistic in terms of resources available, the family relates to community where it lives and depends on community in various ways, health education, guidance
It is no secret that the current healthcare reformation is a contentious matter that promises to transform the way Americans view an already complex healthcare system. The newly insured population is expected to increase by an estimated 32 million while facing an expected shortage of up to 44,000 primary care physicians within the next 12 years (Doherty, 2010). Amidst these already overwhelming challenges, healthcare systems are becoming increasingly scrutinized to identify a way to improve cost containment and patient access (Curits & Netten, 2007). “Growing awareness of the importance of health promotion and disease prevention, the increased complexity of community-based care, and the need to use scarce human healthcare resources, especially family physicians, far more efficiently and effectively, have resulted in increased emphasis on primary healthcare renewal…” (Bailey, Jones & Way, 2006, p. 381). The key to a successful healthcare reformation is interdisciplinary collaboration between Family Nurse Practitioners (FNPs) and physicians. The purpose of this paper is to review the established role of the FNP, appreciate the anticipated paradigm shift in healthcare between FNPs and primary care physicians, and recognize the potential associated benefits and complications that may ensue.
Since its establishment as a profession more than a century ago, Nursing has been a source for numerous debates related to its course, methods and development of nursing knowledge. Many nursing definitions and theories have evolved over time. Furthermore it is in a constant process of being redefined.
...spectives Of Bereaved Family Members On Their Experiences Of Support In Palliative Care.” International Journal of Palliative Nursing. 19.6 (June 2013): 282-288. Academic Search Premier. Web. 5 Nov. 2013.
It is essential that the practice be dependent and based on nursing fundamentals. These concepts are the foundation of the profession, which have been proven to be tried-and-true. They offer guidance and assistance for those in the nursing profession, by way of providing knowledge and ideas. The fundamentals that are taught in modern day nursing stress the importance of individual needs, both in a psychological and physiological fashion. As society continues to evolve, so will the standards of this particular
Loss is an inevitable part of life that everyone goes through. As a nurse, it is my duty and obligation to have an understanding of what each of my patients’ reactions and responses are in order to help them in their grieving process. Each person deals with grief differently, in their own way and their own time. It is a process that people will experience at some point in their life. No two people are going to experience the same grief. Grieving is not an easy process, therefore, it is important for the individuals experiencing grief to know that they are not alone. It is important to express their emotions and feelings in order to gain acceptance of the situation and to facilitate healing.
The majority of our society holds the notion that nurses are no more than trained professionals, working for a doctor, who simply provide medical care for the sick and informed. However, what nursing means to me goes deeper than that belief. Nursing is a profession in which individuals are responsible for not only the care of the sick and infirmed but are also responsible for being a support system and an educator, as well as an advocate for the promotion of optimal care. In today’s society, nurses are an important part of any medical facility’s investment. This paper will address the many different aspects of nursing in which nurse’s act as not only caregivers but also act as, counselors and educators.
The nursing process is one of the most fundamental yet crucial aspects of the nursing profession. It guides patient care in a manner that creates an effective, safe, and health promoting process. The purpose and focus of this assessment paper is to detail the core aspects of the nursing process and creating nursing diagnoses for patients in a formal paper. The nursing process allows nurses to identify a patient’s health status, their current health problems, and also identify any potential health risks the patient may have. The nursing process is a broad assessment tool that can be applied to every patient but results in an individualized care plan tailored to the most important needs of the patient. The nurse can then implement this outcome oriented care plan and then evaluate and modify it to fit the patient’s progress (Taylor, C. R., Lillis, C., LeMone, P., & Lynn, P., 2011). The nursing process prioritizes care, creates safety checks so that essential assessments are not missing, and creates an organized routine, allowing nurses to be both efficient and responsible.
Duvall’s Family Development and Life Cycle Theory states that families follow a predictive and individual process of development that is dependent on the family’s circumstances and interactions. Though families today are more diverse than in the past, this theory still guides nursing approaches because it examines families’ experiences and how they adapt when becoming parents (Rowe Kaakinen, Padgett Coehlo, Steele, and Tabacco, 2015). In this discussion, I will choose one of the development tasks from Duvall’s theory and discuss how I would apply it to a family in my nursing practice.
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.
The role of the family health nurse would be to provide education, information, and guidance to their clients to available and appropriate resources in the community. There is abundance of help and support provided from public health departments, community nursing centers, and many non-profit organizations that aim is to improve the health and wellness of each member within their communities. Many people are unaware of this help and it is our duty as nurses to make them aware and help them procure these services. Nurse home visiting programs, community-nursing centers, and public health departments all benefit the community member in various ways.
As a nurse, I have seen many touching moments. But none will compare to the one I just had. A blind man, Robert, was brought into the hospital a few days ago due to his failing health and he only wanted us to make one phone call; to a young couple he had known. This particular couple was peculiar in a way, when they received the call, they were distraught, despite no actual relation to the blind man. They hopped on the next available flight and arrived in Seattle in the wee hours of the morning. Once they arrived they were immediately brought in to see Robert, where I was tending to him. They both had the red strained eyes of people who had been crying and had gotten no sleep. Robert was sleeping but yet they insisted on remaining by his side so they would be there at the exact moment he