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Patient centered approach in nursing
Patient centered approach in nursing
Parental depression and its effects on children
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Chronic illness in children is a major source of stress and potential distress for the whole family. The disease is considered by many authors as chronic due to the length and complexity of the treatment and recovery period, danger to life or injury, a high probability of relapse (Rehm, 2013). When a child has a chronic disease, the severity of the experiences of all family members about the diagnosis is compounded by the numerous challenges that every family faces when interacting with the disease. Studies of families that had a child with chronic illness revealed universal problems directly affecting family functioning. Situation is worsened by lack of social, moral, and psychological support to these families. Parents are more often the primary caregivers for children with chronic illness, and so these people need an optimal professional support from health care professionals to maintain the care for their children and themselves. Because nurses take an intermediate role between a family and a doctor, they are the ones who will have a responsibility to empower parents (Rehm, 2013). There are numerous difficulties that need to be addresses when working with parents of children with a chronic condition (CCC). Emotional difficulties are the biggest concerns. They may occur in parent-child relationship, conjugal relationship, or in relations with the extended family. Rehm found that parents who took care for CCC had a higher level of stress, worry, fear, anxiety, and felt more overwhelmed. All this has its impact on relationships the caregiver and the child, as well the whole family, and community (Rehm, 2013). One of the main nurses role when working with a family is psychological assistance to reduce family stress and preven... ... middle of paper ... ...tional support to parents, develop their positive self-image, and helps parents explore the situation so that they can not only understand, but also predict the development within the specifics of the disease and its course. Helping parents build interaction with a child and provide him or her with emotional support in order to improve a child’s emotional state will also improve quality and safe care in the clinical practice. To summarize, nurses should support parents in developing coping strategies to enable them analyze the difficulties, identify constraints, and seek new ways out of difficult situation. It is also important for nurses to assist parents of a CCC in improving or finding new ways to communicate with health care providers. Nursing education of parents will support the development of internal independence and ability to make decisions responsibly.
...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?
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
Mrs. Farrington was constantly worrying about allowing him out of the house or be with other kids. The hospital constantly kept correcting this behavior by stating that she needs to allow him to be like other kids but sometimes it was her first instinct to prevent hospitalization. Mainly Cody is hospitalized due to weight loss or to clean mucus out of his lungs completely. Unlike Mrs. Farrington who has to deal with the medical treatments daily, her husband is in more denial. When Cody becomes sick he understands to call the hospital but Mr. Farrington has no understanding of Cody’s medicine and such. Though studies have shown that children who are cared by their mother recover faster and are discharged earlier, Mr. Farrington behavior is very concerning (Family-Centered Care and the Pediatrician’s Role, 692). He avoids the topic overall by working constantly. Mrs. Farrington finds this behavior to be strange because if something negative happened to her, Mr. Farrington needs to know these treatments, so they aren’t neglected or performed incorrectly. However, this arrangement between the parents is not very healthy because the stress of Cody condition is completely Mrs. Farrington burden. This makes Mrs. Farrington struggle giving her other children the fair attention they deserve as
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).
Wright, L. M., & Leahey, M. (2013). Nurses and families: A guide to family assessment and intervention (6th ed.). Philadelphia, PA: F. A. Davis
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 context of chronic illness: a family health promoting process. Journal of Nursing and Healthcare of Chronis Illness 3, (3), 283-92.
Nursing interventions should encourage family members to participate as well as be the ones who care about their child most. Special attention is needed to pay for children who attend day-care facilities and follow-up care is necessary. Word count: 1674.
Pediatric care is extremely individualized with the treatment plan for each child, families are highly encouraged to participate in goal setting, and the type of care is proactive with the intention of family-centered education (DiMarco & Kolcaba, 2005). The comfort theory can be intervened with all age groups. Some interventions that may be used to comfort a child or family during a stressful time are social, psychospiritual, environmental, and physical (Dimarco & Kolcaba, 2005). An example of each are; social, avoidance of using the word pain, psychospiritual, during a simple procedure you may have the parent present, environmental, utilization of a treatment room instead of the patients room, and physical, comfort of the patient with procedures and in bed (DiMarco & Kolcaba, 2005). Comfort is able to provide the patient with a positive outcome that encourage them and their families to commit themselves to health-seeking behaviors (DiMarco & Kolcaba,
A nurse’s role in our society today is exceptionally significant. Nurses are somewhat idolized and looked to as our everyday “superman”. “The mission of nursing in society is to help individuals, families, and groups to determine and achieve physical, mental, and social potential, and to do so within the challenging context of the environment in which they live and work” (“The Role of a Nurse/Midwife”). Many Americans turn to nurses for delivery of primary health care services and health care education (Whelan). In our country, there is constantly someone in need of health care. There will always be a baby being born or a person dying, someone becoming ill or growing old. Some people due to their physical and/or mental state of health are completely dependent on a nurse and wouldn’t be able to get through the simple obstacles of every day, or achieve the necessary requirements of a simple day without their aid. Not only do nurses help, and assist you when you’re sick, but also act to promote good health to others. They end...
-Sonnenberg, E. 2008.Caregiver Stress: The Impact of Chronic Disease on the Family. Available at: http://www.beliefnet.com/healthandhealing/getcontent.aspx?cid=74397.Access date 21 December 2013.
L.M. is a strong, single mother who takes great pride in raising her son and rarely asks for help. She welcomed me into her home where a relationship was built that helped me to encourage the family and guide them into reflecting on their own personal health problems. A family care plan was built on relevant nursing interventions and outcomes to help direct the family in improving their physical and psychological wellbeing. These interventions were gladly accepted by L.M. and very easily implemented into her and her son’s life. I am very appreciative of the time this family allowed me to spend with them and am confident that they will continue to be a very loving and healthy
(2013). The Relationships Between Fatigue, Quality of Life, and Family Impact Among Children With Special Health Care Needs. Journal Of Pediatric Psychology, 38(7), 722-731.
...be aware of the signs when education is needed for a family. Unfortunately, all families have barriers and may not be able to attend parenting classes to receive the education that may be necessary before the birth of their child. At that point, it then becomes the nurse’s responsibility to recognize the impairment, put interventions into place, and evaluate the family before discharge. For successful childrearing, parents need knowledge about raising children. Parenting classes and health-care professionals working with parents can contribute to raising children (Campbell,1992).