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Approaches To Family Nursing
Approaches To Family Nursing
Importance of understanding family health in nursing
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A family comprises of collection individuals that interacts together and those who are connected by blood, marriage, living together, or adoption who interdependently execute significant purposes thereby accomplishing anticipated roles. Significant family tasks comprise practices and standards engaged on wellbeing. Family health practices, whether effective or ineffective, include events accomplished by persons or families as a whole to promote health and prevent disease (Edelman, 2014). Nursing process is the vital fundamental practices for the registered nurse in order to provide and deliver universal holistic patient-focused care. Nurse applies a logical, systematic and dynamic approach to gather and evaluate information about patients, …show more content…
in delivering nursing care. Assessment comprises of physiological data, psychological, sociocultural, spiritual, economic, and life-style factors as well (American Nurses Association, 2016). Several diverse theories are used by nurses in the clinical setting to assess, evaluate and create care plans for patients or families in order to make a holistic care that is patient-focus care.
The systems theory, developmental theory, and risk factor theory defined in our reading aided by explaining methods for the nurses to enhanced adequate assessment of families in the clinical setting. The systems theory described the individuals’ character in the family unit and impacts each other’s behavioral or traditional patterns. The developmental theory also illustrates families’ different developmental stages and how coping through the changes of main life events. Finally the risk factor theory which is the most appealing theory which talks about lifestyle, biological factors, environmental factors, social, psychological, cultural, spiritual dimensions, and the health care system” (Edelman, Kudzma, & Mandle, 2014, p. 175), which has to be considered and deliberated when evaluating the family’s history. Family assessments to provide assistance and direction, gather information, and classify family situations. The family assessment’s goal is to recognize health promotion necessities and disease prevention …show more content…
needs. Personally, the risk-factor appraises the most useful in assessing families. It is a holistic approach that recognizing and detecting a family’s health promotion and disease prevention needs. Risk factor theory aid nurses to be aware of the contributing factors affecting this family which includes their lifestyle, their environment, biological compositions and beliefs and practices. Family risk factors can be evident by poor lifestyles choices, lack of nutrition or healthy foods, drug addiction, smoking, consumption of, alcohol, sugary and fatty food causing chronic health problems. An environmental factor determines the health issues of a family.
For example the Gray life was affected by his environment with the pressure of life. Right from his childhood, he had faced a lot of problem, no good food, no education, and no job, family poor access to health care, peer pressures and stress contributed to his family health problem. Biological risk factors are also need to be evaluated, such and genetic traits, congenital injuries, and mental and physical injuries. Psychological assessment associated with to confidence issues, self-esteem, traditional, education and spiritual background are to be considered.
Family assessment entails good observation and listening skills, hence collecting data about family structure, function and needs aid nurses to recognize the family and also helps in developing what best approach to assist such families. It permits nurses to promptly recognize and detect mortality and morbidity risk factors in a family setting, it also aid nurses to recognized medical issues and knows what to educate families on the family’s health issues. Risk factor alertness inspires families to adjust poor health activities and amend health habits that can prone them to diseases (Edelman,
2014). The family risk factor perspective direct and guide nurses to discover the contributing factors that has effect and impact on family health, thus assisting nurses to plan the care that will assist and guide families changing their lifestyle choices and to institute achievable life changing objectives for the whole family. Edelman, Carole, Elizabeth Kudzma, Carol Mandle (2014). Health Promotion Throughout the Life Span, 8th Edition. Mosby, 2014. VitalBook file. American Nurses Association (2016). The Nursing Process. Retrieved March 25, 2016 from http://www.nursingworld.org/EspeciallyforYou/StudentNurses/Thenursingprocess.aspx
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.
Using nursing strategies that are unique for each family based on their individual genetic and genomic variations is fairly new in the area of nursing (Munro, 2014) and interventions for this family should be tailored to helping them keep up on current information about heart disease, diabetes, and cancer, which are the main medical issues in their family medical history, and having a plan that ensures they continue getting regular health checkups.
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).
According to Richard Charles (2001) “the effectiveness of family systems theory rests not much on empirical research but on clinical reports of positive treatment outcomes, the personal benefits experienced by the families that underwent this kind of treatment, and the elegance of Bowen’s theory” (p. 279). Bowen’s family systems theory views the family as an emotional unit and is a theory of human behavior. Systems thinking is used to describe the complex interactions in the unit. However, the client’s ability to differentiate himself/herself from the family of origin is the basis for Bowen’s family systems theory. In addition, the primary focus for growth within the emotional system is differentiation of self.
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
The family dynamic offers multiple perceptions and needs, these may require addressing matters individually as well as on a group level. There may be matters such as domestic violence or substance abuse which requires both individual and family counseling and resources. In times of crisis families need education and coping strategies in order to regain their lives back. The necessities of the family may entail emotional and medical support requirements depending on their situation. When there is a possible case involving violence the focus may turn to more than medical and emotional support and possible removal of the children from the home may be required.
Including family members in the care of the patient helps them cope better with the patient’s illness and helps them plan ongoing care when the patient goes home. Gaining both the trust of the patient and family can help the health care team get any details that may have been missed on admission, such as medications the patient takes, or special diet, or spiritual needs. Also, the family may provide pertinent information that the patient may not have divulged to the nurse. Encouraging the patient and family to voice their concerns will help implement a safe plan of action.
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...
The American Nurses Association (ANA) developed a foundation for which all nurses are expected to perform their basic duties in order to meet the needs of the society we serve. The ANA “has long been instrumental in the development of three foundational documents for professional nursing; its code of ethics, its scope and standards of practice, ands statement of social policy.” (ANA, 2010, p. 87) The ANA defined nursing as “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations” and used to create the scope and standards of nursing practice. (ANA, 2010, p. 1) These “outline the steps that nurses must take to meet client healthcare needs.” () The nursing process, for example, is one of the things I use daily. Other examples include communicating and collaborating with my patient, their families, and my peers, and being a lifelong learner. I continually research new diagnoses, medications, and treatments for my patients. As a nurse of ...
Our group definition of health showed that health is broad and consists of objective and subjective parts. In contrast, the king’s interaction model (theory of goal attainment), the purpose of nursing is to help people maintain, or restore health by mutually goal setting. Her view towards the concept of health are easy to understand, but difficult to realize because the role of nurses is based on the health needs of patient, family, community and population. The other needs of patient, family and community will be resolve by nurses giving patients referrals or follow-up for care to other professionals. These health needs exclude health disparities and inequities in vulnerable population that nurses serve. Also, these health needs include reciprocal
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.
Family systems theories and their approaches focus on the relationships between the sub systems that make up the family and are consistently being assessed in relation to the presenting problem. There are many family system theories and therapeutic approaches in
The practice of family therapy is heavily influenced by the systems theory perspective. Systems theory views the individual’s present environment and the intergenerational family system as the base from which psychological and relational problems arise (Corey, Corey, Corey, & Callanan, 2015). The systems perspective views the family as a functioning unit as opposed to individuals functioning independently void of any collective or interconnected influences. It recognizes that the actions of any individual family member will influence all other members.
Family Health Assessment is dynamic and progressive tool that plays an important role in developing an appropriate healthcare plan for the family. It helps in assessing the health of the family, addressing any health issues or concern, and assist in educating and making appropriate health-related choices or formulating proper intervention strategies for the family. The Gordon assessment involves 11 components to assess the health of the family. Using the Gordon’s assessment, the family interviewed is a young couple that consists of a father (36 years old), a mother (34 years old), and a son (2 years old). The father works in the Information technology field, and the mother is a data analyst.
The family health assessment is a specialized nursing tool that has three distinct aims: access to the family health needs in collaboration to the family, identification of health services required by the company, proper gain of information for the assessing the accurate need at the community level (Clark, 2015). Step 3: Assessment of the information The information collected in step 2 must be analyzed to plan, implement and evaluate the health service. For the proper analysis of the collected information a definitive approach must be undertaken. This includes a rigorous comparative study.