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Reflections on coping with stress
Stress-coping theory
Coping with stress
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Nursing Diagnosis 1 The family’s primary nursing diagnosis is interrupted family processes related to the shift in health status of a family member as manifested by decrease in mutual support and alteration in family satisfaction (Ackley & Ladwig, 2014).
Outcomes 1 Over the next 5 days each member of the family will explain a way that they will learn to express their feelings freely and appropriately. First, each member of the family will verbalize the understanding of the condition and treatment regimen they are dealing with in the family. Over the next 2 weeks each member of the family will have successfully expressed their feelings, when needed to, towards the stress of dealing with the shift in health status of their family member. By doing this, the family
This reinforces that some degree of conflict is to be expected and can be used to promote growth.
• Encourage the expression of anger. This helps to maintain the boundaries between the nurse and family.
• Encourage the family to participate in group therapy, if needed. This will help the family better understand how to deal with their emotions related to the shift in health status of their family member.
• Encourage the use of stress management techniques. These could include, relaxation time and exercises, appropriate expression of feelings, etc. This will assist the family members in a time of crisis.
• Make sure the family understands the importance of open dialogue between family members. This will help with unresolved feelings.
• Help these family members in a caring and respectful way. This will help the family develop trust and comfort within the nurse.
Nursing Diagnosis 2 The S family’s secondary nursing diagnosis is ineffective coping r/t ineffective tension release AEB change in communication pattern, anxiety, and inability to meet role expectations. (Nursing Central, 2016).
Outcomes
...concerns appropriate interventions were assigned to each one. For the priority concern of the family’s ability to cope and their risk of depression commendation and interventative questioning were the chosen interventions. For the priority concern of Gilberts care giver burnout and risk for compassion fatigue commendation and encouraging respite were chosen. The Grape family is a fitting example of the complex difficulties a family can have when they are faced with the difficulty of dealing with a chronic illness and tragedy. This paper demonstrates the importance of assessing and creating interventions for a family in a way which includes every member of the family not only the ones with complications. Raising the question should patients who are suffering from chronic illnesses better off to be treated as an individual or as a member of a functional family unit?
...the patient’s family more within the assessment after obtaining the patients consent, but my main aim in this case was to concentrate the assessment, solely on the patient, with little information from the family/loved ones. This is a vital skill to remember as patients family/loved ones can often feel unimportant and distant toward nursing staff, and no one knows the patient better than they do, and can tell you vital information. Therefore involvement of family/ carers or loved ones is sometimes crucial to patient’s further treatment and outcomes.
The clinical setting can be terrifying for a nursing student. Nursing students are not only concerned about properly caring for patients, but they have just as much concern regarding the techniques of how to properly address patients and their families in a manner which conveys the care and concern they wish to possess when they become registered nurses. Certainly, heightened levels of anxiety may inhibit a student nurse’s ability to make sound judgment calls with regard to appropriate nursing interventions (Foley, 2016).
For patients who are less affluent than the nurse, it is important to respectfully teach the patient about particular health care issues so they can be avoided in the future. Provide a nursing care plan that is comprehensive and easy to understand. For more affluent patients, it is important to maintain the same level of care the nurse would provide to anyone else. The affluence should not make the nurse feel less than or that he/she is not worthy of caring for that patient. It is important not to cater, spend more time, or provide better care for that patient and their family than the nurse normally would for their patient next
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.
During stressful times both the patients and their families are in a vulnerable state, which causes both the patient and their family to fully rely on the healthcare professionals. It is vital for the nurse or the healthcare professionals to build a rapport with the family as well as the patient. It can make the family feel uneased if they do not fully trust the nurse or the staff. Workplace violence can also exhibit similar symptoms and manifestations as the patient.
Ackley, B. & Ladwig, G. (2010) Nursing diagnosis handbook:an evidence based guide to planning care. Maryland Heights, MO: Mosbey.
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 nurses 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). Family Description The family discussed includes a father (M.M.).
Families with a member suffering from any illness may be stressful enough but families with members diagnosed with schizophrenia are often faced with additional challenges such as the “external stressors of social stigma, isolation, and emotional frustration”. Many times, family conflicts arise as members attempt to provide care on an everyday basis (Chien, 2010, pg. xi). “A Beautiful Mind” is a brilliant motion picture directed by Ron Howard that chronicles the life of one John Nash, a prominent mathematician and the challenges he endures throughout his adult life afflicted with a chronic mental illness. “A Beautiful Mind” allows us to gain insight into the stressors that many families undergo when faced with living with a person with schizophrenia. This paper will explore the impact of schizophrenia on the lives of the Nash family as depicted in the aforementioned movie. Exploring the impact of the disease on the Nash family’s life will be followed with a discussion regarding an assessment conducted of the family, through the use of the Calgary Family Assessment model. Conducting the assessment allowed us to determine two nursing priorities, and nursing interventions in relation to them through the use of the Calgary intervention model. Essentially it becomes evident that the challenges faced by the Nash family are in the functional domain. The families inability to effectively communicate and problem solve becomes evident, which is negatively impacting the families ability to function effectively. Our nursing interventions guided by the Calgary Nursing Intervention Model will focus on providing the Nash family with the support needed to bring about change in the affective domain in foster effective communication with the famil...
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.
Kaakinen, J. R., Gedaly-Duff, V., Coehlo, D. P., & Harmon Hanson, S. M. (2010). Family Health Care Nursing: Theory, Practice and Research. (4th ed.). Philadelphia, PA: F.A. Davis .
As a result, it is important to communicate properly respectfully with the public. There are two types of communication, verbal and non-verbal. “Verbal communication is an exchange of information using words, while nonverbal communication is information without the use of words”(Taylor et al. 2015). A professional nurse should use proper grammar and spelling while verbal communication. Nonverbal communication indicates facial expression, touch, eye contact, and posture. Patients are always observing, for example, if a nurse enters the room and makes no eye contact and negative body language, the patient would feel as if he/she is bothering the nurse or the nurse just doesn’t like caring for him/her. Further more, it is important for the nurse to communicate with the families or the patient. For example, if the patient were a 5-year-old boy, his parents would probably do most the communication. They want the best nurse and the best team assisting their son. Further more, nurses should maintain privacy and never communicate the patients name, address, age, diagnosis etc. with the public. The patient has the right to privacy and a professional nurse needs to respect patient’s
It is through these resources that an individual or family gets the help required to overcome their health care obstacles. This approach understands that family is a small segment of a larger group and that these segments interact on an ongoing basis. This approach is mainly used in the community nurse setting.
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...