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Many people have many different definitions of a family. Some include family as the people they live with, some include their entire extended family, and some include friends, neighbors, coaches, and teachers. According to the Vanier Institute (2013), a family is “a combination of two or more persons who are bound together over time by ties of mutual consent, birth, and/or adoption” (para. 2). Whichever way you look at it, families often play a major role in life. It only makes sense that when a person begins to go through a drastic change in life such as illness, the family will be involved. This is why it is important that nurses learn how to provide suitable client and family centered care. They can do this by following the four pillars, which include respect and dignity, collaboration, information sharing, and meaningful participation (Saskatoon Health Region, 2013). By following these guidelines, nurses are able to appropriately include the family in all aspects of the healing of their loved one. Wright and Leahey (2009), suggest that family centered care can be practiced through a simple 15-minute interview. The patient interviewed in this paper is a man who had an abdominal aortic aneurysm, and needed life saving open-heart surgery in order to survive. This is considered an acute illness, which can be treated resulting in recovery but in severe cases, may lead to death (Lewis, Heitkemper, Dirksen, Bucher, & O’Brien, 2010). The family interview was conducted in the patient’s home, with his immediate family present. This paper will use Wright and Leahey’s assessment and intervention models, along with the 15-minute interview to create a plan of care for the family dealing with this acute illness. The names of the family m... ... middle of paper ... ...covery of their loved ones. All members of the healthcare team must attempt to provide family and client centered care in order to keep a good balance in the care of the patient. References Lewis, S., Heitkemper, M., Dirksen, S., Bucher, L. and O’Brien, P. (2010). Disorders of the Pancreas. Medical-Surgical Nursing in Canada, (2nd ed., 21). Toronto, Canada: Elsevier Canada. Saskatoon Health Region. (2013). Saskatoon Health Region Client and Family Centered Care. Retrieved from http://www.saskatoonhealthregion.ca/about_us/client_and_family_centred_care.htm# Vanier Institute of the Family. (2013). Our Approach to Family. Retrieved from http://www.vanierinstitute.ca/definition_of_family#.Un_yf42vXkU Wright, L. M., & Leahey, M. (2009). Nurses and families: A guide to family assessment and intervention (5th ed.). Philadelphia: F. A. Davis Company.
- The health care team should do everything they possibly can to care for the patient before they give up treatment. The health care team should provide top care to every patient and the treat the patient as they were treating their mom, dad or grandparent.
...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?
Strasser, Judith A., Shirley Damrosch, and Jacquelyn Gaines. Journal of Community Health Nursing. 2. 8. Taylor & Francis, Ltd., 1991. 65-73. Print.
...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.
...to communicate with your patient in order for them to be updated with their family’s sickness. And also have compassion towards them. You are likely to see a lot of injuries and scenarios play out among patients that have been admitted to the hospital. There are many achievements in this field that you may accomplish. And priorities that you have to deal with. For instants your time you have to adjust your schedule.
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
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...
When a health care professional identifies symptoms of pancreatitis, specific questions are asked about the person’s symptoms, lifestyle and habits, and medical and surgical history. These types of questions will help to rule out some conditions and make the correct diagnosis. In most cases, however, laboratory tests are needed. The tests will determine the function of several body systems including pancreas, liver and kidney functions, signs of infections, blood cell counts, and blood sugar, electrolyte levels and calcium level. Results of the blood tests may be inadequate if the pancreas is still making digestive enzymes and
The provision of patient/family-centered care, which assure safety and quality in the service, would have a team work approach as a foundation and underpinning. In a healing process or in the preservation of health intervene several factors, some of them are closely related with the environment. Healthcare providers constitute an important part of that environment, and definitely, communication with patients, families, and among themselves, have a significant impact on it. The environment would influence the patient’s perception of care, and the staff’s level of
...e disease process of pancreatitis. This situation has changed my practice by looking more in-depth into disease processes and the complications I could be faced with. I need to beware of how conditions can change and always be one step ahead in foreseeing these changes to be able to deal with these situations when they arise.
The theory of caregiver stress is a middle range theory that was developed from the Roy Adaptation Model in understanding relationships among caregivers and the stress they may face from caring for a chronically ill family member (Tsai, 2003). Caregiver stress stems from the fact that family members, usually children or spouses, must care for their loved one as they age and lose their independence. Children usually feel obligated to care for their parents and normally they want to provide care for this person who has taken care of them through-out life. However, something that these caregivers do not count on is all the added stress caring for an ailing adult entails, especially if that ailing person has a chronic condition like dementia or heart failure. The emotional upheaval, financial burden, and time commitment are all factors that lead to the caregiver stress. This paper will examine the difficulties experienced by caregivers in relation to the chronic conditions of dementia, and heart failure, examine why there is an increase in patients receiving healthcare from family members at home, and the theories’ application in nursing practice.
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...