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Explain family health
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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
and supervision are an integral part of family health nursing and effective systems of record and report of family health nursing services are essential (). As a family Health nurse, there should also be periodic and continuous appraisal and evaluation of family health situation and health services are basic to family health situation, as well as services should be rendered to all families without any discrimination ().
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
Wright, L.M., & Leahey, M. (2009). Nurses and families: A guide to family assessment and
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.
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
Family centred care (FCC) encompasses the concept of parental participation in their infants care (Franck and Callery 2004). It aims to place the needs of the infant in the context of the family (Saunders et al 2003). FCC is adopted within many neonatal units and is considered the gold standard of care aiming to underpin and guide neonatal care towards the partnership between health professionals and parents (Hutchfield 1999). Subsequent to the interruption of the bonding process between infant and family when a baby is admitted to the Neonatal Intensive Care Unit (NICU) it is suggested that the NICU provides an ideal opportunity for FCC practice (Allerman Beck et al 2009) as nurses and parents are compelled to develop an effective relationship in order to satisfy the infants care needs (Reis et al 2009). However a study by Higman & Shaw (2008) found that it appears to be more difficult to achieve on the neonatal unit as FCC is reliant on the family’s relationship with the child. In order to deliver effective FCC neonatal nurses need an understanding of parents needs and how to address them. Mundy (2010) in a study researching the assessment of family needs in neonatal Intensive Care Units found that assumptions of parent’s needs were often made by healthcare professional’s resulting in unfounded and inappropriate conclusions. The importance of treating each family as individual is paramount when assessing how best to involve parents in the care of their infants (Higman & Shaw 2008). Review of the literature shows a lack of research into these assessments and highlights that enhancing family centred care requires appropriate assessments of family needs and the incorporation of this into individualised plans of care. A study into nurse’s perceptions about the delivery of FCC by Higman and Shaw (2010) supports this view, throughout the study it is apparent that although nurses realise the importance of FCC it is not always consistent within their own practice. Peterson et al (2004) suggests reasons for these inconsistencies could be the deficiency of adequate training and, the stress implementing FCC can impose on nursing staff due to an already demanding workload, potentially creating negative attitudes towards the relevance and practicalities of its delivery. The consensus view of FCC is positive although limitations to its execution are manifested throughout the literature. Staff shortages are suggested to hinder the performance of FCC within the clinical area, creating time constraints with nurses having very little opportunity to build good relationships with the families (Higman and Shaw 2008).
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.
Nursing should focus on patient and family centered care, with nurses being the patient advocate for the care the patient receives. Patient and family centered care implies family participation. This type of care involves patients and their families in their health care treatments and decisions. I believe that it is important to incorporate this kind of care at Orange Regional Medical Center (ORMC) because it can ensure that we are meeting the patient’s physical, emotional, and spiritual needs through their hospitalization.
Health care spending consumes a significant proportion of the national budget. As a result, good management practices should be part of providing cost-effective care to the community. The nursing profession is effective in providing primary care to the community. Even though the practice dates to the 19th century, its significance emerged in the previous decade as a result of changing demographics and global environment. It compliments health care policies through comprehensive nursing assessment, monitoring progress and early intervention. Additionally, it facilitates referrals and social support services such as education to promote self-reliance among people at risk. It combines biophysical, psychological, social knowledge and experience to develop capacity in health care provision. Therefore, the role of public health nursing is changing from contemporary generalist services to specialized and advanced roles in dealing with shifts in demographics, sociological and cultural factors that affect the health of the community.
... (2012). Family and community health nursing: Challenges and moving forward. Contemporary Nurse: A Journal for the Australian Nursing Profession, 41(1), 141-144.
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.
Kaakinen J., G.-D. V. (2010). Family Health Care Nursing. (4th ed.). Philadelphia: F.A. Davis Company.
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.
Community Health is the study and development of health in different communities. Community health tends to focus on area which includes primary, secondary and tertiary healthcare. It is also related to policies and a broad health services ranging to prevent diseases, promote health, and to rehabilitate the community. This is dedicated to individuals belonging to a local community and also the features of this community and its environment. With this community health nursing can be explained as a practice of taking care of the family from the child trough to the elderly on how to live a healthy and productive life, they provide a continuous service making sure that the physical and mental state of all individuals is good and also not prone to any chronic or risky diseases. Community health nurses are not restricted to the care of a particular age or diagnostic group. Contribution of all clients of health care are encouraged in the development of community activities that contribute to the promotion, education, and maintenance of good health. These activities require full health programs that pay special attention to socio-ecologic controls and specific populations at risk. Community health nurses are valued for their adaptive and ability to provide care in many ways, including community health clinics, churches, homeless shelters, and schools. Their role is to provide full care to patients within their homes, at organized events such as health fairs, and at agencies and institutions serving people who have particular health needs. They also lead or work together with other health care professionals, organizations, political figures and members of the community to promote health for their community. They develop and apply corporat...